Aim-Various bacterial species are differentially prevalent in periodontal health, gingivitis or periodontitis. We tested the independent associations between three bacterial groupings and gingival inflammation in an epidemiological study. (INVEST) participants ≥55 years, bleeding on probing (BoP), pocket depth (PD) and subgingival plaque samples (n =4866) were assessed in eight sites per mouth. Eleven bacterial species were quantitatively assayed and grouped as follows: (i) aetiologic burden (EB, Aggregatibacter actinomycetemcomitans, Porphyromonas gingivalis, Treponema denticola, Tannerella forsythia); (ii) putative burden (PB, Campylobacter rectus, Eikenella corrodens, Fusobacterium nucleatum, Micromonas micros, Prevotella intermedia); (iii) health-associated burden (HAB, Actinomyces naeslundii, Veillonella parvula).
Material and Methods-In 706 Oral Infections and Vascular Disease Epidemiology StudyResults-After mutual adjustment for EB, PB and HAB, the BoP prevalence increased by 45% ( p<0.0001) across increasing quartiles of EB while BoP decreased by 13% ( p<0.0001) across increasing quartiles of HAB. Mean PD increased 0.8 mm and decreased 0.3 mm from the first to fourth quartiles of EB (p<0.0001) and HAB ( p<0.0001), respectively. Among 1214 plaque samples with fourth quartile EB, 60% were collected from sites with PD ≤3 mm.Conclusion-Bacterial species believed to be aetiologically related to periodontitis were associated with BoP in sites with minimal PD and/or attachment level (AL). Species presumed to be associated with periodontal health demonstrated inverse associations with BoP.Address: Moïse Desvarieux, Department of Epidemiology, Mailman School of Public Health, Columbia University, 722 West 168th Street, New York, NY 10032, USA, md108@columbia.edu.
Conflict of interestThe authors have no conflicts of interest or financial interests to disclose. The bacterial aetiology of periodontitis has been extensively studied and several putative causal microbes have been identified (Grossi et al. 1994, Haffajee & Socransky 1994, Mombelli et al. 1998, Socransky et al. 1998, Van Winkelhoff et al. 1999, Timmerman et al. 2000, van der Velden et al. 2006. However, much of the population-based research exploring relationships between bacteria and clinical periodontal disease uses pooled bacterial samples and defines bacterial exposure dichotomously by assessing the prevalence (presence/absence) of colonization at the patient level (Grossi et al. 1994, Machtei et al. 1999, Timmerman et al. 2001, Van Winkelhoff et al. 2002, van der Velden et al. 2006.
HHS Public AccessEpidemiological approaches that measure bacteria quantitatively and use statistical methods to model multiple bacterial exposures simultaneously are necessary for assessing doseresponsiveness and addressing the contributions of various bacterial species to clinical periodontal disease independent of mutual correlations among species. Such approaches may help to clarify the specificity of associations between bacterial species and clinical perio...