PMID- 23837889 OWN - NLM STAT- MEDLINE DCOM- 20140326 LR - 20130807 IS - 1600-051X (Electronic) IS - 0303-6979 (Linking) VI - 40 IP - 9 DP - 2013 Sep TI - Oral microbial colonization in laryngectomized patients as a possible cofactor of biofilm formation on their voice prostheses. PG - 833-40 LID - 10.1111/jcpe.12131 [doi] AB - AIM: Biofilm formation on voice prostheses, which are used for voice rehabilitation in laryngectomized patients, is a main cause of device failure. The aim of this study was to assess whether the presence of periodontal pathogens in the biofilm on voice prostheses is related to that in the oral cavity and associated with the periodontal status of the patients. METHODS: Thirty-one laryngectomized patients were invited to participate, 13 of whom met exclusion criteria. The remaining 18 were classified according to the community periodontal index of treatment needs (community periodontal index of treatment needs (CPITN), grades 0-4). Biofilm samples from the oral cavity and voice prostheses were analysed by PCR-based hybridization for 11 pathogens. RESULTS: All dentate patients required periodontal treatment (CPITN-3: n = 4, CPITN-4: n = 8); the remaining six were edentulous. The diversity (i.e. number of bacterial species detected) of pathogens detected on the voice prostheses correlated significantly positively with the diversity of pathogens in the oral cavity and with clinical parameters. Furthermore, the diversity of pathogens differed significantly between dentate and edentulous patients. CONCLUSIONS: Results emphasize the oral cavity as an important source of bacteria for biofilm formation on voice prostheses. Whether these pathogens reduce the lifetime of the device by increased biofilm formation and/or increase the risk of silicone deterioration requires further study. CI - (c) 2013 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. FAU - Bertl, Kristina AU - Bertl K AD - Division of Oral Surgery, Bernhard Gottlieb School of Dentistry, Medical University of Vienna, Vienna, Austria. FAU - Zatorska, Beata AU - Zatorska B FAU - Leonhard, Matthias AU - Leonhard M FAU - Rechenmacher-Strauss, Julia AU - Rechenmacher-Strauss J FAU - Roesner, Imme AU - Roesner I FAU - Schneider-Stickler, Berit AU - Schneider-Stickler B LA - eng PT - Comparative Study PT - Journal Article DEP - 20130709 PL - United States TA - J Clin Periodontol JT - Journal of clinical periodontology JID - 0425123 SB - IM MH - Aged MH - Aged, 80 and over MH - Bacterial Adhesion/physiology MH - Bacteroides/isolation & purification MH - Biofilms/*growth & development MH - Campylobacter rectus/isolation & purification MH - Capnocytophaga/isolation & purification MH - Dental Calculus/microbiology MH - Dental Plaque/microbiology MH - Female MH - Follow-Up Studies MH - Fusobacterium nucleatum/isolation & purification MH - Humans MH - *Laryngectomy/rehabilitation MH - Larynx, Artificial/*microbiology MH - Male MH - Middle Aged MH - Mouth/*microbiology MH - Mouth, Edentulous/microbiology MH - Peptostreptococcus/isolation & purification MH - Periodontal Diseases/microbiology MH - Periodontal Index MH - Periodontal Pocket/microbiology MH - Prospective Studies MH - Prosthesis Failure MH - Tongue/microbiology MH - Tooth/microbiology MH - Treponema denticola/isolation & purification OTO - NOTNLM OT - bacteria OT - biofilm OT - laryngectomized patients OT - periodontitis OT - voice prostheses EDAT- 2013/07/11 06:00 MHDA- 2014/03/29 06:00 CRDT- 2013/07/11 06:00 PHST- 2013/06/03 00:00 [accepted] PHST- 2013/07/11 06:00 [entrez] PHST- 2013/07/11 06:00 [pubmed] PHST- 2014/03/29 06:00 [medline] AID - 10.1111/jcpe.12131 [doi] PST - ppublish SO - J Clin Periodontol. 2013 Sep;40(9):833-40. doi: 10.1111/jcpe.12131. Epub 2013 Jul 9.