Prevalence, intensity and nature of bacteraemia after toothbrushing
Abstract Objective To estimate the prevalence, intensity and microbial identity of bacteraemia associated with toothbrushing. Methods A total of 141 children and adolescents, aged between 3 and 17 years, having dental treatment under general anaesthesia at the Eastman Dental Hospital were recruited....
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Veröffentlicht in: | Journal of dentistry 2008-07, Vol.36 (7), p.481-487 |
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description | Abstract Objective To estimate the prevalence, intensity and microbial identity of bacteraemia associated with toothbrushing. Methods A total of 141 children and adolescents, aged between 3 and 17 years, having dental treatment under general anaesthesia at the Eastman Dental Hospital were recruited. Six millilitre of blood was taken before toothbrushing (baseline) with (1) Oral B 30 toothbrush or (2) Braun or (3) Sonicare electric toothbrush or (4) dental handpiece and rubber cup. A second 6-ml sample was taken 30 s after toothbrushing. All blood samples were processed using lysis filtration and bacteria were identified to species level. Results There was a significantly greater prevalence of bacteraemia following the dental handpiece only ( p = 0.02). There was a significantly greater aerobic and anaerobic intensity of bacteraemia following brushing with both the Sonicare ( p = 0.03 and p = 0.05) and the dental handpiece ( p = 0.001 and p = 0.005). Conclusions Toothbrushing causes a bacteraemia that is often statistically significantly greater than baseline. Toothbrushing is an important contributory factor in cumulative dental bacteraemia. |
doi_str_mv | 10.1016/j.jdent.2008.03.005 |
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Methods A total of 141 children and adolescents, aged between 3 and 17 years, having dental treatment under general anaesthesia at the Eastman Dental Hospital were recruited. Six millilitre of blood was taken before toothbrushing (baseline) with (1) Oral B 30 toothbrush or (2) Braun or (3) Sonicare electric toothbrush or (4) dental handpiece and rubber cup. A second 6-ml sample was taken 30 s after toothbrushing. All blood samples were processed using lysis filtration and bacteria were identified to species level. Results There was a significantly greater prevalence of bacteraemia following the dental handpiece only ( p = 0.02). There was a significantly greater aerobic and anaerobic intensity of bacteraemia following brushing with both the Sonicare ( p = 0.03 and p = 0.05) and the dental handpiece ( p = 0.001 and p = 0.005). Conclusions Toothbrushing causes a bacteraemia that is often statistically significantly greater than baseline. Toothbrushing is an important contributory factor in cumulative dental bacteraemia.</description><identifier>ISSN: 0300-5712</identifier><identifier>EISSN: 1879-176X</identifier><identifier>DOI: 10.1016/j.jdent.2008.03.005</identifier><identifier>PMID: 18448227</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Actinomyces - isolation & purification ; Adolescent ; Bacteraemia ; Bacteremia - classification ; Bacteremia - microbiology ; Bacteria ; Bacteria, Aerobic - classification ; Bacteria, Anaerobic - classification ; Child ; Child, Preschool ; Colony Count, Microbial ; Dental Care ; Dental Plaque - classification ; Dental Prophylaxis - instrumentation ; Dentistry ; Electricity ; Equipment Design ; Gingivitis - classification ; Humans ; Hypotheses ; Hypothesis testing ; Intensity ; Lactobacillus - isolation & purification ; Prevalence ; Staphylococcus - isolation & purification ; Streptococcus - isolation & purification ; Theory ; Time Factors ; Toothbrushing ; Toothbrushing - instrumentation</subject><ispartof>Journal of dentistry, 2008-07, Vol.36 (7), p.481-487</ispartof><rights>Elsevier Ltd</rights><rights>2008 Elsevier Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c440t-cc82e0f0717cca4e1f7d1c578822fa91235f500856b6dc310302d5bbeca1839f3</citedby><cites>FETCH-LOGICAL-c440t-cc82e0f0717cca4e1f7d1c578822fa91235f500856b6dc310302d5bbeca1839f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jdent.2008.03.005$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18448227$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lucas, Victoria