Prevalence of Periodontal Pathogens in Slovak Patients with Periodontitis and Their Possible Aspect of Transmission from Companion Animals to Humans

SIMPLE SUMMARY: Periodontal disease represents a worldwide health problem. Human periodontal pathogens such as Treponema denticola, Porphyromonas gingivalis, Tannerella forsythia and Aggregatibacter actinomycetemcomitans are the cause of inflammatory response resulting in periodontitis. Porphyromonas gulae is mostly involved in periodontitis in dogs; however, it is not a common pathogen in humans. This study deals with the prevalence of periodontal pathogens in Slovak patients with periodontitis. Furthermore, based on the previous findings of animal-to-human transmission of periodontal pathogens, this study also assesses the possible bacterial transmission between animals and their owners. The highest prevalence in Slovak patients amongst the monitored periodontal pathogens had T. forsythia. In regard to the limited information available on T. forsythia, antibiotic sensitivity of this bacterium was evaluated. Most of the T. forsythia isolates were susceptible to antibiotics, namely amoxicillin-clavulanic acid, clindamycin and moxifloxacin, while they were resistant to metronidazole. Moreover, the transmission of P. gulae between animals and their owners was confirmed. Based on the similarity of P. gulae with human P. gingivalis, there arises the question as to whether P. gulae can also be involved in the periodontitis pathogenesis in humans. However, more studies are required for further clarification. ABSTRACT: Oral health and diseases are greatly influenced by oral bacteria. During dysbiosis, bacterial composition changes, which can lead to periodontitis. Periodontitis in humans is associated with periodontal pathogens such as Treponema denticola, Porphyromonas gingivalis, Tannerella forsythia and Aggregatibacter actinomycetemcomitans. Animal-to-human transmission of some of these pathogens has also been reported. The aim of this study was to evaluate the prevalence of periodontal pathogens in Slovak patients and to assess the possible risk of transmission of these pathogens from animals to their owners. The presence of periodontal pathogens in dental plaque was monitored by PCR. Amplified products were analysed using Sanger sequencing. T. forsythia isolates were assessed for the susceptibility to different antibiotics using the disk diffusion method. In humans, T. denticola, P. gingivalis, T. forsythia and A. actinomycetemcomitans were present in 69.23%, 69.23%, 100% and 84.62%, respectively. Most isolates of T. forsythia were susceptible to amoxicillin-clavulanic acid, clindamycin and moxifloxacin, but they were resistant to metronidazole. The transmission of T. forsythia from animals to their owners was not proven based on sequence analysing. On the other hand, transmission of Porphyromonas gulae was confirmed, but the risk of its involvement in the pathogenesis of periodontitis in humans must be further investigated.