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Comparison of Seven Days Use of Chlorhexidine Before and After Third Molar Surgery in Preventing Dry Socket
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Nima Aghaei   , Mehdi Abrishami * , Somayeh Abbasi , Behrooz Moradbeig |
| Department of Oral & Maxillofacial Surgery, Faculty of Dentistry, Isf.C, Islamic Azad University, Isfahan, Iran |
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Abstract: (97 Views) |
Background: Dry socket is a common complication following third molar extraction, characterized by sudden and severe pain that typically begins several days post-procedure, with an incidence rate of approximately 35%. This study aimed to investigate the effect of 0.12% chlorhexidine on the incidence of dry socket and the associated pain in patients undergoing surgery for maxillary and mandibular third molars.
Materials and Methods: In this clinical trial, 105 patients with non-impacted or partially impacted wisdom teeth were selected and divided into three groups. The first group used chlorhexidine mouthwash for seven days prior to surgery, while the second group used it for seven days afterward at 12-hour intervals. The third group (control) used gauze soaked in standard normal saline (0.9% sodium chloride) at the wound site. Cases of dry socket occurrence were recorded. Data were analyzed using chi-square, Fisher's, and Kruskal-Wallis tests.
Results: The incidence of dry socket was 3.4% in the first group, 5.1% in the second group, and 5.4% in the control group, with no statistically significant difference between the groups (p>0.05). Additionally, gender, oral hygiene level, smoking, type of surgery, and surgical site had no significant impact on the occurrence of this complication (p>0.05).
Conclusion: The use of chlorhexidine does not have a significant effect on preventing the occurrence of dry socket. However, there are no contraindications for its use.
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Type of Study: Research |
Subject:
Oral Medicine
Received: 2024/08/18 | Accepted: 2025/01/19 | Published: 2025/05/20
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