Review Article

Clinical Relevance of the Advanced Microbiologic and Biochemical Investigations in Periodontal Diagnosis: A Critical Analysis

Table 1

Various methods for identification of pathogens in periodontal infections.

MethodDescription

Culture methodsCan detect up to 104-105 species selectively and 103 species nonselectively, does not detect nonviable species, and takes approx. 1–3 weeks
 Selective
 Nonselective
Immunological methods
 Particle concentration fluorescence immunoassayCan detect up to 104 species, detects nonviable species, and takes approx. minutes to hours
DNA probeDetects up to 102 species, detects nonviable species, and takes approx. 1–48 hours
Enzyme assay
 Benzoyl-DL-arginine-2-naphthylamide (BANA)Detects 104 species, does not detect nonviable species, and takes approx. 15 minutes
Polymerase chain reaction
 Single target PCRDetects specific species directly from oral clinical samples
 Multiplex PCRExpansion of single target PCR, detects multiple species simultaneously and detects up to 10–100 cells per PCR
 Real-time PCRDetects and quantifies multiple species
DNA-DNA hybridization
 Fluorescence in situ hybridization (FISH)Quantify and determine special configuration and demonstrate the morphology of individual bacterial cell in complex natural communities
 Checkerboard hybridizationHybridization of 45 DNA samples against 30 DNA probes on a single support membrane
 Reverse-capture checkerboard hybridization16S ribosomal RNA based oligonucleotide checkerboard hybridization
Oligonucleotide microarray technologyA high sample-throughput, 16S ribosomal RNA-based technology allows the simultaneous detection of about 300 key and predominant bacterial species, including species that have not yet been cultured
Sequencing methods
 454 pyrosequencingDNA is fragmented and amplified using special adaptors in an emulsion
 SOLiDPCR that binds to an agarose bead. Fragmented DNA is amplified on an agarose bead
 Illumina/Solexa methodologyUtilises fragmented DNA and specialized adaptors attached to a slide

Adapted from [22].