Investigation of bacteremia following insertion of orthodontic mini-implants.

World journal of orthodontics Pub Date : 2010-01-01
Tancan Uysal, Ahmet Yagci, Duygu Esel, Sabri Ilhan Ramoglu, Aytekin Kilinc
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Abstract

Aim: To investigate the incidence of bacteremia in the bloodstream immediately after orthodontic mini-implant insertion, which can be an invasive procedure.

Methods: Blood samples (10 mL) were taken before and after mini-implant insertion from 40 patients (18 males, 22 females; mean age 21.3 ± 7.7 years). These samples were inoculated into BacT/Alert aerobic and anaerobic blood culture bottles and processed in a BacT/Alert 9240 Blood Culture System. The findings were analyzed with the McNemar test.

Results: No bacteremia was detected in the pretreatment samples, but it was in one of the postprocedure samples. The respective bacteria was Streptococcus sanguinis, which is strongly associated with bacterial endocarditis.

Conclusion: Orthodontic mini-implant placement might possibly be correlated to transitory bacteremia. Therefore, a very careful approach seems indicated when dealing with patients who are at risk for cardiopathic complications.

正畸微型种植体置入后菌血症的调查。
目的:调查微型种植体植入正畸后血液中菌血症的发生率,这可能是一种侵入性手术。方法:选取40例患者(男18例,女22例;平均年龄21.3±7.7岁)。将这些样品接种于BacT/Alert好氧和厌氧血培养瓶中,并在BacT/Alert 9240血培养系统中进行处理。研究结果用麦克尼马尔试验进行了分析。结果:前处理标本中未检出菌血症,但术后标本中有一例出现菌血症。分别为与细菌性心内膜炎密切相关的血链球菌。结论:正畸微型种植体植入可能与短暂性菌血症有关。因此,在处理有心脏病并发症风险的患者时,似乎需要非常谨慎的方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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