Factors affecting the occurrence of bacteremia associated with tooth extraction

Okabe, Keisuke; Nakagawa, Kiyomasa; Yamamoto, Etsuhide

doi:10.1016/s0901-5027(06)80137-2

Cited by 93 publications

(92 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In contrast with previous studies 5,7 , there was no obvious relationship in the number of teeth extracted and the incidence of bacteremia (Table IV). Moreover, there was no statistical difference in the incidence of bacteremia according to whether the procedure involved removal of bone.…”

Section: Discussioncontrasting

confidence: 99%

“…These bacterial species could reside in the oral cavity as members of the commensal bacterial flora 14 , and are reported to be involved in infective endocarditis 16,17 . The present bacteriology data is similar to that of bacteremia associated with dental procedure reported previously [5][6][7][8] .…”

Section: Discussionsupporting

confidence: 90%

“…High incidence of post-tooth extraction bacteremia (43.1-100%) has been demonstrated [5][6][7][8] . In this study, tooth extraction also resulted in a high incidence of bacteremia (57.9%).…”

Section: Discussionmentioning

confidence: 99%

“…Tooth extraction in 'at-risk' patients is covered by antimicrobial prophylaxis according to AHA and BSAC guidelines 1, 2 and the predisposing factors of bacteremia in such patients have been investigated [5][6][7][8] . Whilst these investigations contribute to more effective prevention of infective endocarditis, there have been contradictory conclusions generated by these studies.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Incidence and bacteriology of bacteremia associated with various oral and maxillofacial surgical procedures

Takai

Kuriyama

Yanagisawa

et al. 2005

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, an

Self Cite

View full text Add to dashboard Cite

Objective. The aim of this study was to determine the incidence and bacteriology of bacteremia associated with various oral and maxillofacial surgical procedures. Methods.A total of 237 patients who underwent oral and maxillofacial surgery were included in this study. Blood samples were obtained for bacteriological examination immediately after the essential steps of the surgical procedure had been performed.Results. Bacteremia was detected in patients who underwent surgery for tumor, infection and trauma, and surgical reconstruction of jaw. In particular, decortication for osteomyelitis and tooth extraction resulted in a higher incidence of bacteremia compared with other surgical procedures. The incidence of bacteremia was not affected by oral hygiene, gingival inflammation, blood loss and duration of surgery. Furthermore, concerning tooth extraction, there was no statistical difference in the incidence of bacteremia with respect to the number of teeth extracted and the method of extraction.Extraction of teeth with odontogenic infection (periodontitis, periapical infection and pericoronitis) did however produce a significantly increased incidence of bacteremia compared with infection-free teeth (P<0.01).Viridans streptococci were the predominant group of bacteria isolated from the bacteremias. Conclusion.Oral and maxillofacial surgery involving trans-oral incision produces bacteremia, regardless of the extent and degree of surgical invasion. In particular, surgical procedure at infected sites is more likely to result in bacteremia compared with infection-free sites.

show abstract

Section: Discussioncontrasting

confidence: 99%

Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Incidence and bacteriology of bacteremia associated with various oral and maxillofacial surgical procedures

Takai

Kuriyama

Yanagisawa

et al. 2005

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, an

Self Cite

View full text Add to dashboard Cite

show abstract

“…The anatomic closeness of this biofilm to the bloodstream can facilitate the systemic spread of bacteria and their products, as well as inflammatory mediators and immunocomplexes (1,31). The high incidence of bacteremia following dental procedures has been well documented (9,14,23,24). It has been reported that one minute after a dental procedure, organisms from the infected oral site may reach the heart, lungs, and the peripheral blood capillary system (19).…”

Section: Introductionmentioning

confidence: 99%

Prevalence of "non-oral" pathogenic bacteria in subgingival biofilm of subjects with chronic periodontitis

Souto¹,

Andrade²,

Uzeda³

et al. 2006

Braz. J. Microbiol.

View full text Add to dashboard Cite

The oral cavity may act as a reservoir for several pathogens related to systemic infections. Therefore, the purpose of this study was to determine the prevalence and levels of pathogenic bacteria in the subgingival biofilm of chronic periodontitis lesions and healthy periodontal sites using the checkerboard DNA-DNA hybridization technique. 200 samples of subgingival biofilm from sites with periodontitis (probing pocket depth ≥ 4 mm and /or clinical attachment level ≥ 4 mm) and 200 samples from healthy sites of 14 patients with chronic periodontitis, as well as 200 samples from 3 periodontally healthy patients were obtained. The presence and levels of 11 pathogenic bacteria were determined using whole genomic DNA probes and the checkerboard method, computed for each site and then across sites within each subject group. Significance of differences in clinical and microbiological parameters among groups were examinated using the MannWhitney and Wilcoxon sign tests. The predominant species in all 600 samples included Corynebacterium diphtheriae, Enterococcus faecalis, Staphylococcus aureus, Acinetobacter baumannii and Escherichia coli. In general, most of the species were detected in greater prevalence and levels in sites with and without disease from patients with periodontitis in comparison to the periodontally healthy group. In particular, C. diphtheriae, E. coli, E. faecalis, Pseudomonas aeruginosa and S. aureus were significantly more prevalent and detected in higher counts in diseased sites of patients with periodontal disease compared to healthy subjects (p < 0.05). Clinical signs of disease presented a positive correlation with the species A. baumannii, Streptococcus pyogenes, E. coli, S. aureus and P. aeruginosa. In conclusion, "non-oral" pathogenic bacteria are detected in high prevalence and levels in periodontal sites of chronic periodontitis patients.

show abstract