EFFECT OF TIME INTERVALS ON S. MUTANS AND IL-2 LEVELS FOR PATIENTS WEARING REMOVABLE ORTHODONTICS

Rasha jasim Alwarid, Kasem Ahmed Abeas

Abstract


Background: Streptococcus mutans is the chief organisms in dental plaque that predispose to caries initiation especially in orthodontic wearer. The study objectives are to distinguish and quantify S. Mutans   by a molecular (qPCR) technique and estimation the level of IL2  in a group of Iraqi sample wearing removable orthodontic appliance.

Methods: Sixty patients wearing removable orthodontic appliance (36 females and 24 male) with age ranged (14-30) are chosen for sampling procedure. Using different follow up protocol, the study sample was further subdivided into three phases ( T0, T1, T2), representing the (immediate, three weeks, six weeks) time elapsed after removable appliance insertion within the patient's mouth, respectively. Accordingly, from each patient a specimen was taken from the gingival crevicular fluid (GCF) of the proximal surfaces of 1st molars by utilizing sterilized paper point. In addition about 2-3 ml of unstimulated saliva was also taken from each patient which are needed for evaluating IL-2 by ELIZA .

Results: The S. Mutans mean values are increased significantly from initial insertion time to the 1st and 2nd appointment following the appliance wearing. Moreover, the levels of IL-2 are significantly elevated at T1 and T2 of orthodontic treatment, (P- value ≤ 0.001).

Conclusion: Due to the inflammatory role of IL-2 and infectious mechanism of S. Mutans; the study result also signify the direct impact of removable appliance on oral and dental health, unless efficient oral hygiene measures are undertaken by orthodontic patients.


Keywords


Real Time PCR; S. Mutans; IL-2; Removable Orthodontic Appliance

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References


Kametani M, Nagasawa Y, Usuda M, Kaneki A, Ogawa M, Shojima K, et al. Relationship Between the Presence of Red Complex Species and the Distribution of Other Oral Bacteria, Including

Major Periodontal Pathogens in Older Japanese Individuals. International Journal of Molecu-lar Sciences. 2024;25(22):12243. https://doi.org/10.3390/ijms252212243

Kim YG, Song HJ, Kim HJ, Joo BK, Cho JH, Jung W, et al. Bacterial Extracellular Vesicles as Potential Promoting Factors for Oral Lichen Pla-nus Pathogenesis. Inflammation. 2024. 10.1007/s10753-024-02146-8. https://doi.org/10.1007/s10753-024-02146-8

Palone M, Preite C, Lombardo L. Microbiota changes in the periodontium in response to orthodontic forces. Seminars in Orthodontics. 2024;30(2):135-40. 10.1053/j.sodo.2023.10.001.

https://doi.org/10.1053/j.sodo.2023.10.001

Devi LB, Keisam A, Singh HP. Malocclusion and occlusal traits among dental and nursing stu-dents of Seven North-East states of India. J Oral Biol Craniofac Res. 2022;12(1):86-9. 10.1016/j.

jobcr.2021.10.012. [PMC8592876]. https://doi.org/10.1016/j.jobcr.2021.10.0125. Alotaibi S. Potential Side Effects of Compre-hensive Fixed Orthodontic Treatment: A Nar-rative Review. The Open Dentistry Journal. 2023;17. https://doi.org/10.2174/18742106-v17-230307-2022-74. https://doi.org/10.2174/18742106-v17-230307-2022-74

Zurfluh MA, van Waes HJ, Filippi A. The influence of fixed orthodontic appliances on halitosis. Sch-weiz Monatsschr Zahnmed. 2013;123(12):1064-75.

Cavuoti S, Matarese G, Isola G, Abdolreza J, Femiano F, Perillo L. Combined orthodontic-sur-gical management of a transmigrated mandib-ular canine. Angle Orthod. 2016;86(4):681-91.

2319/050615-309.1. [PMC8601488].

https://doi.org/10.2319/050615-309.1

Contaldo M, Lucchese A, Lajolo C, Rupe C, Di Stasio D, Romano A, et al. The Oral Microbiota Changes in Orthodontic Patients and Effects on Oral Health: An Overview. J Clin Med. 2021;10(4).

3390/jcm10040780. [PMC7919675]. https://

doi.org/10.3390/jcm10040780

Mulimani P, Popowics T. Effect of Orthodon-tic Appliances on the Oral Environment and Microbiome. Frontiers in Dental Medicine.

;3. 10.3389/fdmed.2022.924835. https://doi.org/10.3389/fdmed.2022.924835

Choi YY. Relationship between orthodontic treatment and dental caries: results from a national survey. Int Dent J. 2020;70(1):38-44.

