Comparison between ozone and CHX gel application for reduction of pain and incidence of dry socket after lower third molar removal

Abstract

Objectives: 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.Material and Methods: 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 analgesicspainkillers, and dry socket were recorded for 48 h and at Day 7.Results: 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.Conclusions: 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.

Comparative efficacy of topical povidone‐iodine and chlorhexidine gel on dental plaque regrowth in toddlers: A randomized controlled trial

“…CHX gel form was used because it is effective and provides a long‐lasting release. It is also safe and easy to use, making it a preferred option for many dentists (Ahmedi et al, 2023 ). PVP‐I is a common antiseptic used in dentistry that can be found in many over‐the‐counter products.…”

“…In addition, CHX is biocompatible and safe for topical use in toddlers older than 2 months of age (Chapman et al, 2012 ). CHX is available in various forms, the gel type is easier to handle, provides a prolonged release, and has an analgesic effect (Ahmedi et al, 2023 ). Nevertheless, CHX has several adverse effects, including xerostomia, glossodynia, hypogeusia, tooth discoloration, epithelial desquamation, and parotid gland swelling (McCoy et al, 2008 ).…”