Skip to main content
Erschienen in: Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie 3/2011

01.07.2011 | Original article

Prevalence of Helicobacter pylori in the adolescent oral cavity

Dependence on orthodontic therapy, oral flora and hygiene

verfasst von: Prof. Dr. A. Wichelhaus, L. Brauchli, Q. Song, G. Adler, G. Bode

Erschienen in: Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie | Ausgabe 3/2011

Einloggen, um Zugang zu erhalten

Abstract

Background

Helicobacter pylori (HP) infection usually occurs in childhood. While there are various studies on the prevalence of HP in dental plaque, ours is the first to analyze its prevalence during orthodontic therapy and its interaction with competitive bacteria in adolescents.

Subjects and methods

The prevalence of HP was examined before and during the first 12 weeks of orthodontic therapy with fixed appliances in 11 patients with a mean age of 12.7 years. A total of 93 plaque samples were analyzed using PCR. The data acquired at every consultation were the following: PCR analysis of dental plaque and 13C urea breath tests for HP, quantitative analyses of saliva for Lactobacilli and Streptococcus mutans, the interproximal plaque index (API), and sulcus bleeding index (SBI).

Results

The prevalence of HP in plaque was 82% before orthodontic therapy, dropping to 54% during therapy (t test, p≤0.05). In contrast to HP’s prevalence, the Lactobacilli count rose (p≤0.05). The number of Streptococcus mutans bacteria in saliva decreased during orthodontic therapy (p≤0.05).

