치주병원균에 대한 유산균의 억제효과

The inhibitory effect of lactic acid bacteria to periodontal pathogens

  • 정하나 (전남대학교 치과대학 치주과학교실, 전남대학교 의과대학 미생물학교실, 전남대학교 치의학 연구소) ;
  • 오종석 (전남대학교 치과대학 치주과학교실, 전남대학교 의과대학 미생물학교실, 전남대학교 치의학 연구소) ;
  • 김영준 (전남대학교 치과대학 치주과학교실, 전남대학교 의과대학 미생물학교실, 전남대학교 치의학 연구소) ;
  • 정현주 (전남대학교 치과대학 치주과학교실, 전남대학교 의과대학 미생물학교실, 전남대학교 치의학 연구소)
  • Jeong, Ha-Na (Department of Periodontology, College of Dentistry, Chonnam National University, Department of microbiology, College of Medicine, Chonnam National University, Institute of Dentistry, College of Dentistry, Chonnam National University) ;
  • Oh, Jong-Suk (Department of Periodontology, College of Dentistry, Chonnam National University, Department of microbiology, College of Medicine, Chonnam National University, Institute of Dentistry, College of Dentistry, Chonnam National University) ;
  • Kim, Young-Jun (Department of Periodontology, College of Dentistry, Chonnam National University, Department of microbiology, College of Medicine, Chonnam National University, Institute of Dentistry, College of Dentistry, Chonnam National University) ;
  • Chung, Hyun-Ju (Department of Periodontology, College of Dentistry, Chonnam National University, Department of microbiology, College of Medicine, Chonnam National University, Institute of Dentistry, College of Dentistry, Chonnam National University)
  • 발행 : 1999.03.30

초록

This study was performed to evaluate the effect of hydrogen peroxide-producing Lactobacillus acidophilus V-20onthe replication of periodontal pathogens, Actinobacillus actinomycetemcomitans and Porphyromonas gingivalis. When A. actinomycetemcomitans and P. gingivalis were incubated alone and in the combination with L. acidophilus V-20, the viable cell numbers of A. actinomycetemcomitans and P. gingivalis were compared between those cultures. The effect of S. mutans, E. durans, and L. lactis on the replication of A. actinomycetemcomitans and P. gingivalis was also evaluated. The change of periodontal indexes(probine depth, gingival index, GCF volume) and the viable cell numbers of A. actinomycetemcomitans and black pigmented bacteroides in subgingival plaque sample were evaluated following gargling of fermented milk made from L. acidophilus V-20 for 1 month on patients with periodontal disease in maintenance phase. In the mixed culture of L. acidophilus V-20 and A. actinomycetemcomitans or P. gingivalis, the replication of A. actinomycetemcomitans or P. gingivalis wascompletely inhibited. But in the mixed culture of P. gingivalis and hydrogen peroxide-nonproducing Lactobacillus casei, the viable ceil numbers of P. gingivaliswas not decreased when compared with the numbers in the mixed culture of P. gingivalis and L. acidophilus V-20. In the mixed culture of A. actinomycetemcomitans and S. mutans, E. durans, or L. lactis, the viable cell number of A. actinomycetemcomitans was not almost changed when compared with the numbers in the culture of A. actinomycetemcomitans alone. And in the mixed culture of P. gingivalis and E. durans or L. lactis, the viable cell numbers of P. gingivaliswas not almost changed compared with the counts in the culture of P. gingivalis alone. But the replication of P. gingivalis was completely inhibited in the mixed culture of P. gingivalis and S. mutans. When the change of periodontal indexes following gargling of fermented milk was compared with baseline, probing depth and gingival index were not changed, but GCF volume was significantly decreased(p<0.05). And when the viable ceil numbers of microorganisms in subgingival plaque sample were compared with baseline, total viable ceil number was almost unchanged and the viable cell numbers of A. actinomycetemcomitans and black pigmented bacteroides were significantly decreased(p<0.05). These results suggest that L. acidophilus V-20 inhibit the replication of A. actinomycetemcomitans and black pigmented bacteroides by the formation of hydrogen peroxide.

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