Department of Oral Surgery, University of Prishtina, Prishtina, Kosovo.
Department of Maxillofacial Surgery, University of Prishtina, Prishtina, Kosovo.
Clin Exp Dent Res. 2023 Feb;9(1):75-81. doi: 10.1002/cre2.675. Epub 2022 Oct 17.
The aim of this study is to evaluate the efficacy between ozone gas and 1% chlorhexidine (CHX) gel in the incidence of dry socket after surgical extraction of impacted lower third molars.
Overall, 30 patients of both genders were included in the study, with indication of surgical extraction of lower third molar, positioned similarly after being clinically and radiographically checked by X-ray and orthopantomography. Each patient was subjected to both groups in separate sessions: treated with ozone gas and with CHX gel 1%. Data on pain intensity, number of taken analgesics-painkillers, and dry socket were recorded for 48 h and at Day 7.
Ozone gas and CHX gel effectively reduced pain intensity and prevented dry socket. The number of taken analgesics 48 h and 7 days after surgery showed no statistical significance. The same was observed for the distribution of pain. Only one patient reported the occurrence of dry socket 7 days after the surgical extraction.
Ozone gas and CHX 1% gel are both efficient in decreasing postoperative symptoms and incidence rates of dry socket, but in comparison to each other, the use of ozone gas is showing a bit better prevention capability.
本研究旨在评估臭氧气体和 1%洗必泰（CHX）凝胶在预防下颌第三磨牙阻生术后干槽症方面的疗效。
共有 30 名性别不限的患者入组本研究，均有下颌第三磨牙手术拔除适应证，经临床和 X 线及全景片检查，位置相似。每位患者均在不同时段分别接受臭氧气体和 1%CHX 凝胶治疗：臭氧气体组和 1%CHX 凝胶组。记录术后 48 小时和 7 天的疼痛强度、止痛药使用次数和干槽症情况。
臭氧气体和 1%CHX 凝胶均能有效减轻疼痛强度，预防干槽症。术后 48 小时和 7 天止痛药使用次数无统计学差异。疼痛分布也相同。只有 1 例患者在手术拔除后 7 天报告发生干槽症。
臭氧气体和 1%CHX 凝胶均能有效减轻术后症状和干槽症发生率，但与 1%CHX 凝胶相比，臭氧气体的预防能力略强。
