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Investigation of bacteremia after debonding procedures
Yasin Akbulut1, Merve Goymen2, Yasemin Zer3
1a Diyarbakır Education and Research Hospital , Ministry of Health , Health Sciences University , Diyarbakır , Turkey.
Acta Odontologica Scandinavica
|March 24, 2018
Summary
Orthodontic debonding procedures can cause bacteremia (bacteria in the blood). Bacteria were detected after cleaning enamel, suggesting a risk for patients, potentially leading to bacterial endocarditis.
Area of Science:
- Dentistry
- Oral Microbiology
- Infectious Diseases
Background:
- Orthodontic treatment involves fixed appliances, requiring debonding upon completion.
- Debonding procedures may pose a risk of introducing bacteria into the bloodstream.
Purpose of the Study:
- To investigate the occurrence of bacteremia following orthodontic debonding.
- To identify potential risks associated with the debonding process.
Main Methods:
- Blood samples were collected from 28 orthodontic patients at three time points: before debonding (T0), immediately after bracket removal (T1), and after enamel cleaning (T2).
- Blood cultures were analyzed for bacterial growth.
Main Results:
- No bacterial growth was observed at T0 and T1.
- Bacterial growth was detected in 10 samples at T2, identified as Streptococcus species, Staphylococcus aureus, Actinomyces species, and Klebsiella pneumoniae.
Conclusions:
- Debonding procedures, particularly after enamel cleaning, can lead to bacteremia.
- The presence of bacteria in the blood post-debonding raises concerns about potential complications like bacterial endocarditis in at-risk patients.
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