S</creatorcontrib><creatorcontrib>Gafan, Gavin</creatorcontrib><creatorcontrib>Dewhurst, Sarah</creatorcontrib><creatorcontrib>Roberts, Graham J</creatorcontrib><title>Prevalence, intensity and nature of bacteraemia after toothbrushing</title><title>Journal of dentistry</title><addtitle>J Dent</addtitle><description>Abstract Objective To estimate the prevalence, intensity and microbial identity of bacteraemia associated with toothbrushing. Methods A total of 141 children and adolescents, aged between 3 and 17 years, having dental treatment under general anaesthesia at the Eastman Dental Hospital were recruited. Six millilitre of blood was taken before toothbrushing (baseline) with (1) Oral B 30 toothbrush or (2) Braun or (3) Sonicare electric toothbrush or (4) dental handpiece and rubber cup. A second 6-ml sample was taken 30 s after toothbrushing. All blood samples were processed using lysis filtration and bacteria were identified to species level. Results There was a significantly greater prevalence of bacteraemia following the dental handpiece only ( p = 0.02). There was a significantly greater aerobic and anaerobic intensity of bacteraemia following brushing with both the Sonicare ( p = 0.03 and p = 0.05) and the dental handpiece ( p = 0.001 and p = 0.005). Conclusions Toothbrushing causes a bacteraemia that is often statistically significantly greater than baseline. Toothbrushing is an important contributory factor in cumulative dental bacteraemia.</description><subject>Actinomyces - isolation & purification</subject><subject>Adolescent</subject><subject>Bacteraemia</subject><subject>Bacteremia - classification</subject><subject>Bacteremia - microbiology</subject><subject>Bacteria</subject><subject>Bacteria, Aerobic - classification</subject><subject>Bacteria, Anaerobic - classification</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Colony Count, Microbial</subject><subject>Dental Care</subject><subject>Dental Plaque - classification</subject><subject>Dental Prophylaxis - instrumentation</subject><subject>Dentistry</subject><subject>Electricity</subject><subject>Equipment Design</subject><subject>Gingivitis - classification</subject><subject>Humans</subject><subject>Hypotheses</subject><subject>Hypothesis testing</subject><subject>Intensity</subject><subject>Lactobacillus - isolation & purification</subject><subject>Prevalence</subject><subject>Staphylococcus - isolation & purification</subject><subject>Streptococcus - isolation & purification</subject><subject>Theory</subject><subject>Time Factors</subject><subject>Toothbrushing</subject><subject>Toothbrushing - instrumentation</subject><issn>0300-5712</issn><issn>1879-176X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU1r3DAQhkVoSTZpfkGgGAo9xc5I8od8aCAs_QgEGkgLvQlZHjVyvXIiyYH995G7C4FcctIcnhnN-wwhZxQKCrS-GIqhRxcLBiAK4AVAdUBWVDRtTpv6zzuyAg6QVw1lR-Q4hAEASmDtITmioiwFY82KrG89PqkRncbzzLqILti4zZTrM6fi7DGbTNYpHdEr3FiVKZPKLE5TvO_8HO6t-_uBvDdqDHi6f0_I729ff61_5Dc_v1-vr25yXZYQc60FQzDQ0EZrVSI1TU911Yi0iVEtZbwyVcpS1V3da07T9qyvug61ooK3hp-Qz7u5D356nDFEubFB4zgqh9McZN0yuuRK4KdX4DDN3qXd5DIVBKMcEsV3lPZTCB6NfPB2o_w2QXIxLAf537BcDEvgMhlOXR_3s-dug_1Lz15pAr7sAEwqnix6GbRd_PbWo46yn-wbH1y-6tejdVar8R9uMbwkkYFJkHdLoOXGINJ9W1byZ8XEoV4</recordid><startdate>20080701</startdate><enddate>20080701</enddate><creator>Lucas, Victoria S</creator><creator>Gafan, Gavin</creator><creator>Dewhurst, Sarah</creator><creator>Roberts, Graham J</creator><general>Elsevier Ltd</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QF</scope><scope>7QP</scope><scope>7QQ</scope><scope>7SE</scope><scope>7SR</scope><scope>7TA</scope><scope>7TB</scope><scope>8BQ</scope><scope>8FD</scope><scope>F28</scope><scope>FR3</scope><scope>H8G</scope><scope>JG9</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>20080701</creationdate><title>Prevalence, intensity and nature of bacteraemia after toothbrushing</title><author>Lucas, Victoria S ; Gafan, Gavin ; Dewhurst, Sarah ; Roberts, Graham J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c440t-cc82e0f0717cca4e1f7d1c578822fa91235f500856b6dc310302d5bbeca1839f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Actinomyces - isolation & purification</topic><topic>Adolescent</topic><topic>Bacteraemia</topic><topic>Bacteremia - classification</topic><topic>Bacteremia - microbiology</topic><topic>Bacteria</topic><topic>Bacteria, Aerobic - classification</topic><topic>Bacteria, Anaerobic - classification</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Colony Count, Microbial</topic><topic>Dental Care</topic><topic>Dental Plaque - classification</topic><topic>Dental Prophylaxis - instrumentation</topic><topic>Dentistry</topic><topic>Electricity</topic><topic>Equipment Design</topic><topic>Gingivitis - classification</topic><topic>Humans</topic><topic>Hypotheses</topic><topic>Hypothesis testing</topic><topic>Intensity</topic><topic>Lactobacillus - isolation & purification</topic><topic>Prevalence</topic><topic>Staphylococcus - isolation & purification</topic><topic>Streptococcus - isolation & purification</topic><topic>Theory</topic><topic>Time Factors</topic><topic>Toothbrushing</topic><topic>Toothbrushing - instrumentation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lucas, Victoria S</creatorcontrib><creatorcontrib>Gafan, Gavin</creatorcontrib><creatorcontrib>Dewhurst, Sarah</creatorcontrib><creatorcontrib>Roberts, Graham J</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Aluminium Industry Abstracts</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Ceramic Abstracts</collection><collection>Corrosion Abstracts</collection><collection>Engineered Materials Abstracts</collection><collection>Materials Business File</collection><collection>Mechanical & Transportation Engineering Abstracts</collection><collection>METADEX</collection><collection>Technology Research Database</collection><collection>ANTE: Abstracts in New Technology & Engineering</collection><collection>Engineering Research Database</collection><collection>Copper Technical Reference Library</collection><collection>Materials Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of dentistry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lucas, Victoria S</au><au>Gafan, Gavin</au><au>Dewhurst, Sarah</au><au>Roberts, Graham J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence, intensity and nature of bacteraemia after toothbrushing</atitle><jtitle>Journal of dentistry</jtitle><addtitle>J Dent</addtitle><date>2008-07-01</date><risdate>2008</risdate><volume>36</volume><issue>7</issue><spage>481</spage><epage>487</epage><pages>481-487</pages><issn>0300-5712</issn><eissn>1879-176X</eissn><abstract>Abstract Objective To estimate the prevalence, intensity and microbial identity of bacteraemia associated with toothbrushing. Methods A total of 141 children and adolescents, aged between 3 and 17 years, having dental treatment under general anaesthesia at the Eastman Dental Hospital were recruited. Six millilitre of blood was taken before toothbrushing (baseline) with (1) Oral B 30 toothbrush or (2) Braun or (3) Sonicare electric toothbrush or (4) dental handpiece and rubber cup. A second 6-ml sample was taken 30 s after toothbrushing. All blood samples were processed using lysis filtration and bacteria were identified to species level. Results There was a significantly greater prevalence of bacteraemia following the dental handpiece only ( p = 0.02). There was a significantly greater aerobic and anaerobic intensity of bacteraemia following brushing with both the Sonicare ( p = 0.03 and p = 0.05) and the dental handpiece ( p = 0.001 and p = 0.005). Conclusions Toothbrushing causes a bacteraemia that is often statistically significantly greater than baseline. Toothbrushing is an important contributory factor in cumulative dental bacteraemia.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>18448227</pmid><doi>10.1016/j.jdent.2008.03.005</doi><tpages>7</tpages></addata></record> |
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subjects | Actinomyces - isolation & purification Adolescent Bacteraemia Bacteremia - classification Bacteremia - microbiology Bacteria Bacteria, Aerobic - classification Bacteria, Anaerobic - classification Child Child, Preschool Colony Count, Microbial Dental Care Dental Plaque - classification Dental Prophylaxis - instrumentation Dentistry Electricity Equipment Design Gingivitis - classification Humans Hypotheses Hypothesis testing Intensity Lactobacillus - isolation & purification Prevalence Staphylococcus - isolation & purification Streptococcus - isolation & purification Theory Time Factors Toothbrushing Toothbrushing - instrumentation |
title | Prevalence, intensity and nature of bacteraemia after toothbrushing |
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