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Use of a Postoperative Xylitol Rinse to Prevent Alveolar Osteitis
Oral Abstract Track 1 DENTOALVEOLAR, DENTAL IMPLANTS, NERVE REPAIR October 10, 2013, 7:00 AM-9:00 AM
Efficacy of He-Ne Laser Treatment on Postoperative Pain, Edema and Wound Healing After Third Molar Surgery B. S. Kocakahyaoglu, Z. F. Zor: Gazi University Faculty of Dentistry, S. C ¸ etiner Abstract: The surgical removal of impacted third molars result in some complications such as pain and edema. The aim of the present study was to evaluate the effects of He-Ne laser on pain, edema, and wound healing compared with that a placebo. A total number of 20 patients (15 female, 5 male) aged between 19-24 years requiring bilateral and symmetrically impacted third molar surgical operation were included in this study. After removing the bilateral, symmetrically impacted third molars in the same operation, He-Ne laser application was done one side and the other side placebo was applicated. He-Ne laser with 30mW power and 658nm wavelength has been applied to the wound surface at a right angle from a distance of 2mm and with a total energy amount of 4j/cm2. The evaluation of the values were conducted by using VAS for pain and facial measures for edeme. In order to follow the healing process, digital images of the operation sites were taken under standardized conditions on preoperative and postoperative days 2, 7, 10, 15, 21 and 30, and digital color seperation technique was performed for images. As a result of statistical analysis of the data, no statistical differences were observed on pain and edema between two groups (p>0.05), however significant statistical differences were observed on wound healing on 7., 10., 15., 21. and 30. days. (p<0.05) According to the results of this study He- Ne laser application can be an alternative, safety-preferable technique in third molar surgery.
Use of a Postoperative Xylitol Rinse to Prevent Alveolar Osteitis A. Sarraf, B. C. Thompson, O. Abubaker, D. M. Laskin: Virginia Commonwealth University Background and Objectives: Alveolar osteitis (AO) is the most common postoperative complication following extraction of mandibular third molars. Studies have shown that the symptoms of AO are caused by an acute inflammation of the socket as a result of fibrinolysis of the clot. Studies have also shown that bacteria can play a role in this process. Because xylitol has been reported AAOMS 2013
to have antibacterial properties, this study sought to determine if there is a decrease in the incidence of alveolar osteitis when a xylitol rinse is used postoperatively following impacted third molar removal to reduce the bacterial load. Patients and Methods: Patients who met the inclusion and exclusion criteria were enrolled in a double blind study involving two groups. Group 1 was the control group and they rinsed with a placebo 4% sorbitol mouthwash 3 times daily for 5 days. Group 2 rinsed with 4% xylitol in a similar manner. Results: Forty-nine patients completed the study (23 in Group 1, 26 in Group 2). The incidence of AO among both groups was 9% (9/98 impacted teeth). The incidence in the patients who rinsed with placebo was 13% (6/46) vs 5.7% (3/52) for patients that rinsed with xylitol. Conclusions: Based on these findings, it appears that postoperative xylitol rinses result in a lower incidence of alveolar osteitis. This is similar to what has been previously reported with postoperative chlorhexidine rinses. Because xylitol has fewer undesirable side-effects such as staining and bad taste, further clinical trials are warranted.
References: 1. A novel use of xylitol sugar in preventing acute otitis media. Uhari M, Kontiokari T, Niemela M. Pediatrics 1998; 102:879-884. 2. Effect of xylitol/chlorhexidine versus xylitol or chlorhexidine as single rinses on initial biofilm formation of cariogenic streptococci. Decker E-M, Maier G, Axmann D et al. Quintessence Int 2008; 39: 17-22. 3. Effect of xylitol and sorbitol on plaque acidogenesis. Splieth CH, Alkilzy M, Schmitt J, et al. Quintessence Int 2009;40: 279-285.
