La microbiota subgingival en pacientes sanos y con periodontitis: comparación entre Albania y España
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2022
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09/05/2022
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Iniesta Albentosa, Margarita
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Universidad Complutense de Madrid
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Abstract
Objetivo: Describir cualitativa y cuantitativamente la microbiota cultivable subgingival de sujetos albaneses, con diferentes condiciones periodontales de acuerdo con la clasificación de las enfermedades periodontales de 2018, y compararla con una población española similar. Material y Métodos: Se seleccionaron pacientes diagnosticados como periodontalmente sanos o con gingivitis, y con periodontitis en estadios I-II o II-IV, y fueron analizados clínicamente y mediante cultivo microbiológico. Las variables de resultado microbiológicos incluyeron recuentos anaerobios totales, proporciones y frecuencias de detección de bacterias específicas. Las variables respuesta se analizaron mediante los tests de Mann-Whitney, Kruskal-Wallis, ANOVA y Chi-cuadrado. Resultados: Se incluyeron 83 pacientes (Albania) y 90 (España). No se observaron diferencias estadísticamente significativas entre países o entre condiciones periodontales, para las variables demográficas o para el hábito tabáquico. Los recuentos anaerobios totales fueron significativamente más altos en la población albanesa (p=0,022) que en la española, lo que corresponde a diferencias estadísticamente significativas en el grupo de salud periodontal/gingivitis (p=0,001). Los sujetos albaneses mostrarosn menores proporciones, estadísticamente significativas, de Fusobacterium nucleatum en los grupos de salud/gingivitis (p=0,022) y en periodontitis estadios I-II (p=0,034), en comparación con los sujetos españoles. De igual manera, se observaron proporciones significativamente más bajas de Prevotella intermedia en pacientes con periodontitis estadios III-IV (p=0,038) en Albania que en España. Conclusión: La microbiota subgingival en sujetos albaneses con y sin periodontitis, cuando fue comparada con una población similar de sujetos españoles, demostró estar caracterizada por mayores recuentos anaerobios totales y proporciones más bajas de microbiota cultivable de F. nucleatum y P. intermedia.
Objective: To qualitatively and quantitatively describe the subgingival cultivable microbiota in Albanian subjects, with different periodontal conditions according to the 2018 classification of periodontal diseases, and to compare it with a similar Spanish population. Material and Methods: Consecutive patients, diagnosed as periodontally healthy or with periodontitis in stages I-II or III-IV, were studied clinically and microbiologically by means of microbiological culture, including total anaerobic counts, proportion, and frequency of detection of target species. Outcome variables were analysed by Mann-Whitney, Kruskal-Wallis, ANOVA and Chi-square tests. Results: Eighty-three (Albania) and 90 (Spain) subjects were included. no statistically significant differences were observed between Albanian and Spanish populations regarding demographic variables or smoking habit. Significntly higher total anaerobic counts in the Albanian population (p=0.022) than in Spain were observed, especially in the peiodontal health/gingivitis group (p=0.001). In Albanian subjects, teh proportions of cultivable microbiota of Fusobacterium nucleatum were significantly lower in both healthy/gingivitis (p=0.022) and stages I-II periodotntitis (p=0.034) groups, when compared with Spanish subjects. Similarly, significantly lower prportions of Prevotella intermedia were found in Albanian subjects in stages III-IV periodonttis (p=0.038)
Objective: To qualitatively and quantitatively describe the subgingival cultivable microbiota in Albanian subjects, with different periodontal conditions according to the 2018 classification of periodontal diseases, and to compare it with a similar Spanish population. Material and Methods: Consecutive patients, diagnosed as periodontally healthy or with periodontitis in stages I-II or III-IV, were studied clinically and microbiologically by means of microbiological culture, including total anaerobic counts, proportion, and frequency of detection of target species. Outcome variables were analysed by Mann-Whitney, Kruskal-Wallis, ANOVA and Chi-square tests. Results: Eighty-three (Albania) and 90 (Spain) subjects were included. no statistically significant differences were observed between Albanian and Spanish populations regarding demographic variables or smoking habit. Significntly higher total anaerobic counts in the Albanian population (p=0.022) than in Spain were observed, especially in the peiodontal health/gingivitis group (p=0.001). In Albanian subjects, teh proportions of cultivable microbiota of Fusobacterium nucleatum were significantly lower in both healthy/gingivitis (p=0.022) and stages I-II periodotntitis (p=0.034) groups, when compared with Spanish subjects. Similarly, significantly lower prportions of Prevotella intermedia were found in Albanian subjects in stages III-IV periodonttis (p=0.038)
Description
Tesis inédita de la Universidad Complutense de Madrid, Facultad de Odontología, leída el 09-05-2022
UCM subjects
Periodoncia
Unesco subjects
3213.13 Ortodoncia-Estomatología