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Adjunctive Diode Laser Therapy and Probiotic Lactobacillus Therapy in the Treatment of Periodontitis and Peri-Implant Disease
Published on: May 9, 2022
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[Brain abscess after periodontal treatment.]
Johan Peter Woelber1, Anne Kruse, Gilgamesh Hanna
1Klinik für Zahnerhaltungskunde und Parodontologie, Universitätsklinikum Freiburg, Deutschland.
Swiss Dental Journal
|November 4, 2016
Summary
Nonsurgical periodontal treatment can lead to brain abscesses due to bloodstream bacteria (bacteraemia). This case highlights the risk even in healthy individuals, necessitating careful oral health management.
Area of Science:
- Dentistry
- Neurology
- Infectious Diseases
Background:
- Nonsurgical periodontal treatment is known to cause transient bloodstream bacteria (bacteraemia).
- Oral pathogens have been rarely linked to serious infections like brain or liver abscesses.
Observation:
- A patient developed a brain abscess with neurological seizures following periodontal treatments.
- Fusobacterium nucleatum was identified in the drained abscess material.
- The patient presented with severe periodontally damaged dentition but was otherwise healthy.
Findings:
- The brain abscess was successfully treated with neurosurgery and antibiotics.
- Extraction of several teeth was necessary to eliminate the oral inflammatory focus.
- Recovery was complete after the interventions.
Implications:
- This case underscores the potential risk of brain abscesses from bacteraemia after periodontal procedures, even in patients not typically requiring antibiotic prophylaxis.
- Highlights the importance of comprehensive oral health and periodontal care in preventing systemic infections.
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