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Transient Bacteremia Following Dental Manipulation-Reply

EDWARD L. KAPLAN, MD
Am J Dis Child. 1973;126(2):270-271. doi:10.1001/archpedi.1973.02110190240029.
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To the Editor.—Thank you for the invitation to comment on Dr. Scopp's interesting letter.

From Scopp and Orvieto's original paper,1 in which povidone-iodine (Betadine) mouthwash was used to irrigate the gingival sulci and to wash the oral cavity, and from the studies reported by Jones et al2 and Cutcher et al,3 in which a phenolated antiseptic solution was used, it would appear that a reduction in the number of bacteria recoverable from the oral cavity and gingival sulci and a reduction in the incidence of postextraction bacteremia can be obtained with this technique. In Scopp and Orvieto's study, questions might be raised about the exclusion of patients with severe peridontal disease, and one wonders about the quantitation of cultures obtained from the gingivae and gingival sulci at a time when the bactericidal agent was still present in the mouth and likely to be absorbed by

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