What factor is NOT associated with increased risk for distant-site infections following dental procedures?

The choice indicating that healthy immune status is not associated with an increased risk for distant-site infections following dental procedures is correct because individuals with a healthy immune system are generally better equipped to fight off infections. A robust immune response can effectively respond to bacterial exposure that can occur during dental procedures, providing protection against the development of infections that could potentially spread to distant sites in the body.

In contrast, the other factors listed, such as diabetes, immunosuppression, and chronic steroid usage, are known to compromise the immune response or create a more favorable environment for infections to occur. For instance, diabetes can impair wound healing and alter the immune response, making individuals more susceptible to infections. Immunosuppression, whether due to illness or medications, directly reduces the body's ability to combat infections. Similarly, chronic steroid usage can inhibit the immune system, increasing the risk of various infections, including those that may occur at distant sites following procedures.