A cross-sectional study on the periodontal status and prevalence of red complex periodontal pathogens in a Japanese population

  • Chigasaki Otofumi
    Tsukuba Healthcare Dental Clinic Department of Periodontology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
  • Takeuchi Yasuo
    Department of Periodontology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
  • Aoki Akira
    Department of Periodontology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
  • Sasaki Yoshiyuki
    Research and Industry-University Alliance Organization, Tokyo Medical and Dental University
  • Mizutani Koji
    Department of Periodontology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
  • Aoyama Norio
    Division of Periodontology, Department of Oral Interdisciplinary Medicine, Graduate School of Dentistry, Kanagawa Dental University
  • Ikeda Yuichi
    Department of Periodontology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
  • Gokyu Misa
    Tsukuba Healthcare Dental Clinic Department of Periodontology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
  • Umeda Makoto
    Department of Periodontology, Osaka Dental University
  • Ishikawa Isao
    Institute of Advanced Biomedical Engineering and Science, Tokyo Women’s Medical University
  • Izumi Yuichi
    Department of Periodontology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University

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Abstract

<p>This large-scale study cross-sectionally examined the periodontal status and prevalence of “red complex” bacteria (Porphyromonas gingivalis, Treponema denticola, and Tannerella forsythia) in Japanese adults. A total of 977 participants were enrolled in the study. Probing depth (PD), bleeding on probing (BOP), and bone crest level (BCL) were recorded, and the presence of red complex bacteria in the saliva was examined using polymerase chain reaction. The mean BCL value and the percentage of sites with a PD ≥4 mm or the presence of BOP were significantly higher in older participants. The detection rates of P. gingivalis, T. denticola, and T. forsythia were 46.3%, 76.4%, and 61.1%, respectively. The P. <i>gingivalis detection rate significantly increased with age, while those of T. denticola and T. forsythia were comparably high for all age groups. A close correlation between P. gingivalis and the percentage of sites with PD ≥4 mm was indicated by nonlinear canonical correlation analysis. Current smokers exhibited a more advanced disease condition and a significantly higher P. gingivalis detection rate than non-smokers. In conclusion, periodontal condition worsens with age, and P. gingivalis appears to be the red complex bacterium most closely associated with periodontitis. </i></p>

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