Dental procedures in patients with rheumatic heart disease

Bender, I.B.; Seltzer, Samuel; Tashman, Sylvia G.; Meloff, Gertrude

doi:10.1016/0030-4220(63)90176-2

Cited by 62 publications

(25 citation statements)

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“…Review of the available evidence suggests that this is not so and that many endodontic manipulations, especially those confined to the pulp canal system, are relatively low risk. Several researchers have shown that bacteraemia does not occur 15,16,17,18 or is an uncommon and short-lived event 19,20,21 following pulpotomy or root canal preparation short of root-end. But many of these older studies 15,16,17,19 should be interpreted with caution due to the crude sampling, transport and culture methods employed.…”

Section: Endodonticsmentioning

confidence: 99%

“…Several researchers have shown that bacteraemia does not occur 15,16,17,18 or is an uncommon and short-lived event 19,20,21 following pulpotomy or root canal preparation short of root-end. But many of these older studies 15,16,17,19 should be interpreted with caution due to the crude sampling, transport and culture methods employed. Contemporary studies employing rigorous microbiological techniques 20,21 have yielded more positive blood cultures, and even the application of rubber dam was recently shown in children to produce bacteraemia of comparable magnitude to a dental extraction.…”

Section: Endodonticsmentioning

confidence: 99%

“…By contrast, even with crude methods, bacteraemia may occur in one third to one half of cases after deliberate and repeated instrumentation beyond the root apex. 16,17,18,21 It may appear that endodontics as a risk factor for IE depends upon the nature of instrumentation, including the deliberate or inadvertent extension of instruments beyond the root end. A review of legal evidence has revealed that in 13% of cases of IE there is a recent episode of RESEARCH antibiotic prophylaxis …”

Section: Endodonticsmentioning

confidence: 99%

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Infective endocarditis, dentistry and antibiotic prophylaxis; time for a rethink?

et al. 2000

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Section: Endodonticsmentioning

confidence: 99%

Section: Endodonticsmentioning

confidence: 99%

Section: Endodonticsmentioning

confidence: 99%

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Infective endocarditis, dentistry and antibiotic prophylaxis; time for a rethink?

et al. 2000

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“…Bender y colaboradores encontraron que hubo un 31% de bacteriemias en los dientes en los cuales se realizó una sobreinstrumentación; al cabo de 10 minutos la incidencia de bacteriemias descendió a 0%. 28 En contraste, Baumgartner y colaboradores sugirieron que los procedimientos endodónticos no quirúrgicos producen una baja incidencia de bacteriemias (3%). 29 Wittgow y Sabiston (1975) afirmaron que durante la sobreinstrumentación, la aparición de microorganismos anaerobios dentro del hueso alveolar puede ser un factor desencadenante de una agudización endodóntica.…”

Section: Investigadorunclassified

Agudizaciones Endodonticas: “Flare-Ups” (Parte I)

Borrero¹

2018

UstaSalud

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RESUMENLa agudización endodóntica se caracteriza por el desarrollo de dolor, edema o ambos, posterior a una intervención endodóntica. Generalmente, los factores causantes son: daño mecánico, químico y/o microbiano a la pulpa o tejidos perirradiculares. De todos ellos, los microorganismos son indiscutiblemente el mayor agente etiológico de las agudizaciones. Se presentan varios regímenes de tratamiento para el alivio del dolor durante la terapia endodóntica que incluyen el alivio de la oclusión, premedicación, drenaje y medicaciones sistémicas y dentro del conducto radicular. El objetivo de este primer artículo fue realizar una revisión de la literatura acerca de su definición, incidencia y posibles factores desencadenantes. En la segunda parte se tratará la etiopatogenia y la adopción de medidas preventivas apropiadas para reducir significativamente la incidencia de este indeseable fenómeno clínico. ENDODONTIC FLARE UPS: PART I ABSTRACTInter-appointment flare-ups are characterized by the development of pain, swelling or both, following an endodontic treatment. The etiologic factors of flare-ups included mechanical and/or microbial injury to the pulp or perirradicular tissues. Of these factors, microorganisms are probable the major causative agents of flare-ups. Various treatment regimens for the relief of pain during endodontic therapy, including relief of drainage, and intracanal and systemic medications are presented. The aim of this first paper was to make a literature review about its definition, incidence and relative factors that may cause flare ups. The second paper will review the etiology and some preventive aids to reduce its incidence. INTRODUCCIÓNLa realización de un tratamiento endodóntico es un procedimiento que, por lo general, despierta muchas "expectativas" en el paciente, más aún si éste presenta sintomatología. Posiblemente, se deba a la creencia popular de que los tratamientos de conductos son dolorosos. Aunque uno de sus objetivos es proporcionar alivio al paciente, puede llegar a ser frustrante tanto para el paciente como para el odontólogo, que el tratamiento efectuado ocasione dolor o inflamación; algunas veces llega a ser sorpresiva una sintomatología dolorosa postoperatoria, si el paciente previo a la realización del tratamiento, se encontraba asintomático.La sintomatología que puede presentar un paciente durante la realización de un tratamiento endodónti-co se conoce como agudización endodóntica. Es una complicación que se presenta de manera inesperada durante la terapia endodóntica, sorprende tanto al paciente como al clínico tratante y requiere su pronta atención. De ahí, surge la inquietud por conocer, entre otras cosas, su incidencia y las causas que la producen para manejarla de manera adecuada y prevenir cuanto más sea posible.Se ha reportado gran variación en la frecuencia de flare-ups; parece ser que ocurre en un promedio del 14 al 16%. Ciertos factores influyen significativa-