Predictive Factors in Opioid Administration For Acute Odontalgia; A Pilot Study M. H. Levine, S. Burlingame: NYU College of Dentistry, J. Gibbs, K. Raphael Purpose: The use of non-steroidal anti-inflammatory drugs (NSAIDs) after third molar surgery has been shown to be superior to the use of combination opioid narcotics (1). However, most oral surgeons frequently prescribe these narcotics to their patients. Unlike NSAIDs, opioids have significant addiction potential and prescription drug abuse has reached epidemic proportions (2). Prescribing patterns are often based on providers’ preferences e-9
Efficacy of He-Ne Laser Treatment on Postoperative Pain, Edema and Wound Healing After Third Molar Surgery B. S. Kocakahyaoglu, Z. F. Zor: Gazi University Faculty of Dentistry, S. C ¸ etiner Abstract: The surgical removal of impacted third molars result in some complications such as pain and edema. The aim of the present study was to evaluate the effects of He-Ne laser on pain, edema, and wound healing compared with that a placebo. A total number of 20 patients (15 female, 5 male) aged between 19-24 years requiring bilateral and symmetrically impacted third molar surgical operation were included in this study. After removing the bilateral, symmetrically impacted third molars in the same operation, He-Ne laser application was done one side and the other side placebo was applicated. He-Ne laser with 30mW power and 658nm wavelength has been applied to the wound surface at a right angle from a distance of 2mm and with a total energy amount of 4j/cm2. The evaluation of the values were conducted by using VAS for pain and facial measures for edeme. In order to follow the healing process, digital images of the operation sites were taken under standardized conditions on preoperative and postoperative days 2, 7, 10, 15, 21 and 30, and digital color seperation technique was performed for images. As a result of statistical analysis of the data, no statistical differences were observed on pain and edema between two groups (p>0.05), however significant statistical differences were observed on wound healing on 7., 10., 15., 21. and 30. days. (p<0.05) According to the results of this study He- Ne laser application can be an alternative, safety-preferable technique in third molar surgery.
Use of a Postoperative Xylitol Rinse to Prevent Alveolar Osteitis A. Sarraf, B. C. Thompson, O. Abubaker, D. M. Laskin: Virginia Commonwealth University Background and Objectives: Alveolar osteitis (AO) is the most common postoperative complication following extraction of mandibular third molars. Studies have shown that the symptoms of AO are caused by an acute inflammation of the socket as a result of fibrinolysis of the clot. Studies have also shown that bacteria can play a role in this process. Because xylitol has been reported AAOMS 2013
to have antibacterial properties, this study sought to determine if there is a decrease in the incidence of alveolar osteitis when a xylitol rinse is used postoperatively following impacted third molar removal to reduce the bacterial load. Patients and Methods: Patients who met the inclusion and exclusion criteria were enrolled in a double blind study involving two groups. Group 1 was the control group and they rinsed with a placebo 4% sorbitol mouthwash 3 times daily for 5 days. Group 2 rinsed with 4% xylitol in a similar manner. Results: Forty-nine patients completed the study (23 in Group 1, 26 in Group 2). The incidence of AO among both groups was 9% (9/98 impacted teeth). The incidence in the patients who rinsed with placebo was 13% (6/46) vs 5.7% (3/52) for patients that rinsed with xylitol. Conclusions: Based on these findings, it appears that postoperative xylitol rinses result in a lower incidence of alveolar osteitis. This is similar to what has been previously reported with postoperative chlorhexidine rinses. Because xylitol has fewer undesirable side-effects such as staining and bad taste, further clinical trials are warranted.
References: 1. A novel use of xylitol sugar in preventing acute otitis media. Uhari M, Kontiokari T, Niemela M. Pediatrics 1998; 102:879-884. 2. Effect of xylitol/chlorhexidine versus xylitol or chlorhexidine as single rinses on initial biofilm formation of cariogenic streptococci. Decker E-M, Maier G, Axmann D et al. Quintessence Int 2008; 39: 17-22. 3. Effect of xylitol and sorbitol on plaque acidogenesis. Splieth CH, Alkilzy M, Schmitt J, et al. Quintessence Int 2009;40: 279-285.
Predictive Factors in Opioid Administration For Acute Odontalgia; A Pilot Study M. H. Levine, S. Burlingame: NYU College of Dentistry, J. Gibbs, K. Raphael Purpose: The use of non-steroidal anti-inflammatory drugs (NSAIDs) after third molar surgery has been shown to be superior to the use of combination opioid narcotics (1). However, most oral surgeons frequently prescribe these narcotics to their patients. Unlike NSAIDs, opioids have significant addiction potential and prescription drug abuse has reached epidemic proportions (2). Prescribing patterns are often based on providers’ preferences e-9