Chlorhexidine Mouth Rinse Effectiveness on Incidence of Alveolar Osteitis Following Tooth Extraction: A Clinical Trial
Journal Title: مجله دانشکده دندانپزشکی مشهد - Year 2014, Vol 37, Issue 4
Abstract
Introduction: Alveolar osteitis (dry socket) is the most common complication following permanent tooth extraction. The cause of alveolar osteitis has not yet to be firmly defined. However, clot fibrinolysis as a result of bacterial invasion is likely a major etiologic factor. Considering the effect of oral irrigation on reducing bacterial contamination and the impact of antiseptics on the count of bacteria, therefore; we intended to assess the effect of chlorhexidine mouth rinse and normal saline separately on the incidence of alveolar osteitis following tooth extraction. Materials &Methods: This randomized single-blind clinical trial was conducted among 300 patients who referred to oral and maxillofacial surgery department of Babol school of Dentistry for their permanent tooth extraction. Patients' ages ranged from 15 to 45 years with the average age 34.7±8.4 years. Patients were randomly assigned into two groups. Patients in the first group were given 15ml of chlorhexidine mouth rinse to rinse their mouth for 30 seconds, 15 minutes prior to extraction. They were instructed to rinse twice daily from the following day with 15 ml of chlorhexidine mouth rinse for 30 seconds for one week after extraction. In the second group the whole procedure was done with normal saline. After extraction, patients were instructed to return to oral and maxillofacial surgery department in one week or sooner, if bothersome pain was present and increased. At this time the extraction sites were evaluated for abnormal healing, presence of necrotic tissue, exposed bone, and absence of clot. Results: The results of this survey indicated that normal saline group and chlorhexidine group were not statistically different in the incidence of alveolar osteitis. Conclusions: It seems that the use of chlorhexidine mouth rinse has no significant effect on the reduction of alveolar osteitis and the use of normal saline mouth rinse is adequate.
Authors and Affiliations
Kamran Nosrati, Ali Akbar Moghadamnia, Mahboobeh khorashadizadeh, Golenaz Parandeh
Keywords
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