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Bacteremia after professional mechanical plaque removal in patients with chronic periodontitis
Author(s) -
Beutler Jakob,
Jentsch Holger F. R.,
Rodloff Arne C.,
Stingu CatalinaSuzana
Publication year - 2019
Publication title -
oral diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.953
H-Index - 87
eISSN - 1601-0825
pISSN - 1354-523X
DOI - 10.1111/odi.13047
Subject(s) - bacteremia , medicine , periodontitis , actinomyces , chronic periodontitis , venous blood , gastroenterology , dentistry , antibiotics , microbiology and biotechnology , bacteria , biology , genetics
Objective The aim of this study was to investigate the characteristics of bacteremia caused by professional mechanical plaque removal (PMPR) in two groups of patients with generalized moderate chronic periodontitis. Materials and Methods Venous blood samples were taken at multiple time points for one hour following PMPR in fifty patients with generalized moderate chronic periodontitis. Subjects consisted of two groups, one group was receiving supportive periodontal therapy (SPT, n = 25) and the other group was receiving initial periodontal therapy (IPT, n = 25). Blood samples were processed and analyzed for cultivable microflora. Pertinent clinical parameters were recorded for each patient in both groups. Results Bacteremia was detected in 10 of 25 SPT and 8 of 25 IPT patients ( p = 0.796). In both groups, the prevalence of bacteremia was dependent on the time of blood sampling and varied in magnitude between <10 2 CFU/ml and 10 6 CFU/ml. Sixteen different bacterial species were identified in both groups, mostly Actinomyces naeslundii (SPT n = 3, IPT n = 4) and Streptococcus spp. (SPT n = 6, IPT n = 2). In regression models, Grade II furcation involvement ( p = 0.004) and Gingival Bleeding Index ( p = 0.036) had affected the occurrence of bacteremia but in the SPT group only. Conclusion Professional mechanical plaque removal was associated with bacteremia regardless of whether a patient was receiving SPT or IPT.