›› 2018, Vol. 38 ›› Issue (10): 920-923.

• 调查研究 • 上一篇    下一篇

口腔尿素分解活性与乳牙龋相关性的研究

赵晓丽1,张羽1,张佳凌2,冯希平1   

  1. 1. 上海交通大学医学院附属第九人民医院
    2. 上海市口腔病防治院
  • 收稿日期:2018-04-18 修回日期:2018-05-05 出版日期:2018-10-28 发布日期:2018-10-30
  • 通讯作者: 冯希平 E-mail:fengxiping9h@163.com
  • 基金资助:
    国家自然科学基金项目;浦东新区卫计委联合攻关项目

Correlations of urease activity and dental caries status in primary teeth

  • Received:2018-04-18 Revised:2018-05-05 Online:2018-10-28 Published:2018-10-30

摘要: 目的:调查儿童患龋情况及其唾液和菌斑中的尿素分解活性,探讨儿童口腔内尿素酶活性与乳牙龋齿是否存在相关性。方法:采集98名3~6周岁儿童牙面菌斑和唾液样本,检查患龋情况,并将样本分为无龋、中龋和高龋组,各组对象的性别、年龄等基本信息无显著差异。采用纳氏试剂比色法测定样品中氨氮浓度,分析尿素分解活性。采用SPSS19.0,使用方差分析、相关性检验等方法统计分析调查对象的口腔患龋情况、菌斑和唾液内尿素分解活性,并分析它们之间是否存在相关性。结果:无龋组、中龋组和高龋组的菌斑样品中尿素分解活性差异具有统计学意义(P=0.007)。无龋组、中龋组和高龋组的唾液样品中尿素分解活性无显著差异。龋失补指数与菌斑尿素分解活性具有显著正相关性,Pearson相关系数为0.345;龋失补指数与唾液尿素分解活性无显著相关性。结论:本研究结果显示,口腔细菌产碱能力的下降与患龋风险的上升有相关,为今后口腔内细菌产碱能力与机体健康的相关性研究提供了新的证据。

关键词: 尿素酶, 尿素分解活性, 龋病, 乳牙

Abstract: PURPOSE: To investigated the relationship between the capacity of oral samples to produce ammonia from urea and caries experience by measuring urease activity in saliva and dental plaque samples from children. METHODS: Samples of the saliva and dental plaque were collected from 98 subjects between 3 to 6 years old, the oral condition were recorded. The samples were divided into three groups: caries free group, medium caries group and high caries group according to caries statues. Urease activity was determined by testing the ammonia nitrogen concentration of samples of subjects. With SPSS 19.0 software package, variance analysis and correlation analysis were used to determine the relationship of urease activity with dental caries in primary teeth. RESULTS: The amount of ammonia generated from the test substrates by plaque samples between caries free group, medium caries group and high caries group had statistical significance. By correlation analysis, there was positive correlation between caries statue and urease activity. CONCLUSIONS: This study supported the theory that increased caries risk was associated with reduced alkali-generating capacity of the bacteria colonizing the oral cavity; providing compelling evidence to further our understanding of oral alkali-generation in health and disease.

Key words: Urease, Urea catabolism, Caries, Primary teeth

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