Clinical article
Effects of a chlorhexidine gluconate oral rinse on the incidence of alveolar osteitis in mandibular third molar surgery

https://doi.org/10.1016/0278-2391(90)90227-SGet rights and content

Abstract

Alveolar osteitis (dry socket) continues to be a frequent sequela of third molar surgery. Chlorhexidine 0.12% used as an oral rinse has been reported to reduce the incidence of dry socket. This study compares the effectiveness of 0.12% chlorhexidine used as a preoperative rinse and immediate postextraction irrigant with 1) similarly used 0.05% cetylpyridium, preoperative chlorhexidine rinse and postextraction saline irrigation, and 2) only postextraction irrigation with normal saline in the reduction of alveolar osteitis in mandibular third molar extractions. The results indicate that chlorhexidine and cetylpyridium were no more effective in the reduction of alveolar osteitis than postextraction irrigation with normal saline.

References (28)

  • L.W. Kay

    Investigations into the nature of pericoronitis

    Br J Oral Maxillofac Surg

    (1966)
  • J.Y. Crawford

    Dry socket

    Dent Cosmos

    (1896)
  • H Birn

    Etiology and pathogenesis of fibrinolytic alveolitis

    Int J Oral Maxillofac Surg

    (1976)
  • R.F. Huebsch

    Clinical and histological study of alveolar osteitis

    J Oral Surg

    (1958)
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    The opinions or assertions contained herein are the private views of the author and are not to be construed as official or as reflecting the views of the Department of the Army or the Department of Defense.

    Chief, Oral and Maxillofacial Surgery Service, Gorgas Army Hospital, Panama.

    Formerly, Chief, Oral and Maxillofacial Surgery Service and Director of Residency Training, Brooke Army Medical Center, Fort Sam Houston, TX; currently, Associate in Oral and Maxillofacial Surgery at Geisinger Medical Center, Danville, PA.

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