Aqueous extracts of Propolis and Miswak as topical medicament to improve post– operative outcome after surgical removal of impacted lower third molar

Faiz Abdul Razak,Ali Idrees,Layla Mustafa

doi:10.33899/rden.2006.40083

Abstract

Aim: To asses the effects of topical application of aqueous extract of either Propolis or Miswak on the post–operative outcomes in relation to the duration of operation after surgical removal of lower third molar was performed. Material and Methods: A total of 97 patients participated and distributed randomly into 3 groups according to the medicament applied into the extraction socket: Group I, in which 5% aqueous solution of propolis extract used; group II, in which 10% aqueous solution of Miswak extract used; and group III, in which distilled water used (control group). Results: A significant improvement in post–operative outcome at 3rd day in both group I and II comparing to group III was observed. No significant difference noticed at 1st day and 6th day. Assessment of dry socket showed no significant difference in between the three study groups. However, when assessment performed in relation with operation time, a significant difference noticed in between the three study groups with high incidence of dry socket reported in operation take longer than 30 minutes in the three study groups. Conclusion: Aqueous extract of Miswak and Propolis as a topical medicament following lower third molar extraction had a slight reducing effect on the severity of post–operative complications.

Highlights

Following lower third molar surgical extraction, pain, swelling and dry socket are the most common complications developed
Propolis and Miswak as a part of folk medicine proposed to use as topical medicaments to reduce post–operative complications in several studies.[10,11,12,13] Propolis is a natural resinous product collected by bee from tree such as poplar and willow, bring them to their hives to seal all of it and protect against introducers
Using analysis of variance (ANOVA) test, no significant differences noticed in assessment of 4 questioners between the three study groups at 1st day

Summary

Introduction

Following lower third molar surgical extraction, pain, swelling and dry socket are the most common complications developed. Different methods advocated aiming to reduce the incidence and severity of these complications.[1] Of these methods, medicating post–extraction socket had proposed in different literature. With this modality, the goal is to cause maximum regeneration of bone with minimum post–operative pain and avoidance of delay healing that may be the cause of dry socket and pain.[2] Different local agents used for that purposes includes: Antibiotic,(3) antiseptic,(4) occlusive dressing[5] and antifibrinolytics.[1]. It has been shown that the extract of Miswak possess various biological properties including antibacterial,(13) antifungal, anticaries and antiplaque effects.[14,15]

Objectives

Methods

Results

Conclusion