1111/idj.12515. [PMC9379177]. https://doi.org/10.1111/idj.12515

Kwon T, Lamster IB, Levin L. Current Con-cepts in theManagement of Periodontitis. Int Dent J. 2021;71(6):462-76. 10.1111/idj.12630. [PMC9275292]. https://doi.org/10.1111/idj.12630

Freitas AO, Marquezan M, Nojima Mda C, Alviano DS, Maia LC. The influence of orthodontic fixed appliances on the oral microbiota: a systematic review. Dental Press J Orthod. 2014;19(2):46-

10.1590/2176-9451.19.2.046-055.oar. [PMC4296609]. https://doi.org/10.1590/2176-9451.19.2.046-055.oar

Klaus K, Eichenauer J, Sprenger R, Ruf S. Oral microbiota carriage in patients with multibracket appliance in relation to the quality of oral hy-giene. Head Face Med. 2016;12(1):28. 10.1186/s13005-016-0125-x. [PMC5084466]. https://doi.org/10.1186/s13005-016-0125-x

Dinis M, Agnello M, Cen L, Shokeen B, He X, Shi W, et al. Oral Microbiome: Streptococcus mutans/Caries Concordant-Discordant Chil-dren. Front Microbiol. 2022;13:782825. 10.3389/

fmicb.2022.782825. [PMC8891984]. https://doi.org/10.3389/fmicb.2022.782825

Bumm CV, Folwaczny M. Infective endocarditis and oral health-a Narrative Review. Cardiovascu-lar Diagnosis and Therapy. 2021;11(6):1403-15. https://doi.org/10.21037/cdt-20-908

Buonavoglia A, Trotta A, Camero M, Cordisco M,

Dimuccio MM, Corrente M. Streptococcus mutans

Associated with Endo-Periodontal Lesions in In-tact Teeth. Applied Sciences. 2022;12(22):11837.https://doi.org/10.3390/app122211837

Bloch S, Hager-Mair FF, Andrukhov O, Schäffer C. Oral streptococci: modulators of health and disease. Frontiers in Cellular and Infection Micro-biology. 2024;14. 10.3389/fcimb.2024.1357631.

https://doi.org/10.3389/fcimb.2024.1357631

Stoycheva M, Murdjeva M. Serum levels of inter-feron-gamma, interleukin-12, tumour necrosis factor-alpha, and interleukin-10, and bacterial clearance in patients with gastroenteric Salmonel-la infection. Scand J Infect Dis. 2005;37(1):11-4. https://doi.org/10.1080/00365540410026068

Al-Qahtani AA, Alhamlan FS, Al-Qahtani AA.

Pro-Inflammatory and Anti-Inflammatory Inter-leukins in Infectious Diseases: A Comprehen-sive Review. Tropical Medicine and Infectious

Disease. 2024;9(1):13. https://doi.org/10.3390/

tropicalmed9010013

Ayaz M, Li CH, Ali Q, Zhao W, Chi YK, Shafiq M, et al. Bacterial and Fungal Biocontrol Agents

for Plant Disease Protection: Journey from Lab to Field, Current Status, Challenges, and Global Perspectives. Molecules. 2023;28(18).

[PMC10537577]. https://doi.org/10.3390/mole-cules28186735

Li Y, Saraithong P, Chen Z, Leung E, Pattanaporn K, Dasanayake A. Comparison of Real-Time Quantitative PCR with a Chairside Test for Strep-tococcus Mutans Assessment. Chin J Dent Res.2017;20(4):199-210. 10.3290/j.cjdr.a39219.

Salman HA, Senthilkumar R, Imran K, Selvam KP. Isolation and Typing of Streptococcus mutans and Streptococcus sobrinus from Caries-active Subjects. Contemp Clin Dent. 2017;8(4):587-93.

[PMC5754980]. https://doi.org/10.4103/ccd.ccd_610_17

Salman HA, Senthilkumar R, Mahmood BS, Imran

K. Detection and characterization of Streptococcus downei, a rare bacterial species of mutans streptococci from caries-active patients. Indian J Dent Res. 2019;30(4):579-82. https://doi.

org/10.4103/ijdr.IJDR_400_17

Al-nafaee A, Al-warid R, Abeas K. Study the Effect of a Fixed Orthodontic Appliance on the Oral Microbial Cavity. Medical Journal of Baby-lon. 2023;20:168. https://doi.org/10.4103/MJBL.MJBL_339_22

Agarwal N, Marwah N, Vishwanathaiah S, Chaturvedi S, Lekhwani P, Maganur P. Effect of Intraoral Appliance on Oral Health Status

and Streptococcus mutans Count: A Lon-gitudinal Study. European Journal of Gen-eral Dentistry. 2023;12:145-51. https://doi.

org/10.1055/s-0043-1775828

Marincak Vrankova Z, Rousi M, Cvanova M, Gachova D, Ruzicka F, Hola V, et al. Effect of fixed orthodontic appliances on gingival status and oral microbiota: a pilot study. BMC Oral Health.

