Bacteremia Associated With Oral Surgery: A Review

Navarro, Beatriz González; Jané‐Salas, Enric; Devesa, Albert Estrugo; López, José López; Viñas, Miguel

doi:10.1016/j.jebdp.2016.12.001

Cited by 19 publications

(9 citation statements)

References 53 publications

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“…This problem, together with language impairment and apathy, can negatively affect their help‐seeking behaviour, treatment decisions, alter their ability and willingness to follow homecare instructions and accelerate oral health decline in PWCI. Compromised oral health not only increases pain and suffering of the affected individuals, but also leads to other serious consequences, such as dental abscesses, bacteraemia, brain abscesses, endocarditis and aspiration pneumonia …”

Section: Introductionmentioning

confidence: 99%

The oral health status of residents with different cognitive and dental‐related functions in three North Carolina assisted living facilities

Chen

D’Souza

2019

Gerodontology

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Introduction The aim of the study was to describe the oral health status of persons with different cognition and dental‐related functions (DRFs). Methods The present study was a secondary analysis of data collected for a cross‐sectional study of residents in three assisted living facilities in North Carolina. The participants were aged 50 years or older, had normal to severely impaired cognition and spoke English. Upon obtaining informed consent, an oral assessment was completed by a trained geriatric dentist. A research team member who was blind to the oral examination outcomes then used the Minimum Data Set Cognition Scale to assess participants’ cognition and the dental activities test to evaluate oral self‐care and other DRFs. Descriptive statistics were used to describe the demographic, cognitive, functional and oral health status of the study participants. The impacts of cognitive and functional status on oral health measures were examined using simple linear regression models, negative binomial and zero‐inflated negative binomial models. Results A total of 91 long‐term residents from three long‐term care facilities participated in the study. Oral hygiene and gingival health were significantly associated with cognition (P = 0.056 and P = 0.017, respectively) and DRFs (P = 0.013 and P = 0.008, respectively). Residents with poor cognitive and dental‐related function also presented with poor oral hygiene and gingival health. Conclusion The study results suggest that oral hygiene and gingival health were significantly associated with cognition and DRFs.

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Section: Introductionmentioning

confidence: 99%

The oral health status of residents with different cognitive and dental‐related functions in three North Carolina assisted living facilities

Chen

D’Souza

2019

Gerodontology

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“…A Kruskal–Wallis H test revealed no difference (H(2) = 4.724, p = 0.094) between the mean DMFT scores of the three groups. The DMFT score in group 1 (median 10.5; IQR [ 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 ]) was not significantly different than the DMFT score in group 3 (median 12.5; IQR [10.3–23.8]). Based on the dental records, the periodontal health was good in all patients.…”

Section: Resultsmentioning

confidence: 85%

Section: Introductionmentioning

confidence: 99%

“…The bacteria that cause IE are in 85% of cases of Gram-positive cocci (streptococci, staphylococci, and enterococci) that can be considered as commensals with Staphylococcus aureus (S. aureus), associated with the most severe form of IE [10]. The most prevalent species of the streptococci group causing IE is Streptococcus viridans (S. viridans) [10][11][12]. The blood-circulating bacteria responsible for IE enter the bloodstream via the mouth (29%, of which 59% have an oral or dental infectious focus, and 12% are due to recent dental procedures), the skin (40%), and the gastrointestinal and urinary tracts (23%) [13].…”

Section: Introductionmentioning

confidence: 99%

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Relationship between 18F-FDG Uptake in the Oral Cavity, Recent Dental Treatments, and Oral Inflammation or Infection: A Retrospective Study of Patients with Suspected Endocarditis

