A Comparison of the Postoperative Bacteremias Induced Following Different Periodontal Procedures

Korn, Norman A.; Schaffer, Erwin M.

doi:10.1902/jop.1962.33.3.226

Cited by 30 publications

(4 citation statements)

References 3 publications

(6 reference statements)

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“…The mechanical debridement by its very nature may introduce microorganisms into the tissues and produce an anamnestic immune response during the immediaite post-operative period. Korn & Schaffer (1962) reported that following root planing the incidence of bacteremia may reach over 80 %. Conner et al (1967) demonstrated a bacteremia in over half of a group of adult patients with periodontitis following scaling.…”

Section: Discussionmentioning

confidence: 99%

Effect of scaling and root planing on the composition of the human subgingival microbial flora

Mousquès

Listgarten

Phillips

1980

J of Periodontal Research

286

172

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The effect of a single session of scaling and root planing on the subgingival periodontal flora of 14-adult human subjects was investigated by darkfield microscopy. At baseline, one randomly selected periodontally diseased site in each subject was assessed for GI and PlI scores, probing depth and the percentage distribution in subgingival debris of coccoid cells, spirochetes, motile cells and other microorganisms. Following a single full mouth scaling and root planing session, these criteria were reevaluated at other initially diseased sites, one per subject and time interval. The intervals tested were days 3, 7, 14, 21, 28, 35, 42, 49, 56, 70 and 90. The PlI and GI scores tended to decrease during the first 14 days, returning to baseline around days 21-28. After another transient decline around 35-42 days the values stabilized around baseline levels till the end of the experiment. Probing depth decreased below baseline during the first 7 days and with the exception of day 28, remained below baseline level till the end of the experiment. Coccoid cells increased from 25.1 % at baseline to 76.1 % on day 3. Return to the baseline level occurred by day 21. Spirochetes did not return to baseline imtil day 42. The percentage of motile cells decreased significantly from baseline on day 3 only (14.8 % to 3.8 %).The results indicated that a single session of scaling and root planing is capable of disturbing the proportions of certain bacterial forms in the subgingival periodontal flora, and that it may require approximately 42 days for the proportions to return to baseline levels. Probing depth was significantly decreased by the debridement throughout most of the 90-day experimental period. The proportion of coccoid cells was negatively correlated with both GI and PlI scores, while the percentage of spirochetes was positively correlated with GI and PlI scores as well as probing depth measurements.

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Section: Discussionmentioning

confidence: 99%

Effect of scaling and root planing on the composition of the human subgingival microbial flora

Mousquès

Listgarten

Phillips

1980

J of Periodontal Research

286

172

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“…Bacteremia with viridans streptococci following tooth extraction (1)(2)(3), dental manipulation (4,5), and oral surgery (6,7) is occasionally associated with the development of bacterial endocarditis (8)(9)(10). This observation has led the American Heart Association (11) to recommend prophylactic administration of antibiotics to patients with known heart disease undergoing dental procedures.…”

Section: Introductionmentioning

confidence: 99%

Chemotherapy of experimental streptococcal endocarditis. IV. Further observations on prophylaxis.

Pelletier¹,

Durack²,

Petersdorf³

1975

J. Clin. Invest.

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A B S T R A C T The ability of antibiotics to prevent Streptococcus sangutis endocarditis was tested in rabbits. Only vancomycin or a combination of penicillin G plus streptomycin always prevented infection when administered as a single dose. A loading dose of 30 mg/kg of phenoxymethyl penicillin (penicillin V) followed by additional 7.5 mg/kg doses for 48 h proved to be the only successful prophylactic program that could be given orally to man. Cefazolin alone or with streptomycin in multiple doses was also an effective alternative to penicillin or penicillin derivatives. Erythromycin uniformly failed to protect animals from bacterial endocarditis but showed greater prophylactic efficacy when a low inoculum of streptococci was used.

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“…It is clear that transient bacteremia occurs with manipulation of periodontal tissues, whether it be from brushing (97,98), chewing, use of irrigation devices (37), dental prophylaxis (6,7,22,29,70,110), suture removal (40,61) or other periodontal procedures involving the gingiva (69). Gingivectomy and root planing are reported to cause bacteremia in 55 to 80 percent of cases (62,113). Routine dental cleaning (that is, scaling) likely causes disruption of a larger surface area of gingival tissues than an extraction and therefore may be more invasive from the standpoint of the incidence, nature, magnitude and duration of bacteremia.…”

Section: Invasiveness Of the Dental Proceduresmentioning

confidence: 99%

The risk for endocarditis in dental practice

Lockhart¹

2000

Periodontology 2000

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A Comparison of the Postoperative Bacteremias Induced Following Different Periodontal Procedures

Cited by 30 publications

References 3 publications

Effect of scaling and root planing on the composition of the human subgingival microbial flora

Effect of scaling and root planing on the composition of the human subgingival microbial flora

Chemotherapy of experimental streptococcal endocarditis. IV. Further observations on prophylaxis.

The risk for endocarditis in dental practice

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