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Biomedical subjects

G Sundqvist

Publications and source records attributed to G Sundqvist.

At least 55 records · Page 3Linked to original sources

Bacteriologic evaluation of ultrasonic root canal instrumentation.

The antibacterial effect of ultrasonic instrumentation in the treatment of infected root canals was clinically evaluated. Sodium hypochlorite solution (0.5%) was used as an irrigant, but no antibacterial intracanal dressing was used between the appointments. The ultrasonic technique eliminated the bacteria from the canals more efficiently than hand instrumentation alone. Even though ultrasonication definitely improves the procedure of root canal disinfection, the use of an antibacterial dressing between appointments is necessary to achieve as complete a reduction in bacterial levels as possible.

Bacteria↗

Degradation of human immunoglobulins G and M and complement factors C3 and C5 by black-pigmented Bacteroides.

Strains of Bacteroides, Capnocytophaga and Fusobacterium were examined by immunological methods for their ability to degrade the human serum proteins IgG, IgM, C3 and C5. The proteolytic activity of the strains was measured in terms of the breakdown of serum into trichloroacetic acid-soluble material. Only black-pigmented Bacteroides strains showed proteolytic activity. Strains of B. gingivalis degraded IgG, IgM, C3 and C5, strains of B. intermedius IgG and C3, strains of B. endodontalis C3 and IgG and a strain of B. loeschei degraded only IgG. These findings are discussed in relation to the pathogenicity of the black-pigmented Bacteroides.

Bacteroides↗

Inactivation of key factors of the plasma proteinase cascade systems by Bacteroides gingivalis.

The effect of Bacteroides gingivalis W83 on various key components of the human plasma proteinase cascade systems was studied. When purified C1-inhibitor was incubated with the bacterium, the inhibitor was rapidly inactivated by limited proteolytic cleavage. In citrated whole plasma, C1-inhibitor, antithrombin, plasminogen, prekallikrein, prothrombinase complex, the clotting factor X, and most of the alpha 2-antiplasmin were functionally eliminated after 30 min of incubation with the bacterium. Fibrinogen disappeared from the plasma almost immediately upon mixing with the bacterial suspension. In contrast, there was no appreciable decrease in the bulk of other plasma proteins, such as various transport proteins (albumin, prealbumin, transferrin) and immunoglobulins, during 4 h of incubation with the bacterium. Most of the observed effects can be assigned to the proteolytic activity of the bacterium itself, since there was little evidence for generation of intrinsic plasma proteinase activity, despite the loss of proteinase inhibitory activities. B. gingivalis W83 thus seems to be equipped with proteolytic enzyme systems which selectively recognize and rapidly inactivate the most important proteinase inhibitors and proenzymes present in human plasma. This bacterium therefore seems to be able to efficiently paralyze the host's various defenses against invading microorganisms.

Bacteroides↗

[Endodontics].

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Bacteria↗

Bacteriologic evaluation of the effect of 0.5 percent sodium hypochlorite in endodontic therapy.

The antibacterial effect of 0.5 percent sodium hypochlorite solution as root canal irrigant was studied in fifteen single-rooted teeth. Each tooth was treated at five appointments, and the presence of bacteria in the root canal was studied on each occasion. No antibacterial intracanal dressings were used between the appointments. When 0.5 percent hypochlorite was used no bacteria could be recovered from twelve of fifteen root canals at the fifth appointment. This should be compared with eight of fifteen root canals when saline solution was used as irrigant. These results suggest that 0.5 percent sodium hypochlorite solution is more effective than saline solution as a root canal irrigant.

Bacteria↗

Bactericidal effect of pooled human serum on Bacteroides melaninogenicus, Bacteroides asaccharolyticus and Actinobacillus actinomycetemcomitans.

Bacteria belonging to the species B. melaninogenicus ss. melaninogenicus (two strains), B. melaninogenicus ss. intermedius (five strains), B. asaccharolyticus (seven strains), and Actinobacillus actinomycetemcomitans (four strains) were tested under anaerobic conditions for their sensitivity to the bactericidal effect of pooled human serum. The A. actinomycetemcomitans strains were not killed to any extent by the serum. Both B. melaninogenicus ss. melaninogenicus strains were killed by serum. The sensitivity to serum among the strains of B. asaccharolyticus and B. melaninogenicus ss. intermedius was diverse. There was no correlation between the sensitivity to serum among the strains and the levels of specific antibodies in the serum. The bactericidal activity of serum was only effective if the complement system was present in serum. All strains initiated activation of complement and binding of a C3 component to the cell surface both in normal and MgEGTA chelated serum. The possible role of serum bactericidal activity in the pathogenesis of oral infections is unclear.

