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01-01-2013 | Original Article

Symptomatic and asymptomatic apical periodontitis associated with red complex bacteria: clinical and microbiological evaluation

Authors: Alessio Buonavoglia, Francesca Latronico, Chiara Pirani, Maria Fiorella Greco, Marialaura Corrente, Carlo Prati

Published in: Odontology | Issue 1/2013

Abstract

In this study, the association of red complex (RC) bacteria that include Treponema denticola, Tannerella forsythia and Porphyromonas gingivalis with acute, exacerbated or chronic apical periodontitis was evaluated. Seventy-one patients with periapical disease were evaluated by clinical examination and microbiological samples obtained from the root canals were analyzed by a polymerase chain reaction assay. Twenty-one (29.6%) samples were positive for RC bacteria, with T. denticola, T. forsythia and P. gingivalis being detected in 14 (19.7%), 10 (14.1%) and 6 (8.5%) samples, respectively. RC bacteria were mainly associated with acute apical periodontitis (29.2%) and phoenix abscess (63.2%), while they were only sporadically detected (7.1%) in patients with chronic apical periodontitis. Generally, RC bacteria were associated with pain and a higher frequency of intracanalar/intrasulcular pus drainage. Involvement of RC bacteria in symptomatic periapical disease should be suspected in the presence of particularly severe clinical pain and pus drainage.

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Title: Symptomatic and asymptomatic apical periodontitis associated with red complex bacteria: clinical and microbiological evaluation
Authors: Alessio Buonavoglia
Francesca Latronico
Chiara Pirani
Maria Fiorella Greco
Marialaura Corrente
Carlo Prati
Publication date: 01-01-2013
Publisher: Springer Japan
Published in: Odontology / Issue 1/2013
Print ISSN: 1618-1247
Electronic ISSN: 1618-1255
DOI: https://doi.org/10.1007/s10266-011-0053-y

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Symptomatic and asymptomatic apical periodontitis associated with red complex bacteria: clinical and microbiological evaluation

Abstract

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Abstract

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