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Centro de Investigaciones Regionales Dr. Hideyo Noguchi, Universidad Autónoma de Yucatán

2020, Número 2

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Rev Biomed 2020; 31 (2)


Presencia de bacterias del complejo rojo y Aggregatibacter actinomycetemcomitans en dientes primarios necróticos con absceso periapical en niños de Sinaloa, México

Soto-Sainz JE, Alarcón-Romero P, Gastélum-Rosales G, Castro-Salazar Y, Ramos-Payán R, Romero-Quintana G, Aguilar-Medina M, Ayala-Ham AR, Soto-Barreras U, Silva-Benítez EL

Idioma: Ingles.
Referencias bibliográficas: 38
Paginas: 76-83
Archivo PDF: 314.88 Kb.


RESUMEN

Introducción. La necrosis pulpar es uno de los principales motivos por los cuales se realizan tratamientos en dentición infantil. El complejo rojo y Aggregatibacter actinomycetemcomitans (A. actinomycetemcomitans) se han asociado con patología pulpares.
Objetivo. Evaluar la presencia del complejo rojo y A. actinomycetemcomitans en placa bacteriana, canal radicular y abscesos periapical en infantes 3 a 9 años de edad con diagnóstico de necrosis pulpar.
Materiales y métodos. Las muestras de los tres sitios fueron preservadas y los microorganismos fueron identificados por PCR.
Resultados. Veinte seis niños (5.5 ± 1.7 años) fueron evaluados, 92.3 % fueron positivos para una bacteria en por lo menos uno de los lugares evaluados. El microrganismo más prevalente fue T. forsythia (76.9 %) y el menor T. denticola (11.5 %). Sin embargo, A. actinomycetemcomitans no fue encontrada en ninguna de las muestras. La placa bacteriana fue el lugar con mayor frecuencia de bacterias (80.7 %, p ‹ 0.001). Un diagrama simétrico fue realizado dando como resultado que T. forsythia se relacionó con el sitio de placa bacteriana, mientras T. denticola con fistula y P. gingivalis con canal radicular.
Conclusiones. Las bacterias del complejo rojo (P. gingivalis, T. denticola y T. forsythia) fueron encontradas en una alta frecuencia en los tres sitios analizados. A. actinomycetemcomitans no fue encontrada en ninguna muestra. Con estos resultados se observa que dependiendo de la zona anatómica se modifica la presencia de estos Red microorganismos, conocer esto es esencial para elegir apropiadas técnicas de irrigación capaces de inhibir la proliferación bacteriana y así lograr el éxito clínico.


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