Assessment of the Level of Periodontopathic Pathogens in Oral cavity by Mouth Air Analysis

  • Arai Takako
    Department of Periodontology, Nippon Dental University School of Life Dentistry at Tokyo Department of General Dentistry, Nippon Dental University Hospital
  • Imai Susumu
    Department of Translational Research, Tsurumi University School of Dental Medicine
  • Hanada Nobuhiro
    Department of Translational Research, Tsurumi University School of Dental Medicine
  • Kamoi Kyuichi
    Department of Periodontology, Nippon Dental University School of Life Dentistry at Tokyo
  • Numabe Yukihiro
    Department of Periodontology, Nippon Dental University School of Life Dentistry at Tokyo

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Other Title
  • 口腔内空気分析による歯周病原性細菌レベルの評価

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Abstract

We hypothesized that analysis of mouth air would be indicative of not only periodontal status but also populations of periodontal pathogens in periodontal pockets. Oral malodour and volatile sulphur compounds (VSCs) concentrations in mouth air from 30 subjects were examined by electronic nose, gas chromatography and organoleptic tests. Several periodontal parameters were also recorded. Periodontal pathogens, i.e. P. gingivalis, A. actinomycetemcomitans, T. forsythia, P. intermedia and T. denticola were analyzed in saliva, tongue coating and subgingival plaque by real-time PCR. The following results were obtained. 1.The max probing pocket depth (PD) was significantly correlated with oral malodour expressed as organoleptic score, total mode of electronic nose and CH3SH/H2S ratio. 2.Total measurement mode of electronic nose, CH3SH/H2S ratios significantly correlated with total level of the microorganisms in subgingival plaque(adjusted R2 =0.690,p<0.027). A significant positive correlation was demonstrated between the actual measurement value and the forecast value of the total level of the five periodontopathic microorganisms in subgingival plaque (R2=0.447, p<0.001). Electronic nose measurements or CH3SH/H2S ratio would be a practical indicator of periodontal health status. Mouth-air analysis might indicate the level of periodontopathic microorganisms in periodontal pockets. Nihon Shishubyo Gakkai Kaishi (JJpn Soc Periodontol) 56(4):379-389, 2014.

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