The association between Trichomonas tenax and Entamoeba gingivalis and periimplantitis and periodontitis


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Sari A., Kaya O. M., Arisan V., Nibali L.

CLINICAL ORAL INVESTIGATIONS, cilt.30, sa.8, 2026 (SCI-Expanded, Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 30 Sayı: 8
  • Basım Tarihi: 2026
  • Doi Numarası: 10.1007/s00784-026-07036-x
  • Dergi Adı: CLINICAL ORAL INVESTIGATIONS
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE, MEDLINE, Academic Search Ultimate (EBSCO), Natural Science Collection (ProQuest), Biological Science Database (ProQuest), Biomedical Reference Collection: Corporate Edition (EBSCO), Health Research Premium Collection (ProQuest), Pharma Collection (ProQuest)
  • Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
  • Hatay Mustafa Kemal Üniversitesi Adresli: Evet

Özet

Objective The aim of the study was to evaluate the association between T. tenax and E. gingivalis with peri-implant and periodontal diseases compared to healthy controls. Material and Methods A total of 140 participants were included in four groups in this study. The groups included 35 patients with peri-implantitis and periodontitis (IP+P group); 35 patients with peri-implant and periodontal health (IH+PH group); 35 patients with periodontitis (P group), and 35 periodontally healthy individuals (PH group). Clinical periodontal and peri-implantitis parameters were recorded. Plaque samples were taken from around teeth in P and PH groups and around implants and teeth in IP+P and IH+PH groups. The presence of T. tenaxandE. gingivalis was determined under a microscope. Results The detection of T. tenax and E. gingivalis parasites in tooth samples was higher in the IP+P and P groups than in the IH+PH and PH groups (p<0.001). Both parasites were detected more frequently in peri-implant samples in the IP+P group than in the IH+PH group (p<0.001 and p=0.001, respectively). There was no difference in parasite detection between tooth and peri-implant samples in the same host in the IP+P and IH+PH groups (p & sup3;0.05). The presence of T. tenax andE. gingivalis was associated with the presence of periodontal disease, and severity and grading of periodontitis independently of other factors (p<0.05). Conclusion The presence of T. tenax and E. gingivalis might be associated with peri-implantitis and periodontitis lesions. The detection of parasites is similar on tooth and implant surfaces in the same mouth. Clinical Relevance Protozoa found at sites of disease may not imply a direct causal relationship with the disease; nevertheless, their detection can indicate opportunistic microbial activity or ongoing oral inflammation.