Actinobacillus↗

Actinomyces of infected dental root canals.

The aim of the present study was to identity Actinomyces occurring in infected dental root canals. Out of twenty-five isolated Actinomyces strains, four were A. israelii, four were A. naeslundii, four were A. odontolyticus, and six were A. viscosus. Seven strains could be identified only as Actinomyces spp. The relative frequency of various species of Actinomyces isolated from root canals was similar to that of carious dentin. The Actinomyces strains were usually part of polymicrobial infections. These infections could usually be eliminated by one or two conventional endodontic treatments. In two cases, however, A. israelii was repeatedly isolated in pure culture from the root canals. These two infections had to be eliminated by means of periapical surgery.

Actinomyces↗

Bacteriologic evaluation of the efficacy of mechanical root canal instrumentation in endodontic therapy.

The presence of bacteria in 17 single-rooted teeth, with periapical lesions, was studied throughout a whole period of treatment. The root canals were irrigated with physiologic saline solution during instrumentation. No antibacterial solutions or dressings were used. Bacteria were found in all initial specimens from the teeth (median number of bacterial cells 4 x 10(5), range 10(2) - 10(7)) and the number of strains in the specimens ranged from 1 to 10.88% of the strains were anaerobic. The most commonly isolated species were: Peptostreptococcus micros, Peptostreptococcus anaerobius, Fusobacterium nucleatum, Bacteroides oralis, Bacteroides melaninogenicus subsp intermedius and Eubacterium alactolyticum. Mechanical instrumentation reduced the number of bacteria considerably. Specimens taken at the beginning of each appointment usually contained 10(4) - 10(6) bacterial cells and at the end 10(2) - 10(3) fewer. Bacteria were eliminated from the root canals of eight teeth during the treatment. In seven root canals bacteria persisted despite treatment on five successive occasions. There was no evidence that specific microorganisms were implicated in these persistent infections. Teeth where the infection persisted despite being treated five times were those with a high number of bacteria in the initial sample.

Adolescent↗

Evaluation of methods of transport and cultivation of bacterial specimens from infected dental root canals.

Five different methods of transport and cultivation of bacteria from dental root canal specimens were evaluated. Bacteria were recovered from 29 percent of the specimens when they were transported in VMG IV and subcultured in PRAS medium or on the surface of blood agar in an anaerobic box. When a PRAS-peptone-yeast extract broth was used for transport and the specimens were initially subcultured in the broth, bacteria were recovered from 49 percent of the specimens. When fluid thioglycollate medium USP (BBL) and Clausen medium (Oxoid) were used for transport as well as for initial subculture, bacteria were recovered from 58 percent and 47 percent of the specimens, respectively. The high recovery of bacteria by these media could to a significant degree be ascribed to the use of the media for initial subculture of the specimens. Recovery of bacteria by fluid thioglycollate medium USP was as good or even better as with the more elaborate PRAS medium. Fluid thioglycollate medium USP in screw-capped vials requires no special equipment in the dental clinic and is recommended for use in routine dental practice.

Anaerobiosis↗

Neutrophil chemotaxis induced by anaerobic bacteria isolated from necrotic dental pulps.

Anaerobic bacteria belonging to the species Bacteroides melaninogenicus, Bacteroides asaccharolyticus, Fusobacterium nucleatum, Peptostreptococcus anaerobius and Eubacterium alactolyticum, isolated from necrotic dental pulps, were tested for their capacity to induce neutrophil leukocyte chemotaxis. Generation of chemotactic factors in serum by whole bacterial cells and chemotaxis induced by bacterial extracts were studied in vitro by the Boyden technique. Subcutaneously implanted wound chambers in guinea pigs were used for testing leukocyte migration in vivo. All bacterial strains had a similar high capacity to induce neutrophil chemotaxis. The heavy accumulation of polymorhponuclear neutrophil leukocytes associated with clinical and experimental infections by B. melaninogenicus or B. asaccharolyticus cannot be ascribed to any extreme ability of these organisms to generate chemotactic factors.

Adult↗