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Clinical Oral Investigations
Published in: Clinical Oral Investigations 8/2016

Open Access 01-11-2016 | Original Article

Isolation of Propionibacterium acnes among the microbiota of primary endodontic infections with and without intraoral communication

Authors: Sadia Ambreen Niazi, Hana Suleiman Al Kharusi, Shanon Patel, Kenneth Bruce, David Beighton, Federico Foschi, Francesco Mannocci

Published in: Clinical Oral Investigations | Issue 8/2016

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Abstract

Objectives

The presence of opportunistic pathogens such as Propionibacterium acnes (P. acnes) may contribute to the endodontic pathology. The presence of P. acnes may be influenced by different endodontic conditions.
The aims of the study were firstly, to identify P. acnes within the whole cultivable microbiota of primary endodontic infections, to investigate which P. acnes phylotypes predominate in such infections and secondly to determine if the presence of an “open” communication (e.g. a sinus) can be associated with the isolation of P. acnes from the root canal.

Material and methods

The predominant cultivable microbiota of 15 primary endodontic lesions (7 without communication with the oral environment and 8 with an open communication) were identified using partial 16S ribosomal RNA (rRNA) gene sequence analysis. The identification of the organism was determined by interrogating the Human Oral Microbiome Database. The P. acnes isolates were typed on the basis of the recA gene sequence comparison. A neighbor-joining tree was constructed using MEGA 4.1 with the inclusion of known recA sequences.

Results

There was no difference in the number of species identified from lesions without communication (5.86 ± 3.7) and those with communication (5.37 ± 3.6) (P > 0.05). PCR-based 16S rRNA gene sequencing revealed P. acnes as the most prevalent isolate recovered from lesions with communication. recA gene sequencing revealed two phylogenetic lineages present in lesion with communication, with mainly type I (further split into type IA and type IB) and type II.

Conclusions

The presence of P. acnes as opportunistic pathogens has been confirmed and may sustain the traits observed in specific clinical presentations.

Clinical relevance

Clinical management of open lesions may require further disinfection to eliminate opportunistic bacteria.
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Metadata
Title
Isolation of Propionibacterium acnes among the microbiota of primary endodontic infections with and without intraoral communication
Authors
Sadia Ambreen Niazi
Hana Suleiman Al Kharusi
Shanon Patel
Kenneth Bruce
David Beighton
Federico Foschi
Francesco Mannocci
Publication date
01-11-2016
Publisher
Springer Berlin Heidelberg
Published in
Clinical Oral Investigations / Issue 8/2016
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI
https://doi.org/10.1007/s00784-016-1739-x

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