Bacteremias of dental origin. II. A study of the factors influencing occurrence and detection

We conducted a study to determine the frequency of bacteraemias following dental extraction and common oral procedures, namely tooth brushing and chewing, and the relationship between bacteraemia and oral health in black patients. Positive blood cultures were detected in 29.6% of patients after dental extraction, in 10.8% of patients after tooth brushing and in no patients after chewing. No relationship between the state of oral health, which was assessed using the plaque and gingival indices, and the incidence of bacteraemia was found. The duration of bacteraemia was less than 15 minutes. One patient had a positive blood culture prior to dental extraction; his oral health status was poor. Our study confirmed that bacteraemia occurs after tooth brushing.

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“…Similar results were obtained by Robinson et al 37. in patients chewing wax, and by Cobe21 in patients chewing gum.…”

Section: Discussionsupporting

confidence: 88%

An investigation of the frequency of bacteraemia following dental extraction, tooth brushing and chewing

Maharaj¹,

Coovadia²,

Vayej³

2012

CVJA

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“…The experiments cited above, 2 supported the finding of Waerhaug, 1 and confirmed the suggestions of Brill and Krasse, 3 and Brill and Bjorn, 4 that the flow of tissue…”

Section: Literature Reviewsupporting

confidence: 89%

“…They also included organisms other than streptococci in their report. These same organisms had been eliminated from the series by Robinson, et al, 3 because they were considered contaminants.…”

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confidence: 97%

A Comparison of the Postoperative Bacteremias Induced Following Different Periodontal Procedures

Korn¹,

Schaffer²

1962

The Journal of Periodontology

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“…Here, again, previous studies have produced conflicting results, with Peterson and Peacock (1976) and Robinson et al (1950) finding no significant difference between the incidence of bacteremia following extraction of abscessed teeth with inflamed gingivae and the extraction of sound teeth, while Speck et al (1976) found bacteremia more common after extraction of abscessed teeth. However, they showed no relationship between the incidence of bacteremia and the number or type of teeth extracted, while Bender et al (1963) and Robinson et al (1950) found increased bacteremia following multiple extractions. However, no quantitative assessment of gingival health or plaque related to either the incidence or intensity of bacteremia has been attempted by previous workers.…”

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confidence: 52%

“…Studies limited to children have shown a lower incidence of bacteremia than that found in adults. This may be due to difficulty in the culturing of small samples of blood or, as suggested by Robinson et al (1950), the bacteria are unevenly distributed, and a large blood sample is required for detection to be ensured. The results of the present study are comparable with rates detected in adults (Everett and Hirschmann, 1977;Khairat, 1966).…”

Section: Discussionmentioning

confidence: 99%

Bacteremia in Children Following Dental Extraction

et al. 1990

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The incidence and intensity of bacteremia following tooth extraction in children were measured by blood culture. The effects on bacteremia of the number and type of teeth extracted, oral hygiene, gingival health, presence of abscess, and antibiotic prophylaxis were assessed. Antibiotic prophylaxis reduced the incidence of bacteremia from 63% to 35%. The intensity of bacteremia was 2 cfu/mL of blood or less in 80% of the children. An agar pour-plate method of blood culture was significantly more effective than broth in culturing the small volumes of inoculum. Of 83 bacterial strains characterized, 39 were strict anaerobes or micro-aerophilic, and the remainder mainly streptococci. S. mitior and S. sanguis were most commonly isolated, often in pure culture, and were generally sensitive to antibiotics. No direct association was demonstrated between the plaque and gingival indices and incidence of bacteremia or between the number of teeth extracted and the incidence or intensity of bacteremia. It is concluded that all children at risk from infective endocarditis require antibiotic prophylaxis prior to tooth extraction, since it is impossible for the likelihood or intensity of transient bacteremia to be clinically predicted.

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Bacteremias of dental origin. II. A study of the factors influencing occurrence and detection

Cited by 58 publications

References 50 publications

An investigation of the frequency of bacteraemia following dental extraction, tooth brushing and chewing

An investigation of the frequency of bacteraemia following dental extraction, tooth brushing and chewing

A Comparison of the Postoperative Bacteremias Induced Following Different Periodontal Procedures

Bacteremia in Children Following Dental Extraction

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