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Use of BANA hydrolysis as a diagnostic test for identifying periodontopathic environments.

Abstract
The purpose of the present study was to evaluate the diagnostic value of the BANA hydrolysis test using the Perio Scan kit to identify subgingival periodontopathogens (P. gingivalis, T. denticola and B. forsythus) and to determine whether the BANA reaction reflected the presence or absence of clinical signs for periodontitis. 10 patients with periodontitis (AP), 10 healthy subjects (HS) and 10 subjects with treated periodontitis under supportive therapy (MP) participated in the study. Subgingival plaque was sampled and the presence or absence of the above mentioned bacteria assessed with BANA reagent cards (Perio Scan). Additionally, all samples were analyzed for the presence or absence of P. gingivalis and/or T. denticola using an ELISA. The BANA test yielded a high specificity (86.7%) and a high sensitivity (77.0%) for the presence of periodontopathogens when compared with the ELISA results as reference parameter. The diagnostic features of the BANA test result compared to the clinical parameters yielded a high degree of accuracy for overall clinical judgement and for probing depth (PD 5 mm), but to a lesser degree, for bleeding on probing.
AuthorsA C Wetzel, A Neuenschwander-Schüpbach, D E Lopatin, N P Lang
JournalSchweizer Monatsschrift fur Zahnmedizin = Revue mensuelle suisse d'odonto-stomatologie = Rivista mensile svizzera di odontologia e stomatologia (Schweiz Monatsschr Zahnmed) Vol. 101 Issue 9 Pg. 1127-32 ( 1991) ISSN: 0256-2855 [Print] Switzerland
PMID1792543 (Publication Type: Comparative Study, Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Antibodies, Bacterial
  • Reagent Kits, Diagnostic
  • Cathepsins
  • Cysteine Endopeptidases
  • CTSH protein, human
  • Cathepsin H
Topics
  • Adult
  • Antibodies, Bacterial (analysis)
  • Cathepsin H
  • Cathepsins
  • Cysteine Endopeptidases
  • Dental Plaque (microbiology)
  • Enzyme-Linked Immunosorbent Assay
  • Evaluation Studies as Topic
  • Female
  • Humans
  • Hydrolysis
  • Male
  • Middle Aged
  • Periodontal Diseases (diagnosis, microbiology)
  • Reagent Kits, Diagnostic
  • Treponema (immunology, isolation & purification)

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