Detección de Helicobacter pylori en placa dental y en mucosa gástrica de pacientes sometidos a endoscopia digestiva

  1. Giuseppe Anacleto Scarano Pereira
  2. Arnaldo Correia de Medeiros
  3. Maria Sueli Marques Soares
  4. Eduardo Chimenos Küstner
  5. Rosimar de Castro Barreto
  6. Mónica Perdomo Lovera
Journal:
Acta odontológica venezolana

ISSN: 0001-6365

Year of publication: 2005

Volume: 43

Issue: 2

Pages: 113-118

Type: Article

More publications in: Acta odontológica venezolana

Abstract

The objective of this study was to determine the prevalence of Helicobacter pylori in dental plaque and in gastric mucosa. 48 subjects that were submeted to endoscopy for medical indication were selected. In all the patients plaque samples were collected before the endoscopy. DNA was extracted from the samples and evaluated for the presence de H. pylori using Polymerase Chain Reaction(PCR) method. After collection of oral samples one biopsy was collected in biopsy gastric of each subject. DNA was extracted and H. pylori identified using PCR method. The presence of Helicobacter pylori was observed in 100% of the samples oral and in 66,67% of gastric mucosa. We verified that 42 pactients (87.5%) presented gastroduodenales alterations and 29 of them (69,05%) presented positive reaction for H. pylori in dental plaque and gastric mucosa. In the 6 subjects with normal endoscopy were registered 3 cases (50%) with simultaneous presence of H. pylori in dental plaque and in gastric mucosa. The results of this study suggest the simultaneous presence of H. pylori in dental plaque and gastric mucosa in high percentage and that the dental plaque can represent reservoirs for this pathogen.

Bibliographic References

  • Leontiadis, GI, Sharma, VK, Howden, CW. (2000). Infecção por Helicobacter pylori fora do Trato Gastrointestinal. JAMA. 4. 3413
  • Kabris, S. (2004). Detection of Helicobacter pylori DNA in feces and saliva by polimerase chain reaction: a review. Helicobacter. 9. 115
  • De Sanjose, S, Dickie, A, Alvaro, T, Romagosa, V, Garcia Villanueva, M, Domingo-Domenech, E, Fernandez de Sevilla, A, El-Omar, E. (2004). Helicobacter pylori and malignant lymphoma in Spain. Cancer Epidemiol Biomarkers Prev. 13. 944
  • Burtt, AK, Khan, AA, Suleman, BA, Bedi, R. (2001). Randomized clinical trial of Helicobacter pylori from dental plaque. Brist J Sur. 88. 206
  • Song, Q, Haller, B, Ulrich, D, Wichelhaus, A, Adler, G, Bode, G. (2000). Quantitation of Helicobacter pylori in dental plaque samples by competitive Polymerase Chain Reaction. J. Clin Pathol. 53. 218
  • Nguyen, AMH, El-Zaatari, FAK, Graham, DY. (1995). Helicobacter pylori in the oral cavity. A critical review of the literature. Oral Sug Oral Med Oral Pathol Oral Radiol Endod. 76. 705
  • Cheng, LHH, Webberley, M, Hanson, N, Brown, R. (1996). Helicobacter pylori in dental plaque and gastric mucosa. Oral Sug Oral Med Oral Pathol Oral Radiol Endod. 81. 421
  • Namiot, Z, Namiot, D, Kemona, A, Stasiewicz, J. (2004). Effect of antibacterial therapy and salivary secretion on the efficacy of Helicobacter pylori erradication in duodenal ulcer patients. Oral Sug Oral Med Oral Pathol Oral Radiol Endod. 98. 714
  • Gabera, ECE, Pannuti, C, Faria, CM, Mayer, MPA, Lima, LAPA. (2004). Prevalence of Helicobacter pylori detected by polymerase chain resction in the oral cavity of periodontitis patients. 19. 277
  • Mendall, MA, Goggin, PM. (1992). Childhood lliving conditionand Helicobacter pylori seropositivity in adult life.. The Lancet. 339. 896
  • Costa, MHM. (1999). Helicobacter pylori Propriedade Patogênica. Gastroclínica Atual. 7. 7-10
  • Newell, DG. (1991). Virulence factors of Helicobacter pylori. Scand J Gastroenterol. 26. 32
  • Dunn, BE. (1993). Mecanismos patogênicos do Helicobacter pylori. Clínicas de Gastroenterologia da América do Norte. 1. 43-56
  • Arend, CF. (2000). Transmissão de doenças através da ventilação boca-boca. Medicina embasada em evidências ou em emoções. Arq Bras Cardiol. 74. 73-84
  • Wienholt, MG, Erbling, MC, Bennetts, RW, Galen, EA, Cimler, BM. (1993). Detection of Antibodies to Helicobacter pylori using Oral Fluid Specimens. Gastroenterology Clinic. 30
  • Tytgat, GNJ, Noach, LA, Rauws, EAJ. (1993). Infecção pelo Helicobacter pylori e doença ulcerosa duodenal. Clínicas de Gastroenterologia da América do Norte. 1. 125
  • Ramos, FV, Hilal, F, Vasconcelos, FPJ, Werner, GF, Alvim, HC, da Silva, HFF. (2000). Helicobacter pylori: Crítica de seu Papel em Diferentes Afecções Humanas. JBM. 78. 2-58
  • Parsonnet, J, Shumuely, H, Haggerty, T. (2000). Excreção Fecal e Oral de Helicobacter pylori por Adultos Sadios Infectados. JAMA. 4. 2935
  • Manson, JD, Eley, BM. (1993). O Meio Bucal na Saúde e na Doença. 165
  • Schein, W, Meryn, S. (1999). Helicobacter pylori and the oral cavity-review and pespectives. Wien Klin Wochenschr. 106. 547
  • Perrone, M, Berroteran, A. (1999). Detección de Helicobacter pylori en placa dental y saliva de pacientes con enfermedad de las vías digestivas superiores. Acta Odontol Venezolana. 36. 51
  • Song, Q, Haller, B, Schimid, RM. (1999). Helicobacter pylori in Dental Plaque. Digestive Diseases and Sciences. 44. 479
  • Song, Q, Sparhr, A, Schmid, RM, Adler, G, Bode, G. (2000). Helicobacter pylori in the oral cavity. Digestive Diseases and Sciences. 45. 2162
  • Pereira, GAS, Barreto, RC, Rocha, HAC. (2000). Incidência do Helicobacter pylori na placa dentária e mucosa gástrica. Anais da Faculdade da UFPE.
  • Elizalde, CV, Diaz, MQ, Muñoz, FB, Escobar, AS, Quiñones, AS, Cansino, JG. (1990). Presencia del Campylobacter pylori  en sintomatología digestiva superior. Bras. Med. 27. 11