The Journal of Contemporary Dental Practice

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 19 , ISSUE 9 ( 2018 ) > List of Articles

ORIGINAL RESEARCH

The Efficiency of Three Irrigating Solutions after Surgical Removal of Impacted Mandibular Third Molars: A Cross-sectional Study

Varsha A Jadhao, Pawankumar D Tekale, Amit Rao, Pratik Hande, Monica Mahajani, Prashant P Raktade, Ravidra Gedam, Vishwas Acharya

Keywords : Chlorhexidine, Mandibular third molar, Normal saline, Povidone iodine

Citation Information : Jadhao VA, Tekale PD, Rao A, Hande P, Mahajani M, Raktade PP, Gedam R, Acharya V. The Efficiency of Three Irrigating Solutions after Surgical Removal of Impacted Mandibular Third Molars: A Cross-sectional Study. J Contemp Dent Pract 2018; 19 (9):1147-1151.

DOI: 10.5005/jp-journals-10024-2396

License: CC BY-NC 3.0

Published Online: 00-09-2018

Copyright Statement:  Copyright © 2018; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim: The present study was conducted to assess the effect of irrigation with three different irrigants, namely normal saline, chlorhexidine, and povidone iodine on pain, alveolar osteitis, swelling, trismus, infection, and food impaction during surgical removal of impacted mandibular third molar. Materials and methods: Forty-eight patients, including 26 males and 22 females, fulfilling criteria for inclusion in this study were divided into three groups: group I where irrigant used was normal saline, group II as chlorhexidine, and group III as povidone iodine group. Results: The pain was significantly more in groups I and III in 24 hours and 7th day as well. Alveolar osteitis was noted in groups III and I, nil in group II. The facial swelling measured in millimeters on 24 hours and on 7th day was significantly higher in 24 hours in groups I and III than in group II. Trismus was significantly more in group I and group III than in group II (with p < 0.01) on 7th day. Conclusion: It is concluded that chlorhexidine is effective in reducing pain, alveolar osteitis, swelling, and trismus when used as an irrigant following surgical removal of impacted third molar. Clinical significance: Chlorhexidine as irrigating solution helps in reducing the postoperative consequences after third molar surgery. Further studies are required using large sample size.


PDF Share
  1. Koerner KR. The removal of impacted third molars. Principles and procedures. Dent Clin North Am 1994 Apr;38(2):255-278.
  2. Blum IR. Contemporary views on dry socket (alveolar osteitis): a clinical appraisal of standardization, aetiopathogenesis and management: acritical review. Int J Oral Maxillofac Surg 2002 Jun;31(3):309-317.
  3. Chiapasco M, De Cicco L, Marrone G. Side effects and complications associated with third molar surgery. Oral Surg Oral Med Oral Pathol 1993 Oct;76(4):412-420.
  4. Osborn TP, Frederickson G Jr, Small IA, Torgerson TS. A prospective study of complications related to mandibular third molar surgery. J Oral Maxillofac Surg 1985 Oct;43(10):767-769.
  5. Costich ER, Youngblood PJ, Walden JM. A study of the effects of high-speed rotary instruments on bone repair in dogs. Oral Surg Oral Med Oral Pathol 1964 May;17(5):563-571.
  6. Glide S. Cleaning choices. Nurs Times 1992 May;88(19): 74, 76, 78.
  7. Lawrence JC. Wound irrigation. J Wound Care 1997 Jan;6(1):23-26.
  8. Urvi S, Haren P, Hiren P, Bijal B, Hitesh D. Efficacy of chlorhexidine versus betadine as an irrigating agent during removal of bilateral impacted lower third molars. Pak Oral Dent J 2014 Jun;34(2):264-267.
  9. Freudlsperger C, Deiss T, Bodem J, Engel M, Hoffmann J. Influence of lower third molar anatomic position on postoperative inflammatory complications. J Oral Maxillofac Surg 2012 Jun;70(6):1280-1285.
  10. Pautex S, Michon A, Guedira M, Emond H, Le Lous P, Samaras D, Michel JP, Herrmann F, Giannakopoulos P, Gold G. Pain in severe dementia: self assessment or observational scales? J Am Geriatr Soc 2006 Jul;54(7):1040-1045.
  11. Ustun Y, Erdagon O, Esen E, Karsli ED. Comparison of the effects of 2 doses of methylprednisolone on pain, swelling and trismus after third molar removal surgery. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2003 Nov;96(5):539-543.
  12. Denton, GW. Chlorhexidine. In: Block SS, editor. Disinfection, sterilization, and preservation. 5th ed. Philadelphia (PA): Lippincott Williams & Wilkins; 2001. p. 321-336.
  13. Sanchez IR, Swaim SF, Nusbaum KE, Hale AS, Henderson RA, McGuire JA. Effects of chlorhexidine diacetate and povidone iodine on wound healing in dogs. Vet Surg 1988 Nov-Dec; 17(6):291-295.
  14. Yengopal V, Mickenautsch S. Chlorhexidine for the prevention of alveolar ostitis. Int J Oral Maxillofac Surg 2012 Oct;41(10):1253-1264.
  15. Cho H, David MC, Lynham AJ, Hsu E. Effectiveness of irrigation with chlorhexidine after removal of mandibular third molars: a randomised controlled trial. Br J Oral Maxillofac Surg 2018 Jan;56(1):54-59.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.