“…1,2 Other studies show, however, that also non-invasive and moderately invasive dental manipulations, such as restorative treatment and removal of dental plaque and calculus, and even normal daily dental activities can cause a significant bacteraemia, especially if made on chronically infected sites, 32 although contradictory results do exist. 35,36 Tooth extractions were the major cause for local spread of the infection in this study. However, in cases of systemic infection complications none of the preceding dental procedures could be distinguished as a high-risk procedure.…”