Relationship between odontogenic bacteremia and orthodontic stripping

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


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


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="">


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.


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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