PEDIATRICS Vol. 70 No. 5 November 1982, pp. 722-724
This Article
Right arrow Full Text (PDF)
Right arrow P3Rs: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when P3Rs are posted
Right arrow Alert me if a correction is posted
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Stern, R. C.
Right arrow Articles by Haaga, J. R.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Stern, R. C.
Right arrow Articles by Haaga, J. R.

Multiple Microaerophilic Streptococcal Lung Abscesses After Orthodontic Treatment

Robert C. Stern MD1, Robert J. Berkowitz DDS1, Susan B. Shurin MD1, Ricardo U. Sorensen MD1, and John R. Haaga MD1

1 Departments of Pediatrics and Radiology, School of Medicine, and Department of Pedodontics, School of Dentistry, Case Western Reserve University and Rainbow Babies and Childrens Hospital, Cleveland

An immunocompetent 12-year-old boy developed multiple microaerophilic streptococcal lung abscesses after application of orthodontic bands ("braces"). The dental work was done in the supine position. The data suggest that the patient aspirated the organisms and, possibly, flecks of dental cement, during orthodontic treatment. "Rubber dams" should be used to help prevent aspiration in children who receive dental work in the supine position. When a rubber dam cannot be used, as with orthodontic treatment, physicians should advise patients who are at risk for developing pulmonary infection (eg, patients with neuromuscular diseases which compromine cough and/or gag, cystic fibrosis, sickle cell anemia, primary immunodeficiency, etc) to have this dental work, including orthodontic treatment, performed in the erect position.

Submitted on October 12, 1981
Accepted on December 3, 1981




This article has been cited by other articles:


Home page
 CLIN PEDIATRHome page
J. R. Carlile, E. N. Beckman, and R. M. Arensman
Actinobacillus actinomycetemcomitans Pneumonia
Clinical Pediatrics, October 1, 1984; 23(10): 578 - 580.
[PDF]