Effects of Subgingival Irrigation on Bacteremia Following Scaling and Root Planing
Abstract
T he purpose of this study was to determine the effects of professional subgingival irrigation, together with subsequent patient administered home marginal irrigation, on the incidence of bacteremia after scaling and root planing (Sc/RP). A total of 60 periodontal maintenance patients were assigned to either Group 1: subgingival irrigation, with 0.12% CHX and daily marginal irrigation with 0.04% CHX; Group 2: subgingival irrigation with 0.12% CHX and daily marginal irrigation with water; Group 3: subgingival and daily marginal irrigation with water; Group 4: Non‐irrigation (control). Patients entered the study after receiving a thorough periodontal maintenance appointment including a complete examination, Sc/RP, and standard oral hygiene instruction. Blood samples were taken at the 3‐month visit before and after Sc/RP. Microbiological culturing was done using the Septi‐Chek system, selective and non‐selective media. Results from 54 patients showed that bacteremia was detected prior to Sc/RP in 2 patients and after Sc/RP in 10 patients. No significant effect by treatment regimens on post Sc/RP bacteremia could be detected. The organisms isolated included Eubacterium lentum, Propionibacterium acnes, Streptococcus species, Neisseria species, Candida albicans, Staphylococcus species, and un‐identified Gram‐negative rods. J Periodontol 1990; 61:405– 411.
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Daily marginal irrigation for 3 months did not increase the risk of developing a bacteremia during a maintenance program following periodontal therapy.
“Daily marginal irrigation for 3 months did not increase the risk of developing a bacteremia during a maintenance program following periodontal therapy.97”
From Contemporary practices for mechanical oral hygiene to prevent periodontal disease. (2020) · cites this paper as [97]
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- Authors
- Waki, M. Y., Jolkovsky, D. L., Otomo‐Corgel, J., Lofthus, J. E., Nachnani, S., Newman, M. G., & Flemmig, T. F.
- Affiliations
- VA West Los Angeles Medical Center (US)
- University of California, Los Angeles (US)
- Corresponding author
- Waki, Marc Y.
- Venue
- Journal of Periodontology
- Publisher
- Wiley
- Published
- 1990-07
- Volume
- 61
- Issue
- 7
- Pages
- 405-411
- ISSN
- 0022-3492 (ISSN-L)
- 1943-3670
- OpenAlex
- W2014466494
- Cited by
- 58
- References
- 37
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 1 · 2021: 2 · 2020: 1 · 2019: 1 · 2018: 1 · 2017: 1 · 2014: 5 · 2013: 2 · 2012: 2
- FWCI
- 2.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Periodontology (publishedVersion)
- PubMed (publishedVersion)
- The HKU Scholars Hub (University of Hong Kong) (submittedVersion)
- Topics
- Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
- Health Sciences › Medicine › Urology › Periodontal Regeneration and Treatments
- Health Sciences › Medicine › Epidemiology › Infective Endocarditis Diagnosis and Management
- Keywords
- subgingival irrigation, bacteremia, scaling and root planing, chlorhexidine, periodontal maintenance, postoperative bacteremia, periodontal pathogens
- MeSH terms
- Adult, Aged, Bacteria, Chlorhexidine, Dental Devices, Home Care, Dental Prophylaxis, Female, Gingiva, Humans, Therapeutic Irrigation, Male, Middle Aged, Periodontal Diseases, Random Allocation, Dental Scaling, Tooth Root, Sepsis
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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