Transient Bacteremia in Pediatric Patients After Dental Extraction

Abstract

\s=b\The incidence of bacteremia in a group of well children undergoing dental extraction of both normal and abscessed teeth was determined. Blood samples were obtained from each child before and immediately after dental instrumentation and then cultured aerobically and anaerobically. Eleven of 36 (30%) of the postextraction cultures were positive, and Streptococcus viridans grew from all of them. Bacteremia was more common after the extraction of diseased teeth, and there was no relationship between bacteremia and the number or species of teeth removed.(Am J Dis Child 130: [406][407] 1976)

Bacteremia in Children Following Dental Extraction

“…This is in support of previous reports by Speck et al (1976) and Peterson and Peacock (1976), but disagrees with Elliott and Dunbar (1968), who recovered no organisms from blood following extraction of sound permanent teeth, and with Bender et al (1963), who found a higher incidence of bacteremia following multiple extractions.…”

“…Here, again, previous studies have produced conflicting results, with Peterson and Peacock (1976) and Robinson et al (1950) finding no significant difference between the incidence of bacteremia following extraction of abscessed teeth with inflamed gingivae and the extraction of sound teeth, while Speck et al (1976) found bacteremia more common after extraction of abscessed teeth. However, they showed no relationship between the incidence of bacteremia and the number or type of teeth extracted, while Bender et al (1963) and Robinson et al (1950) found increased bacteremia following multiple extractions.…”

The risk for endocarditis in dental practice

“…In addition, 64% of patients had periapical changes suggestive of irreversible pulpal necrosis. Other studies have shown a high incidence of bacteremia from the removal of noncarious, nonperiodontally involved teeth (103).…”

Pathogenesis of Endocarditis – Bacteraemia of Oral Origin

“…A number of paediatric case series published in the 1970s reported a frequency of postextraction bacteraemia of 30% (Speck et al, 1976), significantly lower than the figures reported for adults (Shanson et al, 1978). Some authors suggested that the differences were due primarily to the small volume of blood drawn from younger patients (Robinson et al, 1950).…”