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“…The occurrence of bacteriemia after endodontic treatment depends on the type and limit of root canal instrumentation 16 . Some studies have found bacteriemia after endodontic procedures performed beyond the root apex 1,3,6 . However, there is still debate as to whether endodontic procedures may produce significant bacteriemia and trigger infectious endocarditis 16 .…”

Section: Introductionmentioning

confidence: 99%

Bacteriemia during endodontic treatment in relation to the technique of biomechanical preparation: randomized clinical trial

et al. 2005

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bjective:The aim of this randomized clinical trial was to evaluate the frequency of bacteriemia during endodontic treatment, with comparison between two techniques for biomechanical preparation of the root canal system. Materials and methods: The sample comprised 50 patients aged 16 to 52 years, of both genders, which were divided into 2 groups with 25 patients each. Group I underwent biomechanical preparation by the step-back technique, and Group II was treated by the rotary technique with nickel-titanium instruments (K3). Patients were submitted to antisepsis of the oral cavity with chlorhexidine digluconate and three samples of blood were collected for blood culture: preoperatively, immediately after the biomechanical preparation and 10 minutes later. The significance level adopted was 5.0%, and analysis was performed by descriptive and inferential statistics by means of the Fisher's exact test, Fisher-Freeman-Halton test and Student's t test. Data were analyzed on the Statexact and SPSS softwares. Results: All blood cultures achieved before and immediately after preparation were negative. On the other hand, with regard to the blood cultures collected 10 minutes after preparation, one (4%) positive case was found for Group I. However, this difference was not statistically significant (p = 0.50). Conclusion: The frequency of bacteriemia was low and observed just for Group I. Uniterms: Bacteremia; Endocarditis, bacterial; Antibiotic prophylaxis; Root canal therapy.bjetivo: O objetivo deste ensaio clínico randomizado foi avaliar a freqüência de bacteriemia durante o tratamento endodôntico comparando duas técnicas de preparo biomecânico do sistema de canais radiculares. Materiais e métodos: A amostra constou de 50 pacientes, com idade variando entre 16 e 52 anos e de ambos os sexos, sendo dividida em 2 grupos de 25 pacientes. No Grupo I, realizou-se o preparo biomecânico através da técnica escalonada com recuo progressivo programado, e, no Grupo II, por meio técnica rotatória, empregando instrumentos de níquel-titânio (K3). Os pacientes realizaram anti-sepsia da cavidade bucal com gluconato de clorexidina e foram realizadas três coletas de sangue para hemoculturas: no pré-operatório, imediatamente após o preparo biomecânico e 10 minutos depois. O nível de significância foi de 5,0%, e foram utilizadas técnicas de estatística descritiva e inferencial através dos testes exato de Fisher, Fisher-Freeman-Halton e "T" de Student. A análise dos dados foi realizada através do programa Statexact e SPSS. Resultados: As hemoculturas tomadas antes e imediatamente após o preparo, foram todas negativas. Já nas hemoculturas, realizadas 10 minutos após o preparo, foi encontrado um caso (4%) positivo no Grupo I. Esta diferença, entretanto, não foi estatisticamente significante (p = 0,50). Conclusão: Concluiu-se que a freqüência de bacteriemia foi baixa e observada apenas no Grupo I. Unitermos: Bacteriemia; Endocardite bacteriana; Antibioticoprofilaxia; Tratamento do canal radicular. 334J Appl Oral Sci. 2005;13(4):334-9

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Dental procedures in patients with rheumatic heart disease

Cited by 62 publications

References 5 publications

Infective endocarditis, dentistry and antibiotic prophylaxis; time for a rethink?

Infective endocarditis, dentistry and antibiotic prophylaxis; time for a rethink?

Agudizaciones Endodonticas: “Flare-Ups” (Parte I)

Bacteriemia during endodontic treatment in relation to the technique of biomechanical preparation: randomized clinical trial

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