الفهرس | Only 14 pages are availabe for public view |
Abstract The aim of this study was mainly to assess the feasibility of a relatively rapid and easy molecular technique (isothermal PCR) to diagnose E. gingivalis infection in patients suffering from chronic periodontitis, in comparison to the traditionally used microscopic method. The study included a total 100 cases which were diagnosed according to their clinical examination. Dental plaques were collected and divided into 2 groups; group 1: (50 cases), suffering from gingivitis or/and chronic periodontitis and group 2: (50 subjects) of healthy volunteers. Applying the molecular diagnostic tool with hot start technology for double runs, Entamoeba gingivalis was totally detected in 41 samples (41%). Thirty one of them were from group of cases complained of periodontal diseases and the remaining 10 subjects were from the control healthy group. On the other hand, by using microscopy and Haematoxylin & Eosin (H&E) stain, only 13 samples related to the diseased cases and 7 related to the control healthy group were confirmed positive. While performing Trichrome stain, positive samples were reported only among 7 samples from the diseased cases. Therefore, isothermal PCR gave the highest sensitivity 100% and highest specificity 100% in comparison to the traditionally used staining methods via microscopy. Isothermal PCR with hot start technology is a simple, unsophisticated technique and can be applied even by quietly skilled personnel, thus proved to be feasible to perform especially in low equipped laboratories to minimize the cost and time of diagnosis especially in high risk groups suffering from chronic periodontal infection. Key words: Entamoeba gingivalis – isothermal PCR- gingivitis - chronic periodontitis. |