et al. 2020

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[18F]-fluorodeoxyglucose positron emission tomography ([18F]FDG PET/CT) has proven to be a useful diagnostic tool in patients with suspected infective endocarditis (IE), but is conflicting in relation to dental procedures. Questions: Is there a correlation between [18F]FDG PET/CT findings, recent dental treatment, and an affected oral cavity? (2) Is there a correlation between infective endocarditis (IE), oral health status, and (extra)cardiac findings on [18F]FDG PET/CT? Methods: This retrospective study included 52 patients. All [18F]FDG PET/CT scans were examined visually by pattern recognition using a three-point scale and semi-quantified within the volume of interest (VOI) using SUVmax. Results: 19 patients were diagnosed with IE (group 1), 14 with possible IE (group 2), and 19 without IE based on the modified Duke criteria (group 3). No correlation was found between visual PET and SUVmax and sites of oral inflammation and infection. The visual PET scores and SUVmax were not significantly different between all groups. A significant difference in the SUVmax of the valve between all groups was observed. Conclusions: This study suggests that no correlation exists between the PET findings in the oral cavity and dental treatments or inflammation/infection. No correlation between IE, actual oral health status, and extra-cardiac findings was demonstrated. Additional research is needed to conclude whether [18F]FDG PET/CT imaging is a reliable diagnostic modality for oral inflammation and infection sites.

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“…As endocarditis is responsible for high morbidity and high mortality, those requiring endocarditis prophylaxis are classified as at-risk patients. Mandatory antibiotic prophylaxis does not completely prevent bacteraemia but does reduce its duration and extent [ 13 ] and thus also decreases clinical risks. This is probably the reason for the differences in decision making between patients at risk of endocarditis and healthy patients.…”

Section: Discussionmentioning

confidence: 99%

How do specialist surgeons treat the atrophic tooth gap? A vignette-based study among maxillofacial and oral surgeons

Korsch¹,

Walther²,

Robra

et al. 2021

BMC Oral Health

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Background There is little information available regarding the decision-making process of clinicians, especially in the choice of therapy for a severely atrophic tooth gap. The aim of this research was to use case vignettes to determine the influence of possible factors on the decision making of maxillofacial and oral surgeons. Methods A total of 250 maxillofacial (MFS) and oral (OS) surgeons in southern Germany were surveyed for atrophic single- or multiple-tooth gap with the help of case vignettes. The influence of different determinants on the therapy decision was investigated. Two case vignettes were designed for this purpose: vignette 1 with determinants “patient age” and “endocarditis prophylaxis” and vignette 2 with determinants “anxiety” and “bisphosphonate therapy”. Furthermore, the specialist designation was assessed for both. The options available to achieve a sufficient implant site were "bone split", "bone block", "augmentation with bone substitute material" and "bone resection". Therapy was either recommended or rejected based on principle. Results A total of 117 participants returned the questionnaire: 68 (58%) were OS and 49 (42%) MFS. “Patient age” and “patient anxiety” were not significantly associated with any therapy decision. However, required “endocarditis prophylaxis” led to significantly higher refusal rates for "bone split", "bone block" and "bone replacement material" and to higher rates of general refusal of a therapy. “Bisphosphonate therapy” was significantly associated with general refusal of therapy, but with no significant correlation with different therapy options. In vignette 1, OS refused therapy significantly more often than MFS, though there was no association with the specialist designation for other therapy modalities. In vignette 2, specialty was not significantly associated with the therapy decision. Conclusion “Patient age” as well as “patient anxiety” appear to have no or little influence on the treatment decision for severely atrophic single- or multiple-tooth gap by specialist surgeons. Surgeons more often refuse treatment for patients with endocarditis prophylaxis and bisphosphonate therapy.

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Bacteremia Associated With Oral Surgery: A Review

Cited by 19 publications

References 53 publications

The oral health status of residents with different cognitive and dental‐related functions in three North Carolina assisted living facilities

The oral health status of residents with different cognitive and dental‐related functions in three North Carolina assisted living facilities

Relationship between 18F-FDG Uptake in the Oral Cavity, Recent Dental Treatments, and Oral Inflammation or Infection: A Retrospective Study of Patients with Suspected Endocarditis

How do specialist surgeons treat the atrophic tooth gap? A vignette-based study among maxillofacial and oral surgeons

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