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The isolation and characterization of milleri group streptococci from dental periapical abscesses

L E Fisher1, R R Russell

  • 1Department of Oral Biology, Dental School, University of Newcastle upon Tyne, United Kingdom.

Insights

Streptococcus anginosus is frequently found in dental periapical abscesses. This study identified Streptococcus milleri group bacteria in 37% of samples, with S. anginosus being the most common species.

Area of Science:

  • Microbiology
  • Oral Health
  • Infectious Diseases

Background:

  • The "S. milleri" group of streptococci has been linked to dental abscesses.
  • Recent reclassification established three distinct species: Streptococcus anginosus, Streptococcus constellatus, and Streptococcus intermedius.
  • Taxonomic confusion previously surrounded these organisms.

Purpose of the Study:

  • To investigate the prevalence and species distribution of Streptococcus milleri group in dental periapical abscesses.
  • To clarify the role of specific S. milleri group species in these infections.

Main Methods:

  • Analysis of 45 samples from dental periapical abscesses.
  • Isolation and identification of streptococci using standard microbiological techniques.
  • Species-level identification of the Streptococcus milleri group.

Main Results:

  • Streptococcus milleri group was isolated from 16 patients (37%) of the samples.
  • Streptococcus anginosus was the predominant species, identified in 15 isolates.
  • Streptococcus intermedius was identified in one isolate.

Conclusions:

  • Streptococcus anginosus appears to be the most prevalent species of the Streptococcus milleri group associated with dental periapical abscesses.
  • The findings contribute to understanding the etiology of dental abscesses and the role of specific streptococcal species.

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