This study demonstrated that a significant number of bacteria is present in the radicular dentinal tubules of periodontally diseased human teeth. Ten periodontally diseased teeth were prepared and stained by Brown and Brenn technique for histological examination. Bacteria were detected in all teeth. It is suggested that bacteria may invade dentinal tubules exposed to periodontal pocket and are very hard to be eliminated by conventional mechanical and chemical periodontal therapy. Contaminated dentinal tubules of periodontally diseased teeth can thus act as active bacterial reservoirs to promote recolonization of mechanically treated root surfaces, which could interfere with the periodontal healing and progression of the disease.
Background:Non-Inflammatory Destructive Periodontal
Disease (NIDPD), is a severe destructive periodontal disease, that is
characterized by the attachment loss and alveolar bone loss, without signs of
the gingival inflammation, and the periodontal pocket development.Objective:Despite
the fact that various cases of NIDPD have been reported; their etiology and
disease evolution is still indefinite, and therefore, are open for discussion.Method:An NIDPD case was studied in order to demonstrate features of the
disease, and discuss the possible etiology and treatment.Results:In
this clinical case, the etiology of NIDPD seems to be an association of
endogenous opportunist bacteria with anatomical aspects, occlusion pattern,
emotional stress and mouth breathing condition.Conclusion:In spite of
all cases described in the literature are comparable and may have similar
etiology as related in this clinical case, additional research is needed to
identify and clarify the role of the etiologic factors which determine the
disease.
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