HOWARD S. FADEN, M.D.
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To the editor: Bacteremia frequently follows dental procedures. Although the incidence of bacteremia varies with the extent of gingival damage, minimal trauma, including chewing and tooth brushing, also produce bacteremia (1). Most individuals practice some form of oral hygiene, whether it be tooth brushing, dental flossing, or simply mouth washing. The relative risk of acquiring bacteremia probably varies with the hygiene method. Berger and co-workers (2) have shown that oral irrigation devices produced significantly more bacteremias than found in a control group. Along similar lines, I found that dental flossing produced bacteremia in 7 of 12 members of my division.
FADEN HS. Dental Procedures and Bacteremia. Ann Intern Med. ;81:274. doi: 10.7326/0003-4819-81-2-274_1
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Published: Ann Intern Med. 1974;81(2):274.
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