Spread of oral microorganisms by the circulation
Invasion of the treatment of bacteria and their distribution flow of blood throughout the body is called bacteremia. Bacteremias may arise as a result of surgical and other invasive procedures. They are usually asymptomatic and transient (duration The owner of mononuclear phagocytes and humoral immune response, it is also easy to resolve organisms. Thus, healthy individuals transition bacteremias usually clinical significance and are asymptomatic. However, in individuals who are the lack of proper protection from infection (compromised hosts) bacteria can begin to multiply in the blood as a result of sepsis, a serious disease, which is accompanied by systemic manifestations of inflammation. In compromised hosts (e.g. patients with cancer, uncontrolled diabetes, or immune deficiency), sepsis can start generalized deadly infection.
Oral microorganisms can gain access to the blood after loss of the integrity of the mucous membranes of the mouth, because of injury or manipulation.
In connection with endodontic treatment
, procedure, for example, placing a rubber dam clamp often causes transient bacteremia. Bacteremias may also follow the instrumentation of root canals (see below). Bacteremia may occur spontaneously as well as in combination with various types of professional treatment of tooth and oral manipulation, including oral cavity, procedures and chewing.
It is important to note that bacteremia often comes from the routine of everyday oral activities. In fact, bacteremias are 1000-8000 times more likely to be caused by the daily manipulation than the procedures of treatment (42). Frequency and magnitude of bacteremias oral origin were found to be directly proportional to the degree of oral inflammation and infection (9, 41) and occur more frequently in persons with a high level of plaque points and gingivitis
, than in persons maintaining proper oral hygiene (48). Calculations have been made to assess how different types of treatment of teeth and oral manipulation could lead to the risk effects of transient bacteremia. Roberts (47) estimated that brushing teeth twice a day for 1 year had 154 000 times higher than the risk of bacteremia than the result of a single tooth. He also compared the one tooth and cumulative impacts within 1 year bacteremia from the routine, daily activities, and is estimated to last as 5.6 million times more. In one study in which the health of the gums and dental plaque indicators were similar in both groups of testing, I found that Sonicare electronic toothbrush induced significantly more (78%) bacteremias than ordinary toothbrushes (10)...