Conclusion

The prevalence of HP in dental plaque amounted to 82%. Orthodontic treatment did not reduce its prevalence. The prevalence of Lactobacilli was inversely proportional to that of HP.
Literatur
1.
Zurück zum Zitat Al-Hawajri AA, Keret D, Simhon A et al (2004) Helicobacter pylori DNA in dental plaques, gastroscopy, and dental devices. Dig Dis Sci 49:1091–1094PubMedCrossRef Al-Hawajri AA, Keret D, Simhon A et al (2004) Helicobacter pylori DNA in dental plaques, gastroscopy, and dental devices. Dig Dis Sci 49:1091–1094PubMedCrossRef
2.
Zurück zum Zitat Allaker RP, Young KA, Hardie JM et al (2002) Prevalence of Helicobacter pylori at oral and gastrointestinal sties in children: evidence for possible oral-to-oral transmission. J Med Microbiol 51:312–317PubMed Allaker RP, Young KA, Hardie JM et al (2002) Prevalence of Helicobacter pylori at oral and gastrointestinal sties in children: evidence for possible oral-to-oral transmission. J Med Microbiol 51:312–317PubMed
3.
Zurück zum Zitat Ashorn M (1995) What are the specific features of Helicobacter pylori gastritis in children? Ann Med 27:617–620PubMedCrossRef Ashorn M (1995) What are the specific features of Helicobacter pylori gastritis in children? Ann Med 27:617–620PubMedCrossRef
4.
Zurück zum Zitat Attin R, Thon C, Schlagenhauf U et al (2005) Recolonization of mutans steptococci on teeth with orthodontic appliances after antimicrobial therapy. Eur J Orthod 27:489–493PubMedCrossRef Attin R, Thon C, Schlagenhauf U et al (2005) Recolonization of mutans steptococci on teeth with orthodontic appliances after antimicrobial therapy. Eur J Orthod 27:489–493PubMedCrossRef
5.
Zurück zum Zitat Banatvala N, Romero Lopez C, Owen RI et al (1994) Use of the polymerase chain reaction to detect Helicobacter pylori in the dental plaque of healthy and symptomatic individuals. Mircob Ecol Health Dis 7:1–8CrossRef Banatvala N, Romero Lopez C, Owen RI et al (1994) Use of the polymerase chain reaction to detect Helicobacter pylori in the dental plaque of healthy and symptomatic individuals. Mircob Ecol Health Dis 7:1–8CrossRef
6.
Zurück zum Zitat Braden B, Schäfer F, Caspary WF et al (1996) Nondispersive isotope-selective infrared spectroscopy: a new analytical method for 13C-urea breath tests. Scand J Gastroenterol 31:442–445PubMedCrossRef Braden B, Schäfer F, Caspary WF et al (1996) Nondispersive isotope-selective infrared spectroscopy: a new analytical method for 13C-urea breath tests. Scand J Gastroenterol 31:442–445PubMedCrossRef
7.
Zurück zum Zitat Brenner H, Rothenbacher D, Bode G et al (1998) Parental history of gastric or duodenal ulcer and prevalence of Helicobacter pylori infection in preschool children: population based study. BMJ 316:665PubMed Brenner H, Rothenbacher D, Bode G et al (1998) Parental history of gastric or duodenal ulcer and prevalence of Helicobacter pylori infection in preschool children: population based study. BMJ 316:665PubMed
8.
Zurück zum Zitat Brown LM (2000) Helicobacter pylori: Epidemiology and routes of transmission. Epidemiol Rev 22:283–297PubMed Brown LM (2000) Helicobacter pylori: Epidemiology and routes of transmission. Epidemiol Rev 22:283–297PubMed
9.
Zurück zum Zitat Cellini L, Allocati N, Piattelli A et al (1995) Microbiological evidence of Helicobacter pylori from dental plaque in dyspeptic patients. New Microbiol 18:187–192PubMed Cellini L, Allocati N, Piattelli A et al (1995) Microbiological evidence of Helicobacter pylori from dental plaque in dyspeptic patients. New Microbiol 18:187–192PubMed
10.
Zurück zum Zitat Chang HS, Walsh LJ, Freer TJ (1999) The effect of orthodontic treatment on salivary flow, pH, buffer capacity, and levels of mutans streptococci and lactobacilli. Aust Orthod J 15:229–234PubMed Chang HS, Walsh LJ, Freer TJ (1999) The effect of orthodontic treatment on salivary flow, pH, buffer capacity, and levels of mutans streptococci and lactobacilli. Aust Orthod J 15:229–234PubMed
11.
Zurück zum Zitat Chaudhry S, Iqbal HA, Khan AA et al (2008) Helicobacter pylori in dental plaque and gastric mucosa: correlation revisited. J Pak Med Assoc 58:331–334PubMed Chaudhry S, Iqbal HA, Khan AA et al (2008) Helicobacter pylori in dental plaque and gastric mucosa: correlation revisited. J Pak Med Assoc 58:331–334PubMed
12.
Zurück zum Zitat Cheng LH, Webberley M, Evans M et al (1996) Helicobacter pylori in dental plaque and gastric mucosa. Oral Surg Oral Med Oral Pathol Oral Radio Endod 81:421–423CrossRef Cheng LH, Webberley M, Evans M et al (1996) Helicobacter pylori in dental plaque and gastric mucosa. Oral Surg Oral Med Oral Pathol Oral Radio Endod 81:421–423CrossRef
13.
Zurück zum Zitat Chumpitaz Conde J, Guitiérrez Manay, Córdova Acosta R et al (2006) Isolation of helicobacter pylori in dental plaque in patients with gastritis and “Angamos” clinic. Rev Gastroenterol Peru 26:373–376 Chumpitaz Conde J, Guitiérrez Manay, Córdova Acosta R et al (2006) Isolation of helicobacter pylori in dental plaque in patients with gastritis and “Angamos” clinic. Rev Gastroenterol Peru 26:373–376
