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Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie

25-03-2024 | Gingiva Index | Original Article

Transient bacteremia following the removal of four different types of rapid palatal expanders

Authors: Assistant Professor Dr Serap Titiz Yurdakal, Ihsan Sami Güvenç, PhD, Associate Professor Dr Serdar Güngör

Published in: Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie

Abstract

Purpose

General health related recommendations for prophylactic measures in connection with orthodontic treatments are limited due to the lack of evidence-based data. This study aimed to investigate the development of transient bacteremia following the removal of four types of rapid palatal expanders (RPE).

Methods

Seventy-five individuals aged 10–18 years undergoing rapid palatal expansion with four types of RPE were categorized according to the type of RPE used in their treatment: banded tooth-borne (group A (1), n = 17), banded tooth- and tissue-borne (group A (2), n = 17), bonded tooth-borne (group B (1), n = 18), and bonded tooth- and tissue-borne (group B (2), n = 23). Gingival inflammation was assessed using the gingival index one day before RPE removal. Furthermore, samples of blood (5 ml each) were collected before and 3 min after RPE removal. The groups were statistically evaluated for comparability with respect to sex, age, or wear time of the RPE and to the gingival index. In addition, the prevalence of bacteremia in the different groups was evaluated and statistically compared.

Results

No significant difference was found among the groups (p > 0.05) for sex, age, and RPE wear time. Mean gingival index was higher in group B (2) than in group A (1) (p < 0.05). The prevalence of bacteremia did not differ significantly between groups. Streptococcus species were identified in all bacteremia cases. The bacteremia prevalence of the groups was as follows: group A (1), 11.8%; group A (2), 23.5%; group B (1), 16.7%; and group B (2), 30.4%.

Conclusion

This investigation demonstrated that removal of a RPE could cause bacteremia, but the RPE design did not affect the prevalence of bacteremia. The results of this study support the necessity of prophylaxis measures before RPE removal in indicated patients.

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Title: Transient bacteremia following the removal of four different types of rapid palatal expanders
Authors: Assistant Professor Dr Serap Titiz Yurdakal
Ihsan Sami Güvenç, PhD
Associate Professor Dr Serdar Güngör
Publication date: 25-03-2024
Publisher: Springer Medizin
Keywords: Gingiva Index
Streptococci
Published in: Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie
Print ISSN: 1434-5293
Electronic ISSN: 1615-6714
DOI: https://doi.org/10.1007/s00056-024-00523-4

At a glance: The STEP trials

Springer Medicine

Transient bacteremia following the removal of four different types of rapid palatal expanders

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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