Relationship between odontogenic bacteremia and orthodontic stripping

American Journal of Orthodontics & Dentofacial Orthopedics
Volume 144, Issue 1 , Pages 73-77, July 2013

Introduction

The aim of this study was to evaluate the prevalence of bacteremia associated with an orthodontic stripping procedure.

Methods

The study included 29 orthodontic patients (mean age, 18.2 ± 3.4 years). We used a standardized stripping procedure: a perforated stripping disk with a contra-angle hand piece was used at a low speed (<15 10="" a="" aerobic="" after="" anaerobic="" analyzed.="" and="" antecubital="" anterior="" bacterial="" baseline="" before="" blood="" bottles="" by="" cannula="" collected="" culture="" cultures="" fossa.="" identified="" incubated="" inoculated="" inserting="" into="" left="" mandibular="" on="" p="" procedure.="" procedure="" rpm="" sample="" samples="" second="" seconds="" statistically="" stripping="" taken="" teeth.="" the="" these="" treatment="" was="" were="">

Results

Transient bacteremia was not detected in any pretreatment blood sample, but it was found in 1 postoperative blood sample; this sample tested positive for Streptococcus sanguis.

Conclusions

The bacterial species in the positive postoperative blood sample was S sanguis, which might be associated with infective endocarditis. Clinicians should explain the level of risk to the patient and consult a concerned medical specialist.

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