{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T20:18:22Z","timestamp":1773433102214,"version":"3.50.1"},"reference-count":65,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2012,11,9]],"date-time":"2012-11-09T00:00:00Z","timestamp":1352419200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Clinic Periodontology"],"published-print":{"date-parts":[[2013,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>(1) Investigate incidence, magnitude and bacterial diversity of bacteraemia due to flossing compared with scaling and root planing (<jats:styled-content style=\"fixed-case\">SRP<\/jats:styled-content>) and (2) Identify any associations with clinical parameters.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>Full\u2010mouth flossing and single quadrant <jats:styled-content style=\"fixed-case\">SRP<\/jats:styled-content> were performed at separate visits for 30 patients with chronic periodontitis. Baseline blood samples and at 30\u00a0s and 10\u00a0min. after completion of flossing, 5\u00a0min. after initiation of <jats:styled-content style=\"fixed-case\">SRP<\/jats:styled-content> and 30\u00a0s and 10\u00a0min. after completion of <jats:styled-content style=\"fixed-case\">SRP<\/jats:styled-content> were obtained. Total bacteraemia and viridans streptococcal bacteraemia (<jats:styled-content style=\"fixed-case\">VSB<\/jats:styled-content>) were investigated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Total bacteraemia incidence was 30% for flossing and 43.3% for <jats:styled-content style=\"fixed-case\">SRP<\/jats:styled-content> (no significant difference; <jats:italic>p<\/jats:italic>\u00a0=\u00a00.21). Flossing and <jats:styled-content style=\"fixed-case\">SRP<\/jats:styled-content> caused the same incidence of <jats:styled-content style=\"fixed-case\">VSB<\/jats:styled-content> (26.7%). Flossing caused a higher mean magnitude of total bacteraemia than <jats:styled-content style=\"fixed-case\">SRP<\/jats:styled-content> (7.4\u00a0\u00b1\u00a016.2 <jats:styled-content style=\"fixed-case\">CFU<\/jats:styled-content>\/ml <jats:italic>versus<\/jats:italic> 2\u00a0\u00b1\u00a03.4 <jats:styled-content style=\"fixed-case\">CFU<\/jats:styled-content>\/ml), but the difference was not significant (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.2). Flossing caused a higher mean magnitude of <jats:styled-content style=\"fixed-case\">VSB<\/jats:styled-content> than <jats:styled-content style=\"fixed-case\">SRP<\/jats:styled-content> (1.2\u00a0\u00b1\u00a01.6\u00a0<jats:styled-content style=\"fixed-case\">CFU<\/jats:styled-content>\/ml <jats:italic>versus<\/jats:italic> 0.4\u00a0\u00b1\u00a00.2 <jats:styled-content style=\"fixed-case\">CFU<\/jats:styled-content>\/ml), but the difference was not significant (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.09). Viridans streptococci comprised 11.4% of flossing bacteraemia isolates and 7.6% in <jats:styled-content style=\"fixed-case\">SRP<\/jats:styled-content>. No correlations were found between clinical parameters and incidence or magnitude of bacteraemia following flossing. Gingival inflammation was significantly associated with incidence of total bacteraemia (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.01) and <jats:styled-content style=\"fixed-case\">VSB<\/jats:styled-content> (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.001) following <jats:styled-content style=\"fixed-case\">SRP<\/jats:styled-content>. No correlations were found for any parameter and magnitude of total bacteraemia or <jats:styled-content style=\"fixed-case\">VSB<\/jats:styled-content> following <jats:styled-content style=\"fixed-case\">SRP<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>No differences were found between flossing and <jats:styled-content style=\"fixed-case\">SRP<\/jats:styled-content> in the incidence or magnitude of total bacteraemia or <jats:styled-content style=\"fixed-case\">VSB<\/jats:styled-content>. This finding is important in the ongoing re\u2010evaluation of antibiotic prophylaxis to prevent infective endocarditis.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jcpe.12029","type":"journal-article","created":{"date-parts":[[2012,10,8]],"date-time":"2012-10-08T12:04:29Z","timestamp":1349697869000},"page":"41-52","source":"Crossref","is-referenced-by-count":57,"title":["Incidence and magnitude of bacteraemia caused by flossing and by scaling and root planing"],"prefix":"10.1111","volume":"40","author":[{"given":"William","family":"Zhang","sequence":"first","affiliation":[{"name":"Discipline of Periodontics Faculty of Dentistry University of Sydney Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher G.","family":"Daly","sequence":"additional","affiliation":[{"name":"Discipline of Periodontics Faculty of Dentistry University of Sydney Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Mitchell","sequence":"additional","affiliation":[{"name":"Centre for Infectious Diseases and Microbiology Institute of Clinical Pathology and Medical Research Westmead Hospital Westmead NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brad","family":"Curtis","sequence":"additional","affiliation":[{"name":"Discipline of Epidemiology and Biostatistics Faculty of Dentistry University of Sydney Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,11,9]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1902\/annals.1999.4.1.1"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tripleo.2008.02.009"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.50.6.513"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.1980.51.12.691"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.1974.45.11.801"},{"key":"e_1_2_5_7_1","first-page":"18","article-title":"Effects of using various types of dental floss on gingival sulcular bleeding","volume":"52","author":"Carter H. 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