Comparison of three different methods for evaluation of Helicobacter pylori (H.P.) in human dental plaque.

Helicobacter pylori (H.p.) is a microorganism involved in peptic ulcer disease. To clarify the role of human dental plaque as a reservoir of H.p. and to compare different methods of investigation the authors studied 20 patients, 17 males main age 56 +/- 12 and 3 females 52 +/- 7, gastro-duodenal H.p. positive. The trial was carried out by cultural, biochemical and microscopical plaque analysis. Cultural and microscopical method were H.p. positive in 80% patients, urease in 100%, alkaline phosphatase in 80%, gamma glutamyltransferase in 70%, nitrate in 70%. To minimize the possibility of false results in H.p. plaque analysis it is necessary to use the three methods simultaneously. Further trials both on human plaque and on food and beverages will be useful to clarify the role of H.p. in human pathology.