Expression levels of the receptor activator of NF-κB ligand and osteoprotegerin and the number of gram-negative bacteria in symptomatic and asymptomatic periapical lesions
We examine the expression of RANKL and OPG in patients with symptomatic apical periodontitis. We correlate the results with the detected numbers of gram-negative bacteria. The symptomatic group showed a significantly higher number of gram-negative cells. Gram-negative bacteria may play an important role in OPG activity in patients with symptomatic apical periodontitis. A higher number of gram-negative bacteria occurred more frequently in larger periapical lesions and SYM group.