title: Bacteremia following dental implant surgery: preliminary results.
abstract: OBJECTIVE
  The aims of this study were to investigate the incidence of bacteremia, bacteriology and antibiotic susceptibility against to causative bacteria associated with dental implant installation.
  
  
  METHODS
  30 generally healthy patients were enrolled in this study. Blood samples were collected at baseline and at 30 minutes after dental implant installation and 24 hours after dental implant surgery. Blood samples were cultured in a BACTEC system. The isolated bacteria were identified using conventional methods. Antimicrobial sensitivity tests were performed by disc diffusion.
  
  
  RESULTS
  No bacteria were isolated at the baseline and 24 hours after surgery, whereas the prevalence of bacteremia at 30 minutes after dental implant installation was 23%. The isolated bacteria species were Staphylococcus epidermidis, Eubacterium spp., Corynebacterium spp. and Streptococcus viridans. The Staphylococcus epidermidis, which was isolated in three patients, was found to be resistant to penicillin which is first choice of many clinicians.
  
  
  CONCLUSIONS
  Our findings suggest that installation of dental implants can produce bacteremia. Within the limitations of this study, it can be speculated that the resistance of antibiotics may compromise the routine prophylaxis against infective endocarditis. Therefore use of blood cultures and antibiograms may be suggested in risky patients. The outcome of the present study should be verified using a larger patient group with varying conditions.
authors.affiliation: Istanbul University, Faculty of Dentistry, Department of Oral Implantology, Istanbul, Turkey. nlfrbolukbasi@hotmail.com
authors.forename: Nilüfer
authors.initials: N
authors.lastname: Bölükbaşı
authors.forename: Tayfun
authors.initials: T
authors.lastname: Özdemir
authors.forename: Lütfiye
authors.initials: L
authors.lastname: Öksüz
authors.forename: Nezahat
authors.initials: N
authors.lastname: Gürler
mesh_terms: D000328:Adult; D000368:Aged; D016470:Bacteremia / Q000453:epidemiology* / Q000209:etiology* / Q000382:microbiology; D015921:Dental Implants / Q000009:adverse effects*; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D016459:Prosthesis-Related Infections / Q000453:epidemiology* / Q000382:microbiology; D055815:Young Adult
chemical_list: D015921:Dental Implants