;22(1):455. https://doi.org/10.1186/s12903-022-02511-9

Duś-Ilnicka I, Jedliński M, Padella S, Corridore D, Mazur M. Fixed appliances orthodontic therapy as a risk factor for caries development: Systematic review. Adv Clin Exp Med. 2024;33(10):1153-61. https://doi.org/10.17219/acem/174444

Diesch T, Filippi C, Fritschi N, Filippi A, Ritz N. Cytokines in saliva as biomarkers of oral and systemic oncological or infectious diseases: A systematic review. Cytokine. 2021;143:155506.

https://doi.org/10.1016/j.cyto.2021.155506

Roca C, Alkhateeb AA, Deanhardt BK, Macdon-ald JK, Chi DL, Wang JR, et al. Saliva sampling method influences oral microbiome composition and taxa distribution associated with oral diseases. PLoS One. 2024;19(3):e0301016. https://doi.org/10.1371/journal.pone.0301016

Hibino K, Wong RW, Hägg U, Samaranayake LP.

The effects of orthodontic appliances on Can-dida in the human mouth. Int J Paediatr Dent. 2009;19(5):301-8. https://doi.org/10.1111/j.1365-

X.2009.00988.x

AlHudaithi FS, Alshammery DA. Screening of bio-chemical parameters in the orthodontic treatment with the fixed appliances: A follow-up study. Saudi Journal of Biological Sciences. 2021;28(12):6808-

https://doi.org/10.1016/j.sjbs.2021.07.058

Pandey S, Patnayak RL, Khodiar PK, Amle D, Pandey A, Tripathi P. Molecular Detection of Strep-tococcus mutans and Streptococcus sobrinus in Dental Plaque Samples in Children Aged Six to

Nine Years. Cureus. 2022;14(12):e32672. https://doi.org/10.7759/cureus.32672

Toplak N, Kovač M, Piskernik S, Možina SS, Jeršek B. Detection and quantification of Campylobacter jejuni and Campylobacter coli using real-time mul-tiplex PCR. J Appl Microbiol. 2012;112(4):752-64.

https://doi.org/10.1111/j.1365-2672.2012.05235.x

Hata S, Hata H, Miyasawa-Hori H, Kudo A, Mayanagi H. Quantitative detection of Strepto-coccus mutans in the dental plaque of Japa-nese preschool children by real-time PCR. Lett

Appl Microbiol. 2006;42(2):127-31. https://doi.org/10.1111/j.1472-765X.2005.01821.x

Lucchese A, Bonini C, Noviello M, Lupo Stang-hellini MT, Greco R, Peccatori J, et al. The Effect of Removable Orthodontic Appliances on Oral Microbiota: A Systematic Review. Applied Sci-ences. 2021;11(6):2881. https://doi.org/10.3390/app11062881

Damoiseaux J. The IL-2 - IL-2 receptor pathway

in health and disease: The role of the soluble IL-2 receptor. Clinical Immunology. 2020;218:108515.https://doi.org/10.1016/j.clim.2020.108515

Abidi AH, Alghamdi SS, Dabbous MK, Tipton DA,

Mustafa SM, Moore BM. Cannabinoid type-2 re-ceptor agonist, inverseagonist, and anandamide regulation of inflammatory responses in IL-1β stimulated primary human periodontal ligament fibroblasts. Journal of Periodontal Research. 2020;55(5):762-83.https://doi.org/10.1111/jre.12765

Gujar AN, Baeshen HA, Alhazmi A, Bhandi S, Raj AT, Patil S, et al. Cytokine levels in gingival crevicular fluid during orthodontic treatment with aligners compared to conventional labial fixed

appliances: a 3-week clinical study. Acta Odontol Scand. 2019;77(6):474-81. https://doi.org/10.1080/00016357.2019.1607548

Başaran G, Ozer T, Kaya FA, Hamamci O. In-terleukins 2, 6, and 8 levels in human gingival sulcus during orthodontic treatment. Am J Orthod Dentofacial Orthop. 2006;130(1):7.e1-6. https://

doi.org/10.1016/j.ajodo.2005.12.027

Ren Y, Maltha JC, Van't Hof MA, Von Den Hoff JW, Kuijpers-Jagtman AM, Zhang D. Cytokine levels in crevicular fluid are less responsive to orthodontic force in adults than in juveniles. J

Clin Periodontol. 2002;29(8):757-62. https://doi.

org/10.1034/j.1600-051X.2002.290813.x

Nunes L, Quintanilha L, Perinetti G, Capelli JJ. Effect of orthodontic force on expression levels of ten cytokines in gingival crevicular fluid. Arch Oral Biol. 2017;76:70-5.https://doi.org/10.1016/j.archoralbio.2017.01.016


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