Active Bacteria in Carious Dentin of Mandibular Molars with Different Pulp Conditions: An In Vivo Study.

Introduction: This study evaluated the relative abundance and ribosomal activity of selected bacteria in carious dentin of teeth with different pulp conditions.

Methods: Thirty healthy patients with class I occlusal caries in molars were categorized into 3 groups based on the pulp diagnosis: normal pulp (NP, n = 10) with caries extending less than half the thickness of dentin (as assessed radiographically), reversible pulpitis (n = 10), and symptomatic irreversible pulpitis (n = 10) with caries extending more than two thirds of the thickness of dentin. Carious dentin samples were collected from the deepest part of the cavity and stored in RNAlater solution (Ambion Inc, Austin, TX). Eight bacterial taxa were evaluated from the samples: Streptococcus mutans, Lactobacillus fermentum, Veillonella, Actinomyces, Rothia dentocariosa, Olsenella profusa, Prevotella intermedia, and Bifidobacterium dentium. The 16S ribosomal RNA (rRNA) gene and 16S rRNA were quantified by real-time polymerase chain reaction and used to calculate the relative genome abundance and relative ribosomal abundance. The Fisher exact test was used to compare proportions between groups. The mean rank difference between the various groups was assessed using the Kruskal-Wallis test with the Bonferroni-Holm correction.

Results: The reversible pulpitis group had significantly higher 16S rRNA gene and rRNA counts of Actinomyces (P < .001 and P = .002) and B. dentium (P = .005 and P = .007) relative to the NP group. The symptomatic irreversible pulpitis group had significantly higher 16S rRNA gene and rRNA counts of L. fermentum (P < .001 and P < .001), Actinomyces (P < .001 and P < .001), O. profusa (P < .001 and P < .001), P. intermedia (P = .001 and P = .002), and Bifidobacterium (P < .001 and P < .001) relative to the NP group.

Conclusions: Specific bacterial activity varies in carious dentin of teeth with different pulp conditions.