Detection of Enterococcus faecalis in subgingival biofilms of healthy, gingivitis, and chronic periodontitis subjects

Background: Enterococcus faecalis is a Gram-positive, facultative anaerobic coccus that can survive under harsh conditions. Studies have shown a positive relationship between biofilm formation and gelE gene expression in E. faecalis. The production of gelatinase (MMP 2) has been detected in 50% of E...

Full description

Bibliographic Details
Main Authors: Chethana Kunthur Chidambar, Shrinidhi Maji Shankar, Pooja Raghu, Soumya Badravalli Gururaj, Kala Shashi Bushan
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2019-01-01
Series:Journal of Indian Society of Periodontology
Subjects:
Online Access:http://www.jisponline.com/article.asp?issn=0972-124X;year=2019;volume=23;issue=5;spage=416;epage=418;aulast=Chidambar
_version_ 1818287295178997760
author Chethana Kunthur Chidambar
Shrinidhi Maji Shankar
Pooja Raghu
Soumya Badravalli Gururaj
Kala Shashi Bushan
author_facet Chethana Kunthur Chidambar
Shrinidhi Maji Shankar
Pooja Raghu
Soumya Badravalli Gururaj
Kala Shashi Bushan
author_sort Chethana Kunthur Chidambar
collection DOAJ
description Background: Enterococcus faecalis is a Gram-positive, facultative anaerobic coccus that can survive under harsh conditions. Studies have shown a positive relationship between biofilm formation and gelE gene expression in E. faecalis. The production of gelatinase (MMP 2) has been detected in 50% of E. faecalis isolates from endodontic and periodontal infections, which suggests its role in the pathogenesis of apical and marginal periodontitis. Although E. faecalis is not considered a periodontopathogen, this species has been more frequently detected in subgingival samples with periodontitis than from periodontally healthy subjects, suggesting that the local conditions in periodontitis may favor its colonization. Hence, the aim of the current study was to detect and compare the presence of E. faecalis in subgingival biofilms of healthy, gingivitis, and periodontitis subjects. Materials and Methods: A total of 100 subjects aged between 25 and 55 years, from the Outpatient Department of Periodontics were recruited for the study. All the subjects were screened for gingival and periodontal status using plaque index, gingival index, and clinical attachment loss. They were divided into three groups based on the clinical findings. Group A: 18 healthy individuals (gingival index with score zero) Group B: 34 gingivitis patients (gingival index with score >1) Group C: 48 chronic periodontitis patients (clinical attachment loss >5 mm in >30% of sites). Subgingival plaque samples of all the enrolled subjects were collected using a sterile curette, later poured into a transport medium (Viability Medium Goteborg Agar III) and sent for microbial culturing within 2 h for detection of E. faecalis. Results: E. faecalis was detected in 26.8% of all samples evaluated. There was a significantly higher frequency of E. faecalis in subgingival biofilms of periodontitis group (41.7%), compared to gingivitis (5.9%) and healthy group (0%). Conclusion: Enterococci may contribute to increased collagen and periodontal destruction and may further lead to disease progression in patients with chronic periodontitis.
first_indexed 2024-12-13T01:38:13Z
format Article
id doaj.art-9304839be2d54131a112b3e97bcf9e65
institution Directory Open Access Journal
issn 0972-124X
language English
last_indexed 2024-12-13T01:38:13Z
publishDate 2019-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Journal of Indian Society of Periodontology
