Evidence map›Paper›PMID 33389135›Full record

Trial reportClinical oral investigations2021

Anti-inflammatory effect of salt water and chlorhexidine 0.12% mouthrinse after periodontal surgery: a randomized prospective clinical study.

James Rudolph Collins, Kenia Veras, Marcela Hernández, Wei Hou, Houlin Hong, Georgios E Romanos

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Clinical oral investigations, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06475365 (The Effect of Salt Water Gargling on Swallowing Dysfunction Following Multi-Level Anterior Cervical Discectomy and Fusion), which is not on this map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06475365 naenrolling by invitationnot on this mapstarted 2024, after this paper: background citation

The Effect of Salt Water Gargling on Swallowing Dysfunction Following Multi-Level Anterior Cervical Discectomy and Fusion (ACDF): A Randomized Control Trial

TypeinterventionalSponsorUniversity of Southern CaliforniaRan2024 to 2025Enrolled50ConditionsDegeneration Spine, Cervical Radiculopathy, Cervical Stenosis, Cervical SpondylosisArmsSodium chloride gargle
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Review
  6. International journal of dentistry · 2026
    Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Mouthwashes: Alternatives and Future Directions.International dental journal · 2023
    Review
  13. Article
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 3 countries.

James Rudolph CollinsDepartment of Periodontology, School of Dentistry, Pontificia Universidad Católica Madre y Maestra (PUCMM), Santo Domingo, Dominican Republic. jamescollins@pucmm.edu.do.ORCID http://orcid.org/0000-0001-7448-2784
Kenia VerasDepartment of Periodontology, School of Dentistry, Pontificia Universidad Católica Madre y Maestra (PUCMM), Santo Domingo, Dominican Republic.
Marcela HernándezDepartment of Pathology and Oral Medicine, School of Dentistry, Universidad de Chile, Santiago, Chile.
Wei HouDepartment of Family, Population and Preventive Medicine, School of Medicine, Stony Brook, NY, USA.
Houlin HongDepartment of Family, Population and Preventive Medicine, School of Medicine, Stony Brook, NY, USA.
Georgios E RomanosDepartment of Periodontology, School of Dental Medicine, Stony Brook University, Stony Brook, NY, USA.
Pontificia Universidad Católica Madre y Maestra · DOStony Brook Medicine · USStony Brook School · USUniversity of Chile · CL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe purpose of this study was to compare the anti-inflammatory efficacy of sodium chloride- and a 0.12% chlorhexidine mouth rinses in patients undergoing minimal invasive periodontal surgery. MATERIALS AND

methodsForty-seven patients with a diagnosis of periodontitis and indication for access flap procedure were randomly selected. Group A: a sodium chloride (salt)water-based mouth rinse (test group) or group B: a 0.12% chlorhexidine mouth rinse (control group) administered after surgery. Gingival Index (GI) were evaluated in the whole mouth and in the surgical site at baseline (T1), a week later (T2), and 12 weeks (T3) after the treatment. Total MMP activity was measured in GCF using a commercial kit and plate reader. Medians of total MMP activity and GI were compared for time intervals T1 vs. T2, T1 vs. T3, and T2 vs T3 using Friedman tests and Wilcoxon signed rank tests, and were also compared between test and control using Mann-WhitneyU tests at each timepoint.

resultsThe average GI values showed significant differences between baseline and T2 (p = 0.0005) and baseline and T3 (p = 0.003) in the test group.

conclusionThe sodium chloride-mouth rinse use after periodontal surgery seems to have similar anti-inflammatory properties as CHX mouth rinse and can be used regularly postoperatively after periodontal surgical procedures. CLINICAL RELEVANCE: The use of salt water mouthwash showed an anti-inflammatory effect similar to CHX 0.12% after minimal invasive periodontal surgery. Salt water mouthwash is accessible to the world population and can contribute on the healing process after periodontal surgery.

Indexed as

Anti-Infective Agents, LocalDental PlaqueChlorhexidineDental Plaque IndexDouble-Blind MethodHumansMouthwashesProspective StudiesWaterAnti-Infective Agents, LocalChlorhexidineMouthwashesWaterAnti-inflammatory agentsAntiplaque agentsChlorhexidineMatrix metalloproteinasesPeriodontal surgerySodium chloride

Identifiers

PMID33389135
OpenAlexW3119374796

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.