Bacteremia Following Dental Implant Surgery: Preliminary Results

Overview

Journal Med Oral Patol Oral Cir Bucal

Specialty Dentistry

Date 2011 Dec 14

PMID 22157668

Citations 5

Authors

Nilufer Bolukbasi

Tayfun Ozdemir

Lutfiye Oksuz

Nezahat Gurler

Affiliations

Soon will be listed here.

Abstract

Objectives: The aims of this study were to investigate the incidence of bacteremia, bacteriology and antibiotic susceptibility against to causative bacteria associated with dental implant installation.

Study Design: 30 generally healthy patients were enrolled in this study. Blood samples were collected at baseline and at 30 minutes after dental implant installation and 24 hours after dental implant surgery. Blood samples were cultured in a BACTEC system. The isolated bacteria were identified using conventional methods. Antimicrobial sensitivity tests were performed by disc diffusion.

Results: No bacteria were isolated at the baseline and 24 hours after surgery, whereas the prevalence of bacteremia at 30 minutes after dental implant installation was 23%. The isolated bacteria species were Staphylococcus epidermidis, Eubacterium spp., Corynebacterium spp. and Streptococcus viridans. The Staphylococcus epidermidis, which was isolated in three patients, was found to be resistant to penicillin which is first choice of many clinicians.

Conclusion: Our findings suggest that installation of dental implants can produce bacteremia. Within the limitations of this study, it can be speculated that the resistance of antibiotics may compromise the routine prophylaxis against infective endocarditis. Therefore use of blood cultures and antibiograms may be suggested in risky patients. The outcome of the present study should be verified using a larger patient group with varying conditions.

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References

Glauser M, Bernard J, Moreillon P, Francioli P . Successful single-dose amoxicillin prophylaxis against experimental streptococcal endocarditis: evidence for two mechanisms of protection. J Infect Dis. 1983; 147(3):568-75. DOI: 10.1093/infdis/147.3.568. View

Wilson W, Taubert K, Gewitz M, Lockhart P, Baddour L, Levison M . Prevention of infective endocarditis: guidelines from the American Heart Association: a guideline from the American Heart Association Rheumatic Fever, Endocarditis and Kawasaki Disease Committee, Council on Cardiovascular Disease in the Young, and.... J Am Dent Assoc. 2008; 139 Suppl:3S-24S. DOI: 10.14219/jada.archive.2008.0346. View

Bhanji S, Williams B, Sheller B, Elwood T, Mancl L . Transient bacteremia induced by toothbrushing a comparison of the Sonicare toothbrush with a conventional toothbrush. Pediatr Dent. 2002; 24(4):295-9. View

Pineiro A, Tomas I, Blanco J, Alvarez M, Seoane J, Diz P . Bacteraemia following dental implants' placement. Clin Oral Implants Res. 2010; 21(9):913-8. DOI: 10.1111/j.1600-0501.2010.01928.x. View

Janket S, Baird A, Chuang S, Jones J . Meta-analysis of periodontal disease and risk of coronary heart disease and stroke. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2003; 95(5):559-69. DOI: 10.1067/moe.2003.107. View

Erverdi N, Biren S, Kadir T, Acar A . Investigation of bacteremia following orthodontic debanding. Angle Orthod. 2000; 70(1):11-4; discussion 15. DOI: 10.1043/0003-3219(2000)070<0011:IOBFOD>2.0.CO;2. View

Takai S, Kuriyama T, Yanagisawa M, Nakagawa K, Karasawa T . Incidence and bacteriology of bacteremia associated with various oral and maxillofacial surgical procedures. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005; 99(3):292-8. DOI: 10.1016/j.tripleo.2004.10.022. View

Crasta K, Daly C, Mitchell D, Curtis B, Stewart D, Heitz-Mayfield L . Bacteraemia due to dental flossing. J Clin Periodontol. 2009; 36(4):323-32. DOI: 10.1111/j.1600-051X.2008.01372.x. View

Roberts G, Watts R, Longhurst P, Gardner P . Bacteremia of dental origin and antimicrobial sensitivity following oral surgical procedures in children. Pediatr Dent. 1998; 20(1):28-36. View

10.

Boyle N, Gallagher C, Sleeman D . Antibiotic prophylaxis for bacterial endocarditis--a study of knowledge and application of guidelines among dentists and cardiologists. J Ir Dent Assoc. 2006; 51(5):232-7. View

11.

Nishi J, Yoshinaga M, Nomura Y, Dajani A, Taubert K, Ferrieri P . Prevalence of penicillin-resistant viridans streptococci in the oral flora of Japanese children at risk for infective endocarditis. Circulation. 1999; 99(9):1274-5. View

12.

Gould F, Elliott T, Foweraker J, Fulford M, Perry J, Roberts G . Guidelines for the prevention of endocarditis: report of the Working Party of the British Society for Antimicrobial Chemotherapy. J Antimicrob Chemother. 2006; 57(6):1035-42. DOI: 10.1093/jac/dkl121. View

13.

Maestre Vera J, Centelles M . Antimicrobial prophylaxis in oral surgery and dental procedures. Med Oral Patol Oral Cir Bucal. 2007; 12(1):E44-52. View

14.

Rajasuo A, Perkki K, Nyfors S, Jousimies-Somer H, Meurman J . Bacteremia following surgical dental extraction with an emphasis on anaerobic strains. J Dent Res. 2004; 83(2):170-4. DOI: 10.1177/154405910408300217. View

15.

Gurel H, Basciftci F, Arslan U . Transient bacteremia after removal of a bonded maxillary expansion appliance. Am J Orthod Dentofacial Orthop. 2009; 135(2):190-3. DOI: 10.1016/j.ajodo.2007.03.035. View

16.

Daly C, Mitchell D, Highfield J, Grossberg D, Stewart D . Bacteremia due to periodontal probing: a clinical and microbiological investigation. J Periodontol. 2001; 72(2):210-4. DOI: 10.1902/jop.2001.72.2.210. View

17.

Groppo F, Castro F, Pacheco A, Motta R, Filho T, Ramacciato J . Antimicrobial resistance of Staphylococcus aureus and oral streptococci strains from high-risk endocarditis patients. Gen Dent. 2005; 53(6):410-3. View

18.

Kinane D, Riggio M, Walker K, MacKenzie D, Shearer B . Bacteraemia following periodontal procedures. J Clin Periodontol. 2005; 32(7):708-13. DOI: 10.1111/j.1600-051X.2005.00741.x. View

19.

Ito H . Infective endocarditis and dental procedures: evidence, pathogenesis, and prevention. J Med Invest. 2006; 53(3-4):189-98. DOI: 10.2152/jmi.53.189. View

20.

Savarrio L, Mackenzie D, Riggio M, Saunders W, Bagg J . Detection of bacteraemias during non-surgicalroot canal treatment. J Dent. 2005; 33(4):293-303. DOI: 10.1016/j.jdent.2004.09.008. View