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Comparative study of the effect of warm saline mouth rinse on complications after dental extractions
Affiliation:1. Department of Oral and Maxillofacial Surgery, University of Calabar Teaching Hospital, Calabar, Nigeria;2. Department of Dental and Maxillofacial Surgery, Aminu Kano Teaching Hospital, Kano, Nigeria;1. Service de Chirurgie Maxillo-faciale et Plastique Pédiatrique, APHP, Hôpital Necker Enfants Malades, Paris, France;2. Centre de Référence des Maladie Rares de la Face et de la Cavité Buccale, APHP, Hôpital Necker Enfants Malades, Paris, France;3. Faculté de Médecine Paris Descartes, Université Paris 5, Paris, France;4. Centre de Recherche des Cordeliers, INSERM, Paris, France;5. Faculté de Médecine Pierre et Marie Curie, Université Paris 6, Paris, France;1. Postgraduate Trainee, Department of Oral and Maxillofacial Surgery, SRM Dental College and Hospital, Ramapuram, Chennai, India;2. Reader, Department of Oral and Maxillofacial Surgery, SRM Dental College and Hospital, Ramapuram, Chennai, India;3. Professor and Head, Department of Oral and Maxillofacial Surgery, SRM Dental College and Hospital, Ramapuram, Chennai, India;4. Senior Lecturer, Department of Oral and Maxillofacial Surgery, SRM Dental College and Hospital, Ramapuram, Chennai, India;1. Associate Professor, Dipartimento di Scienze Biomediche, Chirurgiche ed Odontoiatriche, Università degli Studi di Milano, Milan; Dental Clinic, IRCCS Istituto Ortopedico Galeazzi, Milan, Italy;2. Assistant Professor, Research Centre in Dental Sciences (CICO), Facultad de Odontología, Universidad de La Frontera, Temuco, Chile; PhD Candidate, Departamento de Patología i Terapeútica Experimental, Universitat de Barcelona, Barcelona, Spain;3. PhD Candidate, Dipartimento di Scienze Biomediche, Chirurgiche ed Odontoiatriche, Università degli Studi di Milano, Milan; Dental Clinic, IRCCS Istituto Ortopedico Galeazzi, Milan, Italy;4. Visiting Professor, Dipartimento di Scienze Biomediche, Chirurgiche ed Odontoiatriche, Università degli Studi di Milano, Milan; Dental Clinic, IRCCS Istituto Ortopedico Galeazzi, Milan, Italy;6. Visiting Professor, Dipartimento di Scienze Biomediche, Chirurgiche ed Odontoiatriche, Università degli Studi di Milano, Milan; Dental Clinic, IRCCS Istituto Ortopedico Galeazzi, Milan, Italy;5. Academic Researcher, Dipartimento di Scienze Biomediche, Chirurgiche ed Odontoiatriche, Università degli Studi di Milano, Milan; Dental Clinic, IRCCS Istituto Ortopedico Galeazzi, Milan, Italy;1. Professor; Residency Program Director; and Vice-Chair of Academic Affairs, Department of Oral and Maxillofacial Surgery, University of Alabama at Birmingham, School of Dentistry, Birmingham, AL;2. Assistant Professor; Chief, Section of Oral Oncology; and Microvascular Fellowship Program Director, Department of Oral and Maxillofacial Surgery, University of Alabama at Birmingham, School of Dentistry, Birmingham, AL
Abstract:The aim of the present study was to determine the effect of saline mouth rinse on postoperative complications following routine dental extractions. Patients aged ≥16 years, who were referred to the oral surgery clinic with an indication for non-surgical extraction of pathologic teeth, were prospectively and uniformly randomized into three groups. Group A (n = 40) were instructed to gargle six times daily with warm saline and group B (n = 40) twice daily; group C (n = 40) were not instructed to gargle with warm saline and served as controls. Information on demographic characteristics, indications for extraction, and the development of complications, such as alveolar osteitis, acute inflamed socket, and acute infected socket, was obtained and analyzed. There were no significant differences between patients who gargled six times daily with warm saline and those who gargled twice daily with reference to either alveolar osteitis or acute inflamed socket (P > 0.05). However saline mouth rinses at either frequency were beneficial in the prevention of alveolar osteitis in comparison with those who did not rinse. A twice-daily saline mouth rinse regimen is more convenient, and patient compliance may be better than with a six times daily rinse regimen.
Keywords:warm saline rinse  complications  dental extractions
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