title: [Relationship between odontogenic infections and infective endocarditis].
abstract: Revised guidelines for the prevention of infective endocarditis published by national and international associations in the last years do not support the indiscriminate use of antibiotic prophylaxis for dental procedures. However, some of them still recommend its use in high-risk patients before dental treatments likely to cause bleeding. Given the high prevalence of bacteremia of dental origin due to tooth-brushing, mastication or other daily activities, it appears unlikely that infective endocarditis from oral microorganisms can be completely prevented. A good oral health status and satisfactory level of oral hygiene are sufficient to control the consequences of the systemic spread of oral microorganisms in healthy individuals. However, caution is still needed and prophylactic antibiotics must be administered to susceptible or medically compromised patients. This review briefly outlines the current concepts of odontogenic bacteremia and antibiotic prophylaxis for patients undergoing dental treatment.
authors.affiliation: Departamento de Medicina y Cirugía Bucofacial, Facultad de Odontología, Universidad Complutense de Madrid, Madrid, España. antbasco@odon.ucm.es
authors.forename: Antonio
authors.initials: A
authors.lastname: Bascones-Martínez
authors.forename: Marta
authors.initials: M
authors.lastname: Muñoz-Corcuera
authors.forename: Jaime
authors.initials: J
authors.lastname: Bascones-Ilundain
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D019072:Antibiotic Prophylaxis; D016470:Bacteremia / Q000209:etiology / Q000517:prevention & control; D003729:Dental Care / Q000009:adverse effects / Q000379:methods*; D004697:Endocarditis, Bacterial / Q000209:etiology / Q000517:prevention & control*; D006801:Humans; D008409:Mastication; D009055:Mouth / Q000382:microbiology; D017410:Practice Guidelines as Topic; D014099:Toothbrushing / Q000009:adverse effects
chemical_list: D000900:Anti-Bacterial Agents