14.
Zurück zum Zitat Ellenrieder V, Glasbrenner B, Stoffels C et al (1997) Qualitative and semi-quantitative value of a modified 13C-urea breath test for identification of Helicobacter pylori infection. Eur J Gastroenterol Hepatol 9:1085–1089PubMed Ellenrieder V, Glasbrenner B, Stoffels C et al (1997) Qualitative and semi-quantitative value of a modified 13C-urea breath test for identification of Helicobacter pylori infection. Eur J Gastroenterol Hepatol 9:1085–1089PubMed
15.
Zurück zum Zitat Ferguson DA Jr, Li C, Patel NR et al (1993) Isolation of Helicobacter pylori from saliva. J Clin Microbiol 31:2802–2804PubMed Ferguson DA Jr, Li C, Patel NR et al (1993) Isolation of Helicobacter pylori from saliva. J Clin Microbiol 31:2802–2804PubMed
16.
Zurück zum Zitat Grimm W, Fischbach W (2003) Helicobacter pylori infection in children and juveniles: an epidemiological study on prevalence, socio-economic factors and symptoms. (Abstract) Dtsch Med Wochenschr 128:1878–1883 Grimm W, Fischbach W (2003) Helicobacter pylori infection in children and juveniles: an epidemiological study on prevalence, socio-economic factors and symptoms. (Abstract) Dtsch Med Wochenschr 128:1878–1883
17.
Zurück zum Zitat Hardo PG, Tugnait A, Hassan F et al (1995) Helicobacter pylori infection and dental care. Gut 37:44–46PubMedCrossRef Hardo PG, Tugnait A, Hassan F et al (1995) Helicobacter pylori infection and dental care. Gut 37:44–46PubMedCrossRef
18.
Zurück zum Zitat Ishihara K, Miura T, Kimizuka R et al (1997) Oral bacteria inhibit Helicobacter pylori growth. FEMS Microbiol Lett 152:355–361PubMedCrossRef Ishihara K, Miura T, Kimizuka R et al (1997) Oral bacteria inhibit Helicobacter pylori growth. FEMS Microbiol Lett 152:355–361PubMedCrossRef
19.
Zurück zum Zitat Krajden S, Fuksa M, Anderson J et al (1989) Examination of human stomach biopsies, saliva and dental plaque for Campylobacter pylori. J Clin Microbial 31:1397–1398 Krajden S, Fuksa M, Anderson J et al (1989) Examination of human stomach biopsies, saliva and dental plaque for Campylobacter pylori. J Clin Microbial 31:1397–1398
20.
Zurück zum Zitat Lange DE, Plagman HC, Eenboom A et al (1997) Klinische Bewertungsverfahren zur Objektivierung der Mundhygiene. Dtsch Zahnarztl Z 32:44–47 Lange DE, Plagman HC, Eenboom A et al (1997) Klinische Bewertungsverfahren zur Objektivierung der Mundhygiene. Dtsch Zahnarztl Z 32:44–47
21.
Zurück zum Zitat Leung WK, Sung JJ, Ling TK et al (1999) Use of chopsticks for eating and Helicobacter pylori infection. Dig Dis Sci 44:1173–1176PubMedCrossRef Leung WK, Sung JJ, Ling TK et al (1999) Use of chopsticks for eating and Helicobacter pylori infection. Dig Dis Sci 44:1173–1176PubMedCrossRef
22.
Zurück zum Zitat Li C, Ha T, Ferguson DAJ et al (1996) A newly developed PCR assay of H. pylori in gastric biopsy, saliva, and feces. Evidence of high prevalence of H. pylori in saliva supports oral transmission. Dig Dis Sci 41:2142–2149PubMedCrossRef Li C, Ha T, Ferguson DAJ et al (1996) A newly developed PCR assay of H. pylori in gastric biopsy, saliva, and feces. Evidence of high prevalence of H. pylori in saliva supports oral transmission. Dig Dis Sci 41:2142–2149PubMedCrossRef
23.
Zurück zum Zitat Li C, Musich PR, Ha T et al (1995) High prevalence of Helicobacter pylori in saliva demonstrated by a novel PCR assay. J Clin Pathol 48:662–666PubMedCrossRef Li C, Musich PR, Ha T et al (1995) High prevalence of Helicobacter pylori in saliva demonstrated by a novel PCR assay. J Clin Pathol 48:662–666PubMedCrossRef
24.
Zurück zum Zitat Liu Y, Yue H, Li A et al (2009) An epidemiologic study on the correlation between oral Helicobacter pylori and gastric H. pylori. Curr Microbiol 58:449–453PubMedCrossRef Liu Y, Yue H, Li A et al (2009) An epidemiologic study on the correlation between oral Helicobacter pylori and gastric H. pylori. Curr Microbiol 58:449–453PubMedCrossRef
25.
Zurück zum Zitat Ma JL, You WC, Gail MH et al (1998) Helicobacter pylori infection and mode of transmission in a population at high risk of stomach cancer. Int J Epidemiol 27:570–573PubMedCrossRef Ma JL, You WC, Gail MH et al (1998) Helicobacter pylori infection and mode of transmission in a population at high risk of stomach cancer. Int J Epidemiol 27:570–573PubMedCrossRef
26.
Zurück zum Zitat Madinier IM, Fosse TM, Monteil RA (1997) Oral carriage of Helicobacter pylori: a review. J Periodontol 68:2–6PubMed Madinier IM, Fosse TM, Monteil RA (1997) Oral carriage of Helicobacter pylori: a review. J Periodontol 68:2–6PubMed
27.