spelling doaj.art-9304839be2d54131a112b3e97bcf9e652022-12-22T00:03:50ZengWolters Kluwer Medknow PublicationsJournal of Indian Society of Periodontology0972-124X2019-01-0123541641810.4103/jisp.jisp_44_19Detection of Enterococcus faecalis in subgingival biofilms of healthy, gingivitis, and chronic periodontitis subjectsChethana Kunthur ChidambarShrinidhi Maji ShankarPooja RaghuSoumya Badravalli GururajKala Shashi BushanBackground: Enterococcus faecalis is a Gram-positive, facultative anaerobic coccus that can survive under harsh conditions. Studies have shown a positive relationship between biofilm formation and gelE gene expression in E. faecalis. The production of gelatinase (MMP 2) has been detected in 50% of E. faecalis isolates from endodontic and periodontal infections, which suggests its role in the pathogenesis of apical and marginal periodontitis. Although E. faecalis is not considered a periodontopathogen, this species has been more frequently detected in subgingival samples with periodontitis than from periodontally healthy subjects, suggesting that the local conditions in periodontitis may favor its colonization. Hence, the aim of the current study was to detect and compare the presence of E. faecalis in subgingival biofilms of healthy, gingivitis, and periodontitis subjects. Materials and Methods: A total of 100 subjects aged between 25 and 55 years, from the Outpatient Department of Periodontics were recruited for the study. All the subjects were screened for gingival and periodontal status using plaque index, gingival index, and clinical attachment loss. They were divided into three groups based on the clinical findings. Group A: 18 healthy individuals (gingival index with score zero) Group B: 34 gingivitis patients (gingival index with score >1) Group C: 48 chronic periodontitis patients (clinical attachment loss >5 mm in >30% of sites). Subgingival plaque samples of all the enrolled subjects were collected using a sterile curette, later poured into a transport medium (Viability Medium Goteborg Agar III) and sent for microbial culturing within 2 h for detection of E. faecalis. Results: E. faecalis was detected in 26.8% of all samples evaluated. There was a significantly higher frequency of E. faecalis in subgingival biofilms of periodontitis group (41.7%), compared to gingivitis (5.9%) and healthy group (0%). Conclusion: Enterococci may contribute to increased collagen and periodontal destruction and may further lead to disease progression in patients with chronic periodontitis.http://www.jisponline.com/article.asp?issn=0972-124X;year=2019;volume=23;issue=5;spage=416;epage=418;aulast=ChidambarChronic periodontitisEnterococcus faecalis gelatinasesubgingival biofilm
spellingShingle Chethana Kunthur Chidambar
Shrinidhi Maji Shankar
Pooja Raghu
Soumya Badravalli Gururaj
Kala Shashi Bushan
Detection of Enterococcus faecalis in subgingival biofilms of healthy, gingivitis, and chronic periodontitis subjects
Journal of Indian Society of Periodontology
Chronic periodontitis
Enterococcus faecalis
gelatinase
subgingival biofilm
title Detection of Enterococcus faecalis in subgingival biofilms of healthy, gingivitis, and chronic periodontitis subjects
title_full Detection of Enterococcus faecalis in subgingival biofilms of healthy, gingivitis, and chronic periodontitis subjects
title_fullStr Detection of Enterococcus faecalis in subgingival biofilms of healthy, gingivitis, and chronic periodontitis subjects
title_full_unstemmed Detection of Enterococcus faecalis in subgingival biofilms of healthy, gingivitis, and chronic periodontitis subjects
title_short Detection of Enterococcus faecalis in subgingival biofilms of healthy, gingivitis, and chronic periodontitis subjects
title_sort detection of enterococcus faecalis in subgingival biofilms of healthy gingivitis and chronic periodontitis subjects
topic Chronic periodontitis
Enterococcus faecalis
gelatinase
subgingival biofilm
url http://www.jisponline.com/article.asp?issn=0972-124X;year=2019;volume=23;issue=5;spage=416;epage=418;aulast=Chidambar
work_keys_str_mv AT chethanakunthurchidambar detectionofenterococcusfaecalisinsubgingivalbiofilmsofhealthygingivitisandchronicperiodontitissubjects
AT shrinidhimajishankar detectionofenterococcusfaecalisinsubgingivalbiofilmsofhealthygingivitisandchronicperiodontitissubjects
AT poojaraghu detectionofenterococcusfaecalisinsubgingivalbiofilmsofhealthygingivitisandchronicperiodontitissubjects
AT soumyabadravalligururaj detectionofenterococcusfaecalisinsubgingivalbiofilmsofhealthygingivitisandchronicperiodontitissubjects
AT kalashashibushan detectionofenterococcusfaecalisinsubgingivalbiofilmsofhealthygingivitisandchronicperiodontitissubjects