Review Article

Oral Cavity as an Extragastric Reservoir of Helicobacter pylori

Table 7

Data regarding effects of anti-H. pylori therapy on dental plaque.

No.AuthorsYearMethod used to detect H. pylori Sample sizePrevalence of H. pylori Prevalence after anti-H. pylori therapyEffect on H. pylori infection

1Gao et al. [44]2011PCR-ureC and cagA genes80 patients with H. pylori infection-37 treated with anti-H. pylori therapy and 43 treated with anti-H. pylori therapy and periodontal therapy After 4 weeks-29.7% in gp A and 4.7% in gp B; after 1 year-43.2% in gp A and 18.6% in gp BEradication rate of gastric H. pylori. After 4 weeks-73% in gp A and 81.4% in gp B
After 1 year-32.4% in gp A and 62.8% in gp B
2Bago et al. [41]2011PCR-16S rDNA56 patients with chronic periodontitis and gastric H. pylori positive37.5% ( )0Eradication rate in stomach was 76.2%
3Zaric et al. [40]2009PCR44 patients: 21 patients positive for H. pylori in subgingival dental plaque and gastric mucosa and 23 patients who were positive for H. pylori only in gastric mucosa-all 44 received only for H. pylori (triple) therapyIn G+O+t-66.7% In the G+O+t group, only 47.6%
showed eradication of gastric H. pylori compared to 87.4% in G+Ot
4Gebara et al. [42]2006PCR-16S rDNA30 dentate patients with gingivitis/periodontitis and H. pylori infection who received anti-H. pylori therapy20% ( ) in supra-gingival plaque and 26.6% ( ) in sub-gingival plaque30% in supra-gingival plaque and 46.7% in sub-gingival plaque
5Gürbüz et al. [30]2003CLO test75 dyspeptic patients of which 61 were H. pylori positive and also had H. pylori in dental plaque90.7% ( ); 81.3% ( ) had co-infection100%
6Suk et al. [45] 2002PCR-cagASixty-five patients with dyspeptic symptoms Overall-43.1% ( ), 73.7% (28/38) among H. pylori positive patients92.9%
7Butt et al. [46]2001Smear cytology82 patients positive for H. pylori in dental plaque: 27 received only anti-H. pylori therapy (gp 1); 25 received anti-HP therapy + periodontal therapy (gp 2); 30 received only periodontal therapy (gp 3)100%100% in gp 1; 16% in gp 2; 10% in gp 3
8Miyabayashi et al. [43]2000PCR-ureA47 patients with chronic gastritis or peptic ulcer-48.9% ( ) were positive for oral HP and 38.3% ( ) had HP in plaqueOral prevalence at 4 weeks-31.9 At 4 weeks-91.6% of subjects negative for oral H. pylori were successfully eradicated of HP infection compared to 52.2% in oral H. pylori positive patients. At 2 years-95.8% of subjects negative for oral H. pylori were successfully eradicated of H. pylori infection compared to 69.5% in oral H. pylori positive patients