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Preliminary study of variation of oral microflora after full-mouth tooth extraction
Author(s): 
Pages: 1021-1024
Year: Issue:  11
Journal: Stomatology

Keyword:  full-mouth tooth extractionedentulousbacteriaperiodontitisperi-implantitis;
Abstract: Objective To evaluate the effect of full-mouth tooth extraction on the oral microflora, and to find the reason and analyze the impact of implants. Method 75 patients who were treated in Stomatology Hospital of Zhoushan from March 2013 to February 2016 were included in this study. All patients, who had 4 teeth left ( each had over-5mm periodontal pocket) , with moderate to advanced pe-riodontitis and scheduled for full-mouth tooth extraction, were consecutively selected. 4 weeks and 3 months before and after full-mouth tooth extraction, oral microfloras were collected. At different times, saliva was collected for 2 mL;tongue, buccal mucosa and alveolar ridge crest samples were obtained. Aerobic and anaerobic culture techniques were employed for the detection and classification of oral pathogens. Result No differences were observed in total aerobic and anaerobic bacterial load of the tongue, mucosa and saliva samples during different time points. Before tooth extraction, the number of anaerobe was more than aerobe in periodontal pockets, while after tooth extraction anaerobe obviously decreased ( P<0.05) and gram negative bacillus remained constant ( P>0.05) on the alveolar ridge. Compared with that in non-smoking ones, the number of gram negative bacillus in smoking patients obviously reduced ( P<0.05) . Con-clusion After full-mouth tooth extraction, anaerobic species of alveolar ridge crest have reduced, which reduces the risk of peri-impla-ntitis.
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