The efficacy of 1% Betadine mouthwash on the incidence of dry socket after mandibular third molar surgery

Abstract

BackgroundDry 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 Methods189 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.ResultsChi-square test didn’t show any significant relation between dry socket incidence and gender (p value: 0.848) and Oral hygiene (p value: 0.866). However, it revealed a significant relation between age and dry socket incidence (p 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 (p value: 0.036).ConclusionsBased 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. Key words:Dry socket, impaction, betadine, povidone iodine.

Efficacy of 1% Betadine Mouthwash on the Incidence of Dry Socket after Mandibular Third Molar Surgery

“…9 There are several studies by various authors who link poor oral hygiene to the incidence of dry socket. Most patients in the present study with dry socket were found to have "fair" oral health (nonsignificant) and it is in agreement to Hasheminia D et al 4 Various other authors also state that satisfactory oral hygiene is a factor that leads to a decrease in the incidence of dry socket. 10,11 The outcomes of the present study demonstrate that females had a higher incidence of dry socket in comparison to their male counterparts and was statistically significant.…”

“…These results are in agreement to various other researchers and the reason for this could be due to the cause that hormones, combined with oral contraceptive pills that can progress the fibrinolytic actions in blood and women's saliva during their menstrual cycle leading to a higher incidence of dry socket. 4,8,[12][13] The findings of the present study are in agreement to Hasheminia D et al 4 and Mesgarzadeh et al 14 who introduced and stated that povidone iodine 1% mouthwash as a cause of decreased incidence of dry socket. Our results also highlighted a significant relationship between the use of the povidone iodine 1% mouthwash and incidence of dry socket, and was in disagreement to the findings of Sweet et al 15 The diminished occurrence of in occurrence of dry socket after utilization of a topical antimicrobial substance shows light on the role on bacteria in the development of a dry socket.…”

“…3 Age of the patient, improper irrigation of the socket and dislodgement of the clot has been listed as the risk factors. 3,4 The prevention and treatment of dry socket is of utmost importance as it is the most common postoperative complication of tooth extraction. The use of topical and systemic antibiotics, mouthwashes, eugenol dressing, chlorhexidine, steroids has been well documented in preventing the incidence.…”

“…Additionally, it has hemostatic and anti-inflammatory effects. 4 Betadine manifests longer lasting antiseptic properties on contact with the skin and does not irritate it. It is most commonly used in the form of 10% solution as a skin antiseptic.…”

“…JYOTI M BIRADAR* 1 , GAYITHRI H KULKARNI 2 , HARISH SHRINIVAS KULKARNI3 , SUDHA SHIDAGAUDA PATIL4 , ASHISH SHRIKANT SATAPUTE4 , LAXMIKANT MAHADEV GHATNATTI5 …”