Gilon Y, Brandt L, Lahaye T, Heymans O
Service de Chirurgie Maxillo-Faciale et Plastique, CHU Sart Tilman, Liège, Belgique.
Rev Stomatol Chir Maxillofac. 2002 Feb;103(1):26-9.
Microorganisms harbored in the oral cavity have long been recognized to cause systemic disease with a well known mechanism of spread via the blood stream. Different factors, including the presence of periodontal disease, the number of dental extractions or the duration of dental surgery have an influence on the risk of bacteremia. Infectious endocarditis is classically cited, but there are other potential problems including brain abscess, meningitis, lung or lie abscess, and even for some authors, a risk of thrombotic heart disease. It is important to keep in mind that some of these focal infections may be possible complications of dental (or buccal) infection. Prevention is crucial.
长期以来,人们一直认为口腔中寄居的微生物会通过血流这一众所周知的传播机制引发全身性疾病。包括牙周病的存在、拔牙数量或牙科手术持续时间在内的不同因素,都会对菌血症风险产生影响。典型的例子是感染性心内膜炎,但还存在其他潜在问题,包括脑脓肿、脑膜炎、肺脓肿或肝脓肿,甚至对一些作者来说,还存在血栓性心脏病的风险。必须牢记,其中一些局部感染可能是牙科(或口腔)感染的潜在并发症。预防至关重要。