title: Assessing pre-procedural subgingival irrigation and rinsing with an antiseptic mouthrinse to reduce bacteremia.
abstract: In this controlled clinical study, the authors examined the effect of subgingival irrigation and rinsing with an antiseptic mouthrinse before ultrasonic scaling of a quadrant containing inflamed gingivae. The results showed that pre-procedural subgingival irrigation and rinsing can significantly reduce the level of bacteremia associated with ultrasonic scaling. These results support the American Heart Association's recommendation of adjunctive subgingival irrigation prior to invasive procedures in patients at risk of developing bacterial endocarditis.
authors.affiliation: Division of Oral Biology and Laboratory of Oral Infectious Diseases, New Jersey Dental School, University of Medicine and Dentistry of New Jersey, Newark 07103-2400, USA.
authors.forename: D H
authors.initials: DH
authors.lastname: Fine
authors.forename: I
authors.initials: I
authors.lastname: Korik
authors.forename: D
authors.initials: D
authors.lastname: Furgang
authors.forename: R
authors.initials: R
authors.lastname: Myers
authors.forename: A
authors.initials: A
authors.lastname: Olshan
authors.forename: M L
authors.initials: ML
authors.lastname: Barnett
authors.forename: J
authors.initials: J
authors.lastname: Vincent
mesh_terms: D000328:Adult; D000891:Anti-Infective Agents, Local / Q000008:administration & dosage / Q000627:therapeutic use*; D016470:Bacteremia / Q000517:prevention & control*; D001769:Blood / Q000382:microbiology; D015169:Colony Count, Microbial; D017742:Dental Care for Chronically Ill / Q000379:methods*; D012534:Dental Scaling; D004338:Drug Combinations; D005260:Female; D006801:Humans; D008297:Male; D009067:Mouthwashes / Q000627:therapeutic use*; D012459:Salicylates / Q000008:administration & dosage / Q000627:therapeutic use*; D013729:Terpenes / Q000008:administration & dosage / Q000627:therapeutic use*; D007507:Therapeutic Irrigation; D014464:Ultrasonic Therapy
chemical_list: D000891:Anti-Infective Agents, Local; D004338:Drug Combinations; D009067:Mouthwashes; D012459:Salicylates; D013729:Terpenes; C057473:Listerine