1%聚维酮碘漱口水对下颌第三磨牙拔除术后干槽症发生率的疗效。
The efficacy of 1% Betadine mouthwash on the incidence of dry socket after mandibular third molar surgery.
作者信息
Hasheminia Dariush, Moaddabi Amirhossein, Moradi Saeid, Soltani Parisa, Moannaei Mahsa, Issazadeh Maryam
机构信息
Assistant Professor, Department of Oral and Maxillofacial Surgery, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran.
Assistant Professor, Department of Oral and Maxillofacial Surgery, School of Dentistry, Mazandaran University of Medical Sciences, Sari, Iran.
出版信息
J Clin Exp Dent. 2018 May 1;10(5):e445-e449. doi: 10.4317/jced.54444. eCollection 2018 May.
BACKGROUND
Dry socket or alveolar osteitis is a delayed healing of alveolar bone after exodontia causing moderate to severe pain 2-4 days after extraction of teeth. Antibacterial agents such as antibiotics and chlorhexidine have been previously proved to prevent or reduce the incidence of dry socket. Betadine is a mixture of iodine and povidone which has bactericidal, antifungal and antiviral effects. The aim of the present study was to evaluate the effect of preoperative povidone iodine 1% mouthwash before surgical extraction of impacted mandibular third molar, however age, gender and oral hygiene were also considered.
MATERIAL AND METHODS
189 patients who needed surgical extraction of Pell and Gregory class A and B mandibular third molars were included in this study. The patients who were not willing to participate in the study, took, women who took oral contraceptives or were in the first 22 days of menstrual cycle were excluded. Patients were randomly assigned to control or test group. 97 patients in the test group took preoperative povidone iodine 1% mouthwash and 92 patients in the control group didn't take any antibiotic or mouthwash. Patients were examined in days 3 and 7 postoperatively for incidence of alveolar osteitis.
RESULTS
Chi-square test didn't show any significant relation between dry socket incidence and gender ( value: 0.848) and Oral hygiene ( value: 0.866). However, it revealed a significant relation between age and dry socket incidence ( value: 0.003) and patients older than 30 were reported to have higher incidence of dry socket. Independent T-Test showed a significant difference between the test and control group in incidence of dry socket ( value: 0.036).
CONCLUSIONS
Based on the results of this study povidone iodine 1% mouthwash can decrease dry socket incidence also as the age increases, the incidence of dry socket becomes higher. Dry socket, impaction, betadine, povidone iodine.
背景
干槽症或牙槽骨炎是拔牙后牙槽骨延迟愈合，导致拔牙后2 - 4天出现中度至重度疼痛。抗生素和洗必泰等抗菌剂此前已被证明可预防或降低干槽症的发生率。碘伏是碘和聚维酮的混合物，具有杀菌、抗真菌和抗病毒作用。本研究的目的是评估术前使用1%聚维酮碘含漱液对下颌阻生第三磨牙手术拔除的效果，同时也考虑了年龄、性别和口腔卫生情况。
材料与方法
本研究纳入了189例需要手术拔除佩尔和格雷戈里A类和B类下颌第三磨牙的患者。不愿意参与研究的患者、服用口服避孕药的女性或处于月经周期前22天的女性被排除。患者被随机分为对照组和试验组。试验组97例患者术前使用1%聚维酮碘含漱液，对照组92例患者未使用任何抗生素或含漱液。术后第3天和第7天检查患者牙槽骨炎的发生率。
结果
卡方检验未显示干槽症发生率与性别（值：0.848）和口腔卫生（值：0.866）之间有任何显著关系。然而，它揭示了年龄与干槽症发生率之间存在显著关系（值：0.003），据报道30岁以上患者干槽症发生率较高。独立样本t检验显示试验组和对照组在干槽症发生率上有显著差异（值：0.036）。
结论
基于本研究结果，1%聚维酮碘含漱液可降低干槽症发生率，并且随着年龄增加，干槽症发生率会升高。干槽症、阻生、碘伏、聚维酮碘。
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