Herpesviruses in endodontic pathoses: association of Epstein-Barr virus with irreversible pulpitis and apical periodontitis

J Endod. 2009 Jan;35(1):23-9. doi: 10.1016/j.joen.2008.09.017. Epub 2008 Oct 31.

Abstract

Irreversible pulpitis and apical periodontitis are inflammatory diseases caused by opportunistic bacteria with possible co-infection with latent herpesviruses. The objectives of this study are to identify herpesviruses, including human cytomegalovirus (HCMV), Epstein-Barr virus (EBV), herpes simplex virus (HSV-1), and Varicella zoster virus (VZV) in patients with irreversible pulpitis (n = 29) or apical periodontitis, either primary (n = 30) or previously treated (n = 23). Using primary and nested polymerase chain reaction (PCR) and reverse transcription-PCR, EBV DNA and RNA were present in endodontic pathoses in significantly higher percentages (43.9% and 25.6%, respectively) compared with healthy pulp controls (0% and 0%, respectively). HCMV DNA and RNA were found in measurable numbers in both endodontic patients (15.9% and 29.3%, respectively) and in healthy pulp controls (42.1% and 10.5%, respectively). HSV-1 DNA was found in low percentages in endodontic patients (13.4%), and only one patient showed the presence of VZV. In conclusion, EBV may be associated with irreversible pulpitis and apical periodontitis.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Case-Control Studies
  • Cytomegalovirus / pathogenicity
  • DNA, Viral / analysis
  • Female
  • Herpesvirus 4, Human / pathogenicity*
  • Humans
  • Male
  • Periapical Periodontitis / virology*
  • Polymerase Chain Reaction / methods
  • Pulpitis / virology*
  • RNA, Viral / analysis
  • Radicular Cyst / virology
  • Simplexvirus / pathogenicity
  • Virus Latency
  • Young Adult

Substances

  • DNA, Viral
  • RNA, Viral