Abstract
Background
Many polymerase chain reaction (PCR)-based studies have shown that Helicobacter pylori DNA is prevalent in the oral cavity, but reports on the isolation of live bacteria are extremely rare. Thus, it is still unclear whether H. pylori can indeed survive in the oral environment.
Methods
Here we used electron microscopy, selective growth techniques, urease assays, 16S rRNA PCR, and western blotting to investigate the possible presence of live H. pylori in 10 root canal and corresponding plaque samples of endodontic-infected deciduous teeth in three children.
Results
Although H. pylori DNA was verifiable by PCR in several plaque and root canal samples, bacterial colonies could only be grown from two root canals, but not from plaque. These colonies were unequivocally identified as H. pylori by microscopic, genetic, and biochemical approaches.
Conclusions
Our findings show that root canals of endodontic-infected teeth may be a reservoir for live H. pylori that could serve as a potential source for transmission.
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Acknowledgments
We thank Francisco Rivas Traverso for technical support. The work of S.B. is supported through grants by the German Science Foundation (Ba1671/8-1) and Science Foundation Ireland (UCD 09/IN.1/B2609).
Conflict of interest
The authors declare that they have no conflict of interest.
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C. Hirsch and N. Tegtmeyer contributed equally to this work.
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Hirsch, C., Tegtmeyer, N., Rohde, M. et al. Live Helicobacter pylori in the root canal of endodontic-infected deciduous teeth. J Gastroenterol 47, 936–940 (2012). https://doi.org/10.1007/s00535-012-0618-8
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DOI: https://doi.org/10.1007/s00535-012-0618-8