Association of specific microorganisms with endodontic signs and symptoms. A comparative study.

Abstract

The study aimed to evaluate the association of root canal microorganisms red complex and <i>E. facealis</i> with endodontic clinical signs and symptoms using polymerase chain reaction. Bacterial samples were obtained using sterile paper points from the teeth of 100 subjects divided into two groups; Group I: 50 individuals with primary tooth infections and Group II: 50 individuals with failed endodontic treatment having the secondary infection. DNA extracted from samples was analyzed for endodontic pathogens by using species-specific primers. The pain was noticed in 66%, (33 of 50 subjects) in primary infection and 60% (30 of 50) in a secondary infection. A statistically significant association between pain and <i>E. faecalis</i> bacteria observed both in primary infection and secondary infection (<i>P</i> < 0.05). Tenderness on percussion was associated with 40% cases in Group I and 70% cases in Group II. The red complex accounted for 94% of cases associated with tenderness on percussion in primary infection while 86% of cases associated with secondary infection with a statistically significant association (<i>P</i> < 0.05). Prevalence of red complex bacteria and <i>E. faecalis</i> suggested the association of studied bacteria with symptomatic infected pulp and periradicular diseases.