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Dissemination of periodontal pathogens in the bloodstream after periodontal procedures: a systematic review.


ABSTRACT:

Background

To date, there is no compilation of evidence-based information associating bacteremia and periodontal procedures. This systematic review aims to assess magnitude, duration, prevalence and nature of bacteremia caused by periodontal procedures.

Study design

Systematic Review.

Types of studies reviewed

MEDLINE, EMBASE and LILACS databases were searched in duplicate through August, 2013 without language restriction. Observational studies were included if blood samples were collected before, during or after periodontal procedures of patients with periodontitis. The methodological quality was assessed in duplicate using the modified Newcastle-Ottawa scale (NOS).

Results

Search strategy identified 509 potentially eligible articles and nine were included. Only four studies demonstrated high methodological quality, whereas five were of medium or low methodological quality. The study characteristics were considered too heterogeneous to conduct a meta-analysis. Among 219 analyzed patients, 106 (49.4%) had positive bacteremia. More frequent bacteria were S. viridans, A. actinomycetemcomitans P. gingivalis, M. micros and species Streptococcus and Actinomyces, although identification methods of microbiologic assays were different among studies.

Clinical implications

Although half of the patients presented positive bacteremia after periodontal procedures, accurate results regarding the magnitude, duration and nature of bacteremia could not be confidentially assessed.

SUBMITTER: Horliana AC 

PROVIDER: S-EPMC4037200 | biostudies-literature | 2014

REPOSITORIES: biostudies-literature

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Dissemination of periodontal pathogens in the bloodstream after periodontal procedures: a systematic review.

Horliana Anna Carolina Ratto Tempestini AC   Chambrone Leandro L   Foz Adriana Moura AM   Artese Hilana Paula Carillo HP   Rabelo Mariana de Sousa Mde S   Pannuti Cláudio Mendes CM   Romito Giuseppe Alexandre GA  

PloS one 20140528 5


<h4>Background</h4>To date, there is no compilation of evidence-based information associating bacteremia and periodontal procedures. This systematic review aims to assess magnitude, duration, prevalence and nature of bacteremia caused by periodontal procedures.<h4>Study design</h4>Systematic Review.<h4>Types of studies reviewed</h4>MEDLINE, EMBASE and LILACS databases were searched in duplicate through August, 2013 without language restriction. Observational studies were included if blood sample  ...[more]

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