Evidence map›Paper›PMID 41466897›Full record

ArticleCureus2025

Assessment of the Efficacy of 0.12% Chlorhexidine Gluconate Mouth Rinse in Preventing Alveolar Osteitis Following Mandibular Molar Extraction.

Divakar Thiruvenkata Krishnan, Vinej Somaraj, Chethna G, Binsu Jm, Azmina Parveen R, Ashni Vibisha Am, Blessy B

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Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Divakar Thiruvenkata KrishnanOral and Maxillofacial Surgery, Rajas Dental College and Hospital, Tirunelveli, IND.
Vinej SomarajPublic Health Dentistry, Rajas Dental College and Hospital, Tirunelveli, IND.
Chethna GOral and Maxillofacial Surgery, Rajas Dental College and Hospital, Tirunelveli, IND.
Binsu JmOral and Maxillofacial Surgery, Rajas Dental College and Hospital, Tirunelveli, IND.
Azmina Parveen ROral and Maxillofacial Surgery, Rajas Dental College and Hospital, Tirunelveli, IND.
Ashni Vibisha AmOral and Maxillofacial Surgery, Rajas Dental College and Hospital, Tirunelveli, IND.
Blessy BOral and Maxillofacial Surgery, Rajas Dental College and Hospital, Tirunelveli, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlveolar osteitis (AO) is a common, painful post-extraction complication, particularly following mandibular molar removal. Clinicians widely recommend 0.12% chlorhexidine (CHX) mouth rinse to prevent AO, but studies on its use in non-surgical extractions with early wound healing assessment are still limited.

aimThe study aims to assess the efficacy of 0.12% CHX gluconate mouth rinse in preventing AO and enhancing early soft tissue healing after non-surgical mandibular molar extraction. MATERIALS AND

methodsA prospective, randomized controlled trial enrolled 60 adult patients, equally allocated to a study group (0.12% CHX rinse, twice daily for seven days starting 24 hours postoperative) and a control group (standard care, no rinse). AO was diagnosed on days three and seven. Early wound healing was evaluated on day seven via the Early Wound Healing Score (EWHS), assessing clinical signs of re-epithelialization (CSR), clinical signs of hemostasis (CSH), and clinical signs of inflammation (CSI). Statistical analysis used Fisher's exact test for AO incidence and the Mann-Whitney U test for EWHS (p<0.05, significant).

resultsThe CHX group recorded zero AO cases (100% success) compared with four cases (13.33%) in controls (p=0.041). Mean EWHS was higher in the study group (7.33 ± 2.12 vs. 6.73 ± 2.36; p=0.198, not significant). About 53.3% of cases in the CHX group achieved excellent healing compared with 36.7% in the control group, with zero poor-healing cases compared with 13.3% in the control group. CSR scores were significantly higher (4.13 vs. 3.60), indicating enhanced epithelialization, while CSH and CSI scores were comparable between groups.

conclusionPostoperative use of 0.12% CHX mouth rinse is highly effective in preventing AO and demonstrates a clinically meaningful improvement in early epithelial wound healing. Its simplicity, low cost, and high patient compliance make it an ideal prophylactic strategy for routine clinical implementation.

Indexed as

alveolar osteitisantiseptic mouthwashdental prophylaxisdry socketearly wound healingre-epithelializationthird molar surgeries

Identifiers

PMID41466897
PMCPMC12744327

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