Pediatric Cardiology

, Volume 18, Issue 1, pp 24–27 | Cite as

Dental Bacteremia in Children

  • G. J. Roberts
  • H. S. Holzel
  • M. R. J. Sury
  • N. A. Simmons
  • P. Gardner
  • P. Longhurst
Article

Abstract

Bacteremia resulting from dental extraction is regarded as an important cause of bacterial endocarditis, and it is therefore recommended that patients undergoing tooth extraction be given prophylactic antibiotics. As dental procedures other than extractions may also cause bacteremias, we studied a variety of dental procedures routinely used in pediatric dentistry. Blood samples for cultures were obtained 30 s after each of 13 dental operative procedures in 735 anesthetized children aged 2–16 years. Four procedures used for conservative dentistry caused bacteremias significantly more often than the baseline value of 9.4%: polishing teeth 24.5%, intraligamental injection 96.6%, rubber dam placement 29.4%, and matrix band with wedge placement 32.1%. In comparison, toothbrushing alone caused a bacteremia on 38.5% of occasions. The organisms isolated were typical of odontogenic bacteremias in that 50% of the isolates were identified as varieties of viridans streptococci. These data show that a wider variety of dental procedures than was previously documented cause bacteremia.

Key words: Bacteremia — Children — Bacterial endocarditis — Dental extraction — Antibiotics 

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Copyright information

© Springer-Verlag New York Inc. 1997

Authors and Affiliations

  • G. J. Roberts
    • 1
  • H. S. Holzel
    • 4
  • M. R. J. Sury
    • 5
  • N. A. Simmons
    • 6
  • P. Gardner
    • 6
  • P. Longhurst
    • 1
  1. 1.Department of Orthodontics and Pediatric Dentistry, Guy’s Hospital, St. Thomas’s Street, London SE1 9RT, UKUK
  2. 2.Maxillo Facial and Dental Department, The Hospital for Sick Children, London WC1N 3JH, UKUK
  3. 3.The Institute of Child Health London, London, UKUK
  4. 4.Department of Microbiology, The Hospital for Sick Children, Great Ormond Street, London WC1N 3JH, UKUK
  5. 5.Department of Anesthetics, The Hospital for Sick Children, Great Ormond Street, London WC1N 3JH, UKUK
  6. 6.Department of Clinical Bacteriology and Virology, Guy’s Hospital, St. Thomas’s Street, London SE1 9RT, UKUK

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