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Bacterial diversity in medication-related osteonecrosis of the jaw

Hallmer, Fredrik (författare)
Malmö högskola,Odontologiska fakulteten (OD),Department of Oral and Maxillofacial Surgery, Skåne University Hospital, Lund, Sweden
Bjørnland, Tore (författare)
Department of Oral Surgery and Oral Medicine, Faculty of Dentistry, University of Oslo, Oslo, Norway
Andersson, Gunilla (författare)
Malmö högskola,Odontologiska fakulteten (OD)
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Becktor, Jonas P (författare)
Malmö högskola,Odontologiska fakulteten (OD)
Kristoffersen, Anne K. (författare)
Senior Engineer, Department of Oral Biology, Faculty of Dentistry, University of Oslo, Oslo, Norway
Enersen, Morten (författare)
Department of Oral Biology, Faculty of Dentistry, University of Oslo, Oslo, Norway
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 (creator_code:org_t)
Elsevier, 2017
2017
Engelska.
Ingår i: Oral surgery, oral medicine, oral pathology and oral radiology. - : Elsevier. - 2212-4403 .- 2212-4411. ; 123:4, s. 436-444
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
Stäng  
  • Objective. The aim was to study the association between microflora and medication-related osteonecrosis of the jaw (MRONJ) by using culture-independent molecular techniques to detect bacteria in necrotic bone lesions. Study Design. Included were 18 consecutive patients with MRONJ, 10 with osteoporosis and 8 cancer patients. Bone biopsies were retrieved from the center of the necrotic bone and from visually healthy bone, and 16 S rRNA gene fragments from bacterial DNA were amplified with polymerase chain reaction. Results. The study revealed a diversity of bacteria represented by 16 S rRNA sequences in all the necrotic bone samples and in 60% of the visually healthy bone. Eight dominating taxa groups were identified at the genus level: Porphyromonas, Lactobacillus, Tannerella, Prevotella, Actinomyces, Treponema, Streptococcus, and Fusobacterium. Conclusions. The necrotic bone lesions contained mainly anaerobic bacteria, representative of periodontal microflora, suggesting that a periodontal infection in combination with antiresorptive treatment could initiate osteonecrosis.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Odontologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Dentistry (hsv//eng)

Nyckelord

Dentistry
Oral Surgery & Medicine
Adult
Aged
Aged
80 and over
Bacteria
Bacterial Typing Techniques
Biopsy
Bisphosphonate-Associated Osteonecrosis of the Jaw
Female
Humans
Male
Necrosis

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