Zurück zum Zitat Mapstone NP, Lynch DA, Lewis FA et al (1993) Identification of Helicobacter pylori DANN in the mouths and stomachs of patients with gastritis usign PCR. J Clin Pathol 46:540–543PubMedCrossRef Mapstone NP, Lynch DA, Lewis FA et al (1993) Identification of Helicobacter pylori DANN in the mouths and stomachs of patients with gastritis usign PCR. J Clin Pathol 46:540–543PubMedCrossRef
28.
Zurück zum Zitat Marshall BJ, Warren JR (1984) Unidentified curved bacilli in the stomach of patients with gastritis and peptic ulceration. Lancet 323:1311–1315CrossRef Marshall BJ, Warren JR (1984) Unidentified curved bacilli in the stomach of patients with gastritis and peptic ulceration. Lancet 323:1311–1315CrossRef
29.
Zurück zum Zitat Mühlemann HR, Son S (1971) Gingival sulcus bleeding-a leading symptom in initial gingivitis. Helv Odontol Acta 15:107–113PubMed Mühlemann HR, Son S (1971) Gingival sulcus bleeding-a leading symptom in initial gingivitis. Helv Odontol Acta 15:107–113PubMed
30.
Zurück zum Zitat Nabwera HM, Logan RP (1999) Epidemiology of Helicobacter pylori: transmission, translocation and extragastric reservoirs. J Physiol Pharmacol 50:711–722PubMed Nabwera HM, Logan RP (1999) Epidemiology of Helicobacter pylori: transmission, translocation and extragastric reservoirs. J Physiol Pharmacol 50:711–722PubMed
31.
Zurück zum Zitat Namavar F, Roosendaal R, Kuipers EJ et al (1995) Presence of Helicobacter pylori in the oral cavity, oesophagus, stomach and faeces of patients with gastritis. Eur J Clin Microbiol Infect Dis 14:234–237PubMedCrossRef Namavar F, Roosendaal R, Kuipers EJ et al (1995) Presence of Helicobacter pylori in the oral cavity, oesophagus, stomach and faeces of patients with gastritis. Eur J Clin Microbiol Infect Dis 14:234–237PubMedCrossRef
32.
Zurück zum Zitat Oshowo A, Gillam D, Botha A et al (1998) Helicobacter pylori: the mouth, stomach, and gut axis. Ann Periodontol 3:276–280PubMedCrossRef Oshowo A, Gillam D, Botha A et al (1998) Helicobacter pylori: the mouth, stomach, and gut axis. Ann Periodontol 3:276–280PubMedCrossRef
33.
Zurück zum Zitat Peach HG, Pearce DC, Farish SJ (1997) Helicobacter pylori infection in an Australian regional city: prevalence and risk factors. Med J Aust 167:310–313PubMed Peach HG, Pearce DC, Farish SJ (1997) Helicobacter pylori infection in an Australian regional city: prevalence and risk factors. Med J Aust 167:310–313PubMed
34.
Zurück zum Zitat Pustorino R, Nicosia R, D’Ambra G et al (1996) The mouth-stomach crossing of Helicobacter pylori. Riv Eur Sci Med Farmacol 18:183–186PubMed Pustorino R, Nicosia R, D’Ambra G et al (1996) The mouth-stomach crossing of Helicobacter pylori. Riv Eur Sci Med Farmacol 18:183–186PubMed
35.
Zurück zum Zitat Shimada T, Ogura K, Ota S et al (1994) Identification of Helicobacter pylori in gastric specimens, gastric juice, saliva, and faeces of Japanese patients. (Letter). Lancet 343:1636–1637PubMedCrossRef Shimada T, Ogura K, Ota S et al (1994) Identification of Helicobacter pylori in gastric specimens, gastric juice, saliva, and faeces of Japanese patients. (Letter). Lancet 343:1636–1637PubMedCrossRef
36.
Zurück zum Zitat Warren JR, Marshall B (1983) Unidentified curved bacilli on gastric epithelium in active chronic gastritis. (Letter). Lancet 321:1273–1375CrossRef Warren JR, Marshall B (1983) Unidentified curved bacilli on gastric epithelium in active chronic gastritis. (Letter). Lancet 321:1273–1375CrossRef
37.
Zurück zum Zitat Ying L, Huanjian L, Yang B et al (2008) Study on the relationship between Helicobacter pylori in the dental plaque and the occurrence of dental caries or oral hygiene index. Helicobacter 13:256–260CrossRef Ying L, Huanjian L, Yang B et al (2008) Study on the relationship between Helicobacter pylori in the dental plaque and the occurrence of dental caries or oral hygiene index. Helicobacter 13:256–260CrossRef
38.
Zurück zum Zitat Young KA, Allaker RP, Hardie JM (2001) Morphological analysis of Helicobacter pylori from gastric biopsies and dental plaque by scanning electron microscopy. Oral Microbiol Immunol 16:178–181PubMedCrossRef Young KA, Allaker RP, Hardie JM (2001) Morphological analysis of Helicobacter pylori from gastric biopsies and dental plaque by scanning electron microscopy. Oral Microbiol Immunol 16:178–181PubMedCrossRef
Metadaten
Titel
Prevalence of Helicobacter pylori in the adolescent oral cavity
Dependence on orthodontic therapy, oral flora and hygiene
verfasst von
Prof. Dr. A. Wichelhaus
L. Brauchli
Q. Song
G. Adler
G. Bode
Publikationsdatum
01.07.2011
Verlag
Springer-Verlag
Erschienen in
Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie / Ausgabe 3/2011
Print ISSN: 1434-5293
Elektronische ISSN: 1615-6714
DOI
https://doi.org/10.1007/s00056-011-0024-5

Weitere Artikel der Ausgabe 3/2011

Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie 3/2011 Zur Ausgabe

Newsletter

Bestellen Sie unseren kostenlosen Newsletter Update Zahnmedizin und bleiben Sie gut informiert – ganz bequem per eMail.