Abstract
BackgroundDry socket is one of the most studied complications in dentistry and several studies have sought an effective and safe method for its prevention and treatment. The aim of this study was to evaluate the effectiveness of intra-alveolar gel chlorhexidine in preventing dry socket after the surgical removal of third molars.Material and MethodsThe sample involved the treatment of 40 patients who required extraction of third molars impacted, which were randomly assigned to research groups: experimental group (chlorhexidine gel 0.12%) and control group (placebo gel). Performed the extraction was administered 1 mL of chlorhexidine gel or 1 mL of placebo gel within the socket. The removal of suture was on the fifth postoperative day in which the presence or absence of dry socket was evaluated.ResultsNo relationship between the appearance of dry socket after application of chlorhexidine gel or placebo gel (X2 test, p = 0.311) was found. However, significant differences (U Mann-Whitney test, p = 0.036) in the pain presented on the fifth postoperative day were evident (VAS).ConclusionsThe administration of intra-alveolar chlorhexidine gel 0.12% could generate a better response to postoperative pain after the removal of third molars. Key words:Third molar surgery, dry socket, chorhexidine gel.
Highlights
IntroductionIts frequency varies between 1 and 4% of all tooth extractions, and can reach 20 to 30% in third molar surgeries, temporarily reducing the quality of life of patients because that causes a sharp pain [1]
Dry socket is the most common post-operative complication after tooth extraction
Its frequency varies between 1 and 4% of all tooth extractions, and can reach 20 to 30% in third molar surgeries, temporarily reducing the quality of life of patients because that causes a sharp pain [1]. The etiology of this condiction is not clearly known, prevention remains the main therapeutic weapon that is available, there have been significant efforts to achieve an adequate and effective protocol aimed at reducing the prevalence of the disease, since the clinical view [2]. This condition can be defined as a postoperative pain in the socket and around it, which increases between the first and third postoperative day, accompanied by a total or partial disintegration of the clot intraalveolar with or without the presence of halitosis, which temporarily reduces the quality of life of patients [3]
Summary
Its frequency varies between 1 and 4% of all tooth extractions, and can reach 20 to 30% in third molar surgeries, temporarily reducing the quality of life of patients because that causes a sharp pain [1] The etiology of this condiction is not clearly known, prevention remains the main therapeutic weapon that is available, there have been significant efforts to achieve an adequate and effective protocol aimed at reducing the prevalence of the disease, since the clinical view [2]. Conclusions: The administration of intra-alveolar chlorhexidine gel 0.12% could generate a better response to postoperative pain after the removal of third molars
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