The bacteremia of dental origin and its implications in the appearance of bacterial endocarditis

Numerous systemic diseases may affect the oral cavity and vice versa, in particular severe diseases that involve the heart valve. In these cases, additional measures or a modification to our dental treatment need to be taken. We are aware of various diseases that can cause the emergence of bacterial endocarditis (BE), such as; rheumatic fever, valve lesions due to intravenous drug use, Kawasaki disease and valve surgery, among others. Due to its severity when it is not taken into account in dental treatment, we intend to show the evolution of the antimicrobial prophylaxis towards this condition. Furthermore, we intend to publish the current guidelines of institutions and societies which increasingly encourage rational antimicrobial use.

In addition, we intend to examine the evidence of the possible origins of this disease during dental treatment and at the same time describe the necessary considerations that need to be taken during dental treatment.

Infective endocarditis
* Concept:
Bacterial endocarditis (BE) is a disease caused by a bacteremia that affects different organs or tissues, including the oral cavity. Although it has a low incidence, it might imply a potential threat to the life of the affected individual. Predominantly it tends to develop on cardiac valves previously damaged, the mitral valve being its most frequent location, followed by the aortic and in rare occasions the pulmonary valve.