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Bacteremia after piezocision
Zehra Ileri1, Mehmet Akin1, Emire Aybuke Erdur2
1Assistant professor, Department of Orthodontics, Faculty of Dentistry, Selcuk University, Konya, Turkey.
Summary
Piezocision may cause transient bacteremia, with specific bacteria detected post-procedure. Orthodontists should assess endocarditis risk in patients undergoing this orthodontic treatment.
Area of Science:
- Oral Surgery
- Periodontology
- Infectious Diseases
Background:
- Piezocision is an orthodontic surgical technique.
- The risk of transient bacteremia following piezocision is not well-established.
- Investigating bacteremia is crucial for patient safety.
Purpose of the Study:
- To determine the presence of transient bacteremia after piezocision.
- To assess the clinical significance of bacteremia in orthodontic patients.
Main Methods:
- 30 patients undergoing fixed orthodontic treatment with the Damon system were included.
- Blood samples were collected pre- and post-piezocision surgery.
- Samples were analyzed for bacterial presence using BACTEC blood culture systems.
Main Results:
- No statistically significant difference in transient bacteremia was found between pre- and post-procedure samples (P=0.250).
- While no bacteremia was detected pre-procedure, Gemella sanguinis, Streptococcus pluranimalium, and Streptococcus mitis/oralis were identified in 3 post-procedure samples.
- The findings suggest a potential, albeit low, incidence of bacteremia.
Conclusions:
- The piezocision procedure may be associated with transient bacteremia.
- Orthodontists should consider the risk of bacterial endocarditis in susceptible patients when incorporating piezocision into treatment plans.
- Further research is warranted to fully understand the implications.
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