Black-pigmented bacteria (BPB) have been associated with endodontic infecti
ons, The purpose of this study was to evaluate further the presence of BPB
with the clinical signs and symptoms associated with endodontic infections.
Microbial samples were collected from the root canals of 40 intact teeth w
ith necrotic pulps and apical periodontitis. Conventional laboratory method
s were used for identification of the strains of BPB isolated in pure cultu
re, In addition, the polymerase chain reaction and specific primers for 16S
r-RNA genes were used to differentiate Puevotella nigrescens from Puevotel
la intermedia. Twenty-two (55%) samples were positive for the growth of BPB
, Of those, 11 of 22 (50%) were identified as P. nigrescens, 8 of 22 (36%)
were P. intermedia, 2 of 22 (9%) were Porphyromonas gingivalis, and 1 of 22
(5%) was Prevotella melaninogenica, Sixteen of the 22 root canals positive
for the growth of BPB were associated with purulent drainage either from t
he root canal or an associated sinus tract. Statistical analysis did not sh
ow a significant relationship for the presence of BPB with clinical signs a
nd symptoms.