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Superinfecting microorganisms in patients under treatment with cyclosporin-A and its correlation to gingival overgrowth.
Romito, Giuseppe Alexandre; Lotufo, Roberto Fraga; Saraiva, Luciana; Pustiglioni, Alessandro Nautili; Pustiglioni, Francisco Emílio; Stolf, Noedir Antônio.
Afiliação
  • Romito GA; Department of Stomatology, School of Dentistry, University of São Paulo.
Pesqui Odontol Bras ; 17(1): 35-40, 2003.
Article em En | MEDLINE | ID: mdl-12908057
The aim of this study was to identify the presence of superinfecting microorganisms (Gram-negative enteric rods and Candida sp.) in heart transplant patients and correlate this with gingival overgrowth. Thirty patients (10 females, 20 males--mean age 45 years) were examined. All were under cyclosporin-A (CsA) therapy. Patients who had taken any antibiotics 3 months prior the study or had been submitted to periodontal therapy were not enrolled. Patients were required to have at least 6 teeth. The plaque index (PI), gingival index (GI), pocket depth (PD) and clinical attachment level (CAL) were recorded. Microbiological samples were taken from sulcus/pocket (s/p) and from stimulated saliva (ss) and submitted to analysis. Patients were divided into two groups: the ones with gingival overgrowth (GO) and those without gingival overgrowth (WGO). After statistical analysis (chi-square test, Student's t-test, Fisher test, p < or = 0.05), we concluded that there was no statistical difference between groups in the parameters of gender, CsA dosage, time since transplantation, PI, GI, PD and CAL. Gram-negative rods from either the sulcus/pocket or saliva samples were not found. Candida sp. was detected (s/p-30% and ss-30%). Stimulated saliva samples analysis determined that the presence of Candida sp. was associated with patients without gingival overgrowth.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transplante de Coração / Ciclosporina / Hiperplasia Gengival / Bactérias Gram-Negativas / Imunossupressores / Boca Limite: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Pesqui Odontol Bras Assunto da revista: ODONTOLOGIA Ano de publicação: 2003 Tipo de documento: Article País de publicação: Brasil
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transplante de Coração / Ciclosporina / Hiperplasia Gengival / Bactérias Gram-Negativas / Imunossupressores / Boca Limite: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Pesqui Odontol Bras Assunto da revista: ODONTOLOGIA Ano de publicação: 2003 Tipo de documento: Article País de publicação: Brasil