DIAGNOSTIC ACCURACY OF REAL- TIME PCR METHOD IN DETECTION OF CANDIDA ALBICANS IN INFECTED ROOT CANAL

Main Article Content

Mst. Dil Afroz Bhuiyan
Md. Mujibur Rahman Howlader
Elise Shahin Shamsuddin
Asaduzzaman Rakib
Mozammal Hossain

Keywords

Candida albicans, Infected root canal, Real-time PCR, culture

Abstract

This observational cross-sectional analytical study was conducted in the Department of Conservative Dentistry and Endodontics of Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh to detect candida albicans in root canal samples from endodontic infection. First, samples of infected root canal were taken from 50 patients who required root canal treatment. The carious lesion and coronal restoration were inactivated, the damaged tooth was isolated, and was decontaminated. Without using a chemical solvent, the root canal filling was removed. A radiograph was used to measure and confirm the canal’s length. The microbiology lab received the paper points containing samples for identification of candida albicans by using two diagnostic methods culture and real-time PCR method assessing accuracy of real-time PCR. Candida albicans was isolated in 22 (44%) by real-time PCR on the other hand 10 (20%) by culture. Candida albicans is the most frequent fungus in root canals forming biofilms, regularly found in primary endodontic infections than in persistent infections, in which this yeast is resistant to irrigants and causes endodontic failure.

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References

1. Pourhajibagher, M., Ghorbanzadeh, R. and Bahador, A., 2017. Culture-dependent approaches to explore the prevalence of root canal pathogens from endodontic infections. Brazilian oral research, 31, p.e108.
2. Vila T, Sultan AS, Montelongo-Jauregui D, Jabra-Rizk MA. Oral Candidiasis: A Disease of Opportunity. J Fungi (Basel) 2020;6(1):15.
3. Perez, V.V., Treviño-Tijerina, M.C., Leal-Camarillo, J.N., Rodriguez, L.E.Q., Saenz, S., Rangel, R.I.S.N. and Solis-Soto, J.M., 2021. Candida albicans, from endodontic point of view.
4. Fouad, A.F., Barry, J., Caimano, M., Clawson, M., Zhu, Q., Carver, R., Hazlett, K. and Radolf, J.D., 2002. PCR-based identification of bacteria associated with endodontic infections. Journal of clinical microbiology, 40(9), pp.3223-3231.
5. Persoon IF, Crielaard W, Özok AR. Prevalence and nature of fungi in root canal infections: a systematic review and meta-analysis. Int Endod J 2017;50(11):1055- 1066.
6. Talapko J, Juzbašić M, Matijević T, Pustijanac E, Bekić S, Kotris I. Candida albicans-The Virulence Factors and Clinical Manifestations of Infection. J Fungi (Basel) 2021;7(2):79.
7. McManus, B.A. and Coleman, D.C., 2014. Molecular epidemiology, phylogeny and evolution of Candida albicans. Infection, Genetics and Evolution, 21, pp.166-178.
8. Yoo YJ, Kim AR, Perinpanayagam H, Han SH, Kum KY. Candida albicans Virulence Factors and Pathogenicity for Endodontic Infections. Microorganisms 2020;8(9):1300.
9. Baumgartner, J.C., Watts, C.M. and Xia, T., 2000. Occurrence of Candida albicans in infections of endodonticorigin. Journal of endodontics, 26(12), pp.695-698.
10. Mayer, F.L., Wilson, D. and Hube, B., 2013. Candida albicans pathogenicity mechanisms. Virulence, 4(2), pp.119-128.
11. Mergoni, G., Percudani, D., Lodi, G., Bertani, P. and Manfredi, M., 2018. Prevalence of Candida species in endodontic infections: Systematic review and meta-analysis. Journal of endodontics, 44(11), pp.1616-1625.
12. Nair, P.R., Sjögren, U., Krey, G., Kahnberg, K.E. and Sundqvist, G., 1990. Intraradicularbacteria and fungi in root-filled, asymptomatic human teeth with therapy-resistant periapicallesions: along-term light and electron microscopic follow-up study. Journalofendodontics,16(12), pp.580-588.
13. Shirmohammadi, A., Babaloo, A., MalekiDizaj, S., Lotfipour, F., Sharifi, S., Ghavimi, M.A. and Khezri, K., 2021. A view on polymerase chain reaction as an outstanding molecular diagnostic technique in periodontology. BioMed Research International, 2021.
14. Arancia, S., Sandini, S., Cassone, A., De Bernardis, F. and La Valle, R., 2004. Construction and use of PCR primers from a 65k Damanno protein gene for identification of C. albicans. Molecular and cellular probes, 18(3), pp.171-175.
15. Cogulu, D., Uzel, A., Oncag, O. and Eronat, C., 2008. PCR-based identification of selected pathogens associated with endodontic infections in deciduous and permanent teeth. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 106(3), pp.443-449.
16. Khan, I., Shan, T., Hussain, W. and Manzoor, M.A., 2014. Frequency of enterococcus faecalis in saliva and root canals with treatment failure. Pakistan Armed Forces Medical Journal, 64(3), pp.395-8.
17. Dumani, A., Yoldas, O., Yilmaz, S., Koksal, F., Kayar, B., Akcimen, B. and Seydaoglu, G., 2012. Polymerase chain reaction of enterococcus faecalis and candida albicans in apical periodontitis from Turkish patients. Journal of clinical and experimental dentistry, 4(1), p.e34.
18. Al‐Sakati, H., Kowollik, S., Gabris, S., Balasiu, A., Ommerborn, M., Pfeffer, K., Henrich, B. and Raab, W.M., 2021. The benefit of culture‐independent methods to detect bacteria and fungi in re‐infected root filled teeth: a pilot study. International Endodontic Journal, 54(1), pp.74-84.
19. Schabereiter-Gurtner, C., Selitsch, B., Rotter, M.L., Hirschl, A.M. and Willinger, B., 2007. Development of novel real-time PCR assays for detection and differentiation of eleven medically important Aspergillus and Candida species in clinical specimens. Journal of clinical microbiology, 45(3), pp.906-914.
20. Pourhajibagher, M. and Bahador, A., 2018. Diagnostic accuracy of multiplex real-time PCR approaches compared with cultivation-based detection methods: monitoring the endopathogenic microbiota pre and post photo-activated disinfection. Photodiagnosis and Photodynamic Therapy, 22, pp.140-146.