What is the chance of getting sepsis from the dentist?

What is the chance of getting sepsis from the dentist?

Dental implant problem - cement sepsis Wheaton IL

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Answers (2)

Answer 1
October, 2020

The risk of blood poisoning after a dental procedure in a healthy person is minimal. According to statistics, sepsis occurs only in 2% of cases in patients with complicated purulent infection of the oral cavity, when pus spreads to the neck and mediastinum.

Even while brushing your teeth, a small amount of germs enter the bloodstream. But since a healthy person has high body resistance, sepsis does not occur.

With purulent inflammation, a large number of bacteria accumulate in the oral cavity. Since there are a lot of blood vessels in the oral cavity, bacteria from the purulent focus are absorbed into the blood. However, the cause of sepsis or blood poisoning is not a dental operation or even bacteria, but a weak immunity that cannot cope with severe purulent inflammation.

The risk of sepsis increases if the patient goes to the dentist late and the disease is in an advanced stage. In this case, blood poisoning often occurs even before the operation.

Sepsis can only occur if:

  • A large number of pathogens will immediately enter the bloodstream;
  • Bacteria have high pathogenicity - the ability to cause infection;
  • Congenital immunity does not have time to react in time;
  • Antibodies are produced slowly or in small quantities due to immunodeficiency;
  • The pathogen acquires resistance to the strongest antibiotics.
Answer 2
October, 2020

At the present stage of development of dentistry, it is very low. This is possible only if the processing of tools and / or the technique of performing manipulations is violated. But it is possible to bring to the development of sepsis if you do not seek dental care in time. Sepsis is a dangerous reaction of the body to an infection [1], most often due to bacterial infection of the lungs, urinary system, purulent lesions and odontogenic (due to infection in the oral cavity) [2].

Here are possible signs of development sepsis:

Headache, weakness, high fever, sweating, rapid pulse, shortness of breath, unexplained skin rash, dark urine, decreased frequency of urination, loss of consciousness [3]. All this requires compulsory hospitalization.

In order to reduce the likelihood of developing such a complication, dentists often prescribe a course of antibiotics after treating difficult clinical situations.

  1. Sepsis and septic shock: Guideline-based management. Siddharth Dugar, MD, Chirag Choudhary, MD, MBA and Abhijit Duggal, MD, MPH, MSc, FACP Cleveland Clinic Journal of Medicine January 2020, 87 (1) 53-64
  2. Death from overwhelming odontogenic sepsis: a case report. Carter L, Lowis E. Br Dent J 2007; 203: 241-242.
  3. Medical emergencies: Sepsis in primary dental care). Gilway D, Brown SJ. Br Dent J 2016; 220: 278.

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