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Trichomonas tenax and periodontal diseases: a concise review

Published online by Cambridge University Press:  06 June 2017

MATHIEU MARTY*
Affiliation:
Paul Sabatier University, Dental Faculty, Department of Pediatric Dentistry, Toulouse University Hospital, Toulouse, France
MATHIEU LEMAITRE
Affiliation:
Paul Sabatier University, Dental Faculty, Department of Biological Sciences, Toulouse University Hospital, Toulouse, France Université de Lyon, Université Lyon 1, Faculté d'Odontologie & Hospices Civils de Lyon, Service d'Odontologie, Lyon, France
PHILIPPE KÉMOUN
Affiliation:
Paul Sabatier University, Dental Faculty, Department of Biological Sciences, Toulouse University Hospital, Toulouse, France Université de Lyon, Université Lyon 1, Faculté d'Odontologie & Hospices Civils de Lyon, Service d'Odontologie, Lyon, France
JEAN-JACQUES MORRIER
Affiliation:
Paul Sabatier University, Dental Faculty, Department of Anatomical Sciences and Radiology, Toulouse University Hospital, Toulouse, France
PAUL MONSARRAT
Affiliation:
Université de Lyon, Université Lyon 1, Faculté d'Odontologie & Hospices Civils de Lyon, Service d'Odontologie, Lyon, France STROMALab, Université de Toulouse, CNRS ERL 5311, EFS, INP-ENVT, Inserm U1031, UPS, Toulouse, France
*
*Corresponding author: D.D.S, UFR Odontologie de Toulouse, 3, chemin des maraîchers 31062 Toulouse Cedex 9, France. E-mail: [email protected]

Summary

Periodontal diseases (gingivitis and periodontitis), result from a disruption of the host–oral microbiome homoeostasis. Whereas the pathological role of some specific bacterial strains during periodontal diseases is well documented, the impact of parasites in periodontium pathophysiology is still under debate. This review aims to collect data about the prevalence and the potential role of Trichomonas tenax during periodontal diseases. Data from 47 studies revealed that T. tenax prevalence in diseased periodontium ranged from 0 to 94·1%. The prevalence of oral protozoan infections was found to be largely greater in patients with periodontal diseases than with healthy periodontium. The parasite detection was mainly performed by direct microscopy. Trichomonas tenax presence was clearly correlated with periodontal disease. The high heterogeneity of its periodontal prevalence may be correlated with the diversity of the population screened (age, sex, systemic diseases), and the methods used for diagnosis. This protozoan seems to have the capacity to be involved in the inflammatory process of gum disease. Animal experimentation, using relevant physiopathological models of periodontitis, needs to be performed to investigate the ability of T. tenax to cause and/or worsen the disease. Further investigations using standardized experimental designs of epidemiologic studies are also needed.

Type
Review Article
Copyright
Copyright © Cambridge University Press 2017 

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Footnotes

These authors contributed equally to this work.

References

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