Bacteroides buccae and related taxa in necrotic root canal infections.

Fifty-seven adults with apical periodontitis were examined for the presence of nonpigmented Bacteroides species in 62 infected root canals. Nonpigmented Bacteroides species were found in 35 canals. In four cases two nonpigmented Bacteroides species and in one case three nonpigmented Bacteroides species were found. Species belonging to the B. fragilis group were not isolated. The most frequently isolated species were B. buccae (15 strains), B. oris (12 strains), and B. oralis (7 strains). alpha-Fucosidase, beta-N-acetylglucosaminidase, and beta-xylosidase appeared to be useful in the identification of B. buccae and B. oris. Corroding Bacteroides species were not found; all corroding strains were identified as Wolinella recta. The occurrence of nonpigmented Bacteroides species was compared with the severity of the periapical infection. A total of 13 B. buccae strains were found in acute infections and only 2 strains were found in asymptomatic infections, whereas other nonpigmented Bacteroides species were present in acutely infected and asymptomatic teeth with nearly equal frequency. Ultrastructural study of 13 B. buccae strains showed that 8 strains had a crystalline proteinaceous surface layer (S-layer) outside the outer membrane, but all 13 strains had areas of crystalline protein throughout in the outer membrane. The results suggest that B. buccae may have a specific role in the development of an acute opportunistic infection.