The Journal of Contemporary Dental Practice

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 23 , ISSUE 7 ( July, 2022 ) > List of Articles

ORIGINAL RESEARCH

Low-concentration Povidone-iodine and Normal Saline as Irrigant on Reducing Postoperative Complications after the Third-molar Surgery: A Comparative Study

TV Sruthy, A Roshni, Sachin Aslam, Mathew Pynummoottil Cherian, Sooraj Soman, K Akhila

Keywords : Postoperative sequelae, Povidone-iodine irrigation, Saline irrigation, Third-molar surgery

Citation Information : Sruthy T, Roshni A, Aslam S, Cherian MP, Soman S, Akhila K. Low-concentration Povidone-iodine and Normal Saline as Irrigant on Reducing Postoperative Complications after the Third-molar Surgery: A Comparative Study. J Contemp Dent Pract 2022; 23 (7):733-738.

DOI: 10.5005/jp-journals-10024-3358

License: CC BY-NC 4.0

Published Online: 10-11-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Abstract

Aim: This study was conducted to compare the efficacy of using 0.5 mg/mL povidone-iodine solution as an irrigant and coolant in reducing postoperative sequelae like swelling, trismus, and pain with the conventional normal saline irrigation during the surgical removal of the impacted lower third molar. Materials and methods: The research was conducted out toward the MES Dental College in Perinthalmanna, Kerala, in the Department of Oral and Maxillofacial Surgery. After mandibular third-molar surgical removal, researchers studied 60 individuals, 30 of whom had normal saline irrigation (group I), and 30 of whom received 0.05% povidone-iodine irrigation (group II). The postoperative discomforts were measured on the second and seventh days after surgery, respectively. After that, the data were analyzed using SPSS. The data analysis considered p-values less than 0.05 to be significant. Results: At the second postoperative visit, patients in the povidone-iodine group reported much less pain, swelling, and reduced mouth opening than those in the normal saline group. But on the seventh postoperative day, there was not much difference between either group. Conclusion: Following the surgical removal of teeth, it was revealed that povidone-iodine solution (0.5 mg/mL) was more effective as irrigation and cooling aid than regular saline solution. Clinical significance: Low-concentrated povidone-iodine is a better option in dentistry as irrigant.


