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[Antimicrobial prophylaxis for transient bacteremia during dental procedures]
Enrique Fernández1, Christopher Reyes1, Carolina Benavides1
1Facultad de Odontología, Universidad San Sebastián, Santiago, Chile.
Revista Medica De Chile
|December 12, 2018
Summary
Transient bacteremia from dental procedures is common, but its link to bacterial endocarditis lacks strong evidence. Antimicrobial prophylaxis effectiveness remains uncertain, highlighting periodontal health for high-risk patients.
Area of Science:
- Dentistry
- Infectious Diseases
- Cardiology
Background:
- Transient bacteremia frequently occurs during dental procedures.
- Defining
- invasive dental procedure
- for antimicrobial prophylaxis is challenging.
- High-risk patients require careful consideration regarding bacteremia.
Purpose of the Study:
- To review the evidence linking dental procedures to transient bacteremia.
- To assess the risk of bacterial endocarditis from dental bacteremia.
- To evaluate the efficacy of antimicrobial prophylaxis in preventing endocarditis.
Main Methods:
- Systematic review of scientific literature.
- Searches conducted on WorldWideScience and ScienceDirect databases.
- Selection and analysis of 20 relevant articles.
Main Results:
- No conclusive evidence demonstrates that dental procedure-induced bacteremia causes bacterial endocarditis.
- The effectiveness of antimicrobial prophylaxis is uncertain due to a lack of high-quality clinical trials.
- Bacteremia incidence is similar in both invasive and non-invasive dental procedures.
Conclusions:
- Current evidence does not strongly support a causal link between dental bacteremia and bacterial endocarditis.
- Antimicrobial prophylaxis for endocarditis prevention following dental procedures lacks robust supporting data.
- Maintaining excellent periodontal health is crucial for preventing bacterial endocarditis in high-risk individuals.
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