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Clinical and Pathohistological Profiles of Chronic Odontogenic Infections with Microvascular Proliferation in Children with Permanent Dentition

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Open Journal of Stomatology 2015年第4期5卷 108-115页

作者： Teuta Ademaj Kutllovci Snezana Iljovska Agim Begzati Aida Rexhepi blerta latifi-xhemajli Urata Tahiri Department of Pediatric Dentistry University Dental Clinic of Kosova Pristina Kosovo Department of Pediatric Dentistry Ss. Cyril and Methodius University in Skopje Skopje Macedonia

The apical periodontitis as an infection is the result of endodontic infections and is manifested when the immunological system of the host is activated from microorganisms which penetrate in to the dental pulp through the root canals. The aim of this study is to compare the clinical diagnosis and the pathohistological identification of chronic odontogenic infections with microvascular proliferation. The study was carried out in University Dental Clinical Center of Kosova in cooperation with Histopathology Departement. In this study were included 36 children between 10 - 15 years old, 20 girls and 16 boys, with permanent dentition and chronic apical changes. After the clinical and x-ray examination, the tooth extraction was done, and then the tissue of periapical region was taken, by the exvaction of the periapical granulomas and the other pathological tissues. From a total of 36 children with chronic apical changes and granulomas, 9 (25.0%) of the children had chronic apical periodontitis, from which 6 (16.67%) of the children did not have microvascular proliferation, 1 (2.78%) child had a medium level of microvascular proliferation and 2 (5.56%) children had signification microvascular changes (proliferation). A total of 6 (16.67%) children had chronic apical periodontitis with a fistula from which 5 (13.89%) children did not have microvascular proliferation and 1 (2.78%) child had a medium level of microvascular proliferation. A total of 5 (13.89%) children had chronic apical periodontitis with parulis, from which 3 (8.33%) children did not have microvascular proliferation, 1 (2.78%) child had a low level of microvascular proliferation and 1 (2.78%) child had severe microvascular proliferation.

关键词： Chronic Odontogenic Infections Pathohistological Examinations Apical Periodontitis Microvascular Proliferation

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Bacteriological Identification of Selected Pathogens in Infected Primary and Young Permanent Teeth Associated with Clinical Symptoms

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Open Journal of Medical Microbiology 2015年第2期5卷 59-68页

作者： Teuta Kutllovci Snezana Iljovska Agim Begzati Mira Jankulovska Mirjana Popovska Aida Rexhepi blerta latifi- xhemajli Department of Pediatric Dentistry University Dental Clinic of Kosova Prishtina Kosovo Department of Pediatric Dentistry Ss. Cyril and Methodius University in Skopje Skopje Macedonia

Background: The common cause of dental infections is necrosis of the pulp of a tooth, which is followed by bacterial invasion through the pulp chamber into the deeper tissues. The bacterial infections are caused by host indigenous bacteria primarily aerobic gram positive cocci, anaerobic gram negative and gram negative rods. The aim of this study is to identify the presence of different cultivating microorganisms which cause dental infections in primary and young permanent teeth manifested by as abscesses and apical parodontitis. Material and Methods: Seventy kids ages 5 - 15 years ( 36 females, 34 males) were studied prospectively (I assume this) at the University Dental Clincal Center of Kosovo, Department of Pediatric Dentistry in cooperation with Microbiological Department of Faculty of Medicine. All patients who had clinical, and radiological confirmation of thier dental infections, followed by extraction of their teeth. Once the tooth was extracted blood and pus sample from the empty alveoli were cultured. The analysis of the sample for bacteria identification was done using the automated system VITEK 2 cards (Biomeriux, France). Results: Of 70 children’s with deciduous 73.5% of them had acute infection and 26.5% chronic infection. On the other hand 75% of children with permanent dentitions had chronic and 25% acute infection. In acute infections the most common aerobic bacteria was Streptococcus group with 47% (Streptococcus mitis and oralis) followed by the Actonomyces group (Actinomyces mayeri and Actinomyces odontoliticus) and anaerobic bacteria in 34%. In chronic infections streptococcus group was the prevalent aerobic group and in anaerobic infection Actinomyces mayeri and Actinomyces naeslundi was the most representative aerobes in 21% of samples. Conclusion: The dental infections in pediatric population (5 - 15 years old) are polymicrobial predominantly anaerobic bacteria over aerobic. This study paves the way for preventives measures that need to me i

关键词： Dental Infections Children Aerobic Bacteria Anaerobic Bacteria Acute Infection Chronic Infection

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