PDF Share
  1. Passi D, Singh G, Dutta S, et al. Study of pattern and prevalence of mandibular impacted third molar among Delhi-National Capital Region population with newer proposed classification of mandibular impacted third molar: A retrospective study. Natl J Maxillofac Surg 2019;10(1):59–67. DOI: 10.4103/njms.NJMS_70_17.
  2. Prasanna Kumar D, Sharma M, Vijaya Lakshmi G, et al. Pathologies associated with second mandibular molar due to various types of impacted third molar: A comparative clinical study. J Maxillofac Oral Surg 2021;1–4. DOI: 10.1007/s12663-021-01517-0.
  3. Rizqiawan A, Lesmaya Y, Rasyida A, et al. Postoperative complications of impacted mandibular third molar extraction related to patient's age and surgical difficulty level: A cross-sectional retrospective study. Int J Dent 2022;2022:1–6. DOI: 10.1155/2022/7239339.
  4. Al-fahad NM, Shallawe WS. Comparison between dexamethasone and cool jaw wrap on postoperative pain after surgical removal of lower wisdom teeth. Int J Curr Pharm Res 2017;9(4):33–34. DOI: 10.22159/ijcpr.2017v9i4.20754.
  5. Al-Moraissi EA, Al-Zendani EA, Al-Selwi AM. Efficacy of submucosal injection of chymotrypsin, oral serratiopeptidase or oral dexamethasone in reducing postoperative complications following impacted lower third molar surgery: A prospective, randomized, double-blind, controlled clinical trial. Front Oral Health 2020;1:575176. DOI: 10.3389/froh.2020.575176.
  6. Hashemi MH, Mohammadi F, Hasheminasab M, et al. Effect of low concentration povidone-iodine on postoperative complications after third molar surgery: A pilot split mouth study. J Oral Maxillofac Surg 2014;73(1):18–21. DOI: 10.1016/j.joms.2014.06.454.
  7. Kumar BP, Maddi A, Ramesh KV, et al. Is povidone-iodine a hemostyptic? A clinical study. Int J Oral Maxillofac Surg 2006;35(8):765–766. DOI: 10.1016/j.ijom.2006.01.015.
  8. Arakeri G, Brennan PA. Povidone-iodine: An antioedematousa agent? Int J Oral Maxillofac Surg 2011;40(2):173–176. DOI: 10.1016/j.ijom.2010.09.012.
  9. Amtha R, Kanagalingam J. Povidone-iodine in dental and oral health: A narrative review. J Int Oral Health 2020;12(5):407–412. DOI: 10.4103/jioh.jioh_89_20.
  10. Glória JCR, Douglas-de-Oliveira DW, E Silva LDA, et al. Influence of ozonized water on pain, oedema, and trismus during impacted third molar surgery: A randomized, triple blind clinical trial. BMC Oral Health 2020;20(1):41. DOI: 10.1186/s12903-020-1029-5.
  11. Sartawi H. A noval method for surgical removal of the impacted mandibular third molar: Sartawi technique. Case Rep Dent 2020:8876086. DOI: 10.1155/2020/8876086.
  12. Chappi DM, Suresh KV, Patil MR, et al. Comparison of clinical efficacy of methylprednisolone and serratiopeptidase for reduction of postoperative sequelae after lower third molar surgery. J Clin Exp Dent 2015;7(2):e197–e202. DOI: 10.4317/jced.51868.
  13. Zhao Y, Hu X, Li Z, et al. Use of polyvinylpyrrolidone-iodine solution for sterilisation and preservation improves mechanical properties and osteogenesis of allografts. Sci Rep 2016;6:38669. DOI: 10.1038/srep38669.
  14. Sabe-Alarab M, AL-Essa H, Jaber F, et al. Role of povidone-iodine (PVP-I) in surgical extraction of impacted lower third molars: Hemostyptic and anti-edema? Int J Appl Dent Sci 2019;5(3):306–309. Corpus ID: 207825156.
  15. Yuce E, Dereci O, Altin N, et al. Effects of different polyvinylpyrrolidone iodine concentrations on trismus and swelling following third molar surgery. J Pak Med Assoc 2020;70(12B):2304–2309. DOI: 10.5455/JPMA.130.
  16. Shah U, Haren P, Hiren P, et al. Efficacy of chlorhexidine versus betadine as an irrigating agent during removal of bilateral impacted lower third molars. Pak Oral Dent J 2014;34:264–268. Corpus ID: 74257915.
  17. Tolstunov L. Influence of immediate post-extraction socket irrigation on development of alveolar osteitis after mandibular third molar removal: A prospective split-mouth study, preliminary report. Br Dent J 2012;213(12):597–602. DOI: 10.1038/sj.bdj.2012.1134.
  18. Kumar KS, Reddy GV, Naidu G, et al. Role of povidone-iodine in periapical surgeries: Hemostyptic and anti-inflammatory? Ann Maxillofac Surg 2011;1(2):107–111. DOI: 10.4103/2231-0746.92768.
  19. Sindhura H, Harsha RH, Shilpa RH. Efficacy of subgingival irrigation with 10% povidone-iodine as an adjunct to scaling and root planing: A clinical and microbiological study. Indian J Dent Res 2017;28(5):514–518. DOI: 10.4103/ijdr.IJDR_497_15.
  20. Hasheminia D, Moaddabi A, Moradi S, et al. The efficacy of 1% betadine mouthwash on the incidence of dry socket after mandibular third molar surgery. J Clin Exp Dent 2018;10(5):e445–e449. DOI: 10.4317/jced.54444.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.