Incidence of bacteremia after chewing, tooth brushing and scaling in individuals with periodontal inflammation.

By L. Forner, T. Larsen, M. Kilian, P. Holmstrup. Journal of Clinical Periodontology, 2006

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GUIDELINES ON THE PREVENTION, DIAGNOSIS, AND TREATMENT OF INFECTIVE ENDOCARDITIS (NEW VERSION 2009) (2010, positive): “In contrast, transient bacteraemia is reported to occur frequently in the context of daily routine activities such as tooth brushing, flossing, or chewing.(42,43) It therefore appears plausible that a large proportion of IE-causing bacteraemia may derive from these daily routine activities.”
A systematic review and meta-analyses on C-reactive protein in relation to periodontitis. (2008, background): “There are now several reports indicating that bacteraemia may occur frequently in the periodontitis patient (Geerts et al. 2002, Kinane et al. 2005, Forner et al. 2006).”
The oral microbiome – an update for oral healthcare professionals (2016, background): “89,90 The link between oral pathogens and systemic effects has been evidenced by a recent study in animals, which found a direct effect of oral administration of P. gingivalis on the composition of the gut microbiome as well as inflammatory changes in various tissues and organs.”
Bacteremia Associated With Toothbrushing and Dental Extraction (2008, neutral): “White 27 (28) 18 ( 19 ) 23 (24) 68 (23) Black 68 (69) 73 (76) 73 (76) 213 (73) Hispanic 2 (2) 3 (3) 1 (1) 6 (2) Other 1 (1) 2 (2) 0 (0) 3 (1)”