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Do antibacterial mouthrinses affect bacteraemia in third molar surgery? A pilot study
A Tuna1, C Delilbasi, A Arslan
1Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Yeditepe University, Istanbul, Turkey.
Australian Dental Journal
|November 29, 2012
Summary
Antibacterial mouthrinses, including povidone iodine and chlorhexidine, may reduce bacteraemia after third molar surgery. Further research with larger populations is recommended to confirm these findings.
Area of Science:
- Oral Surgery
- Microbiology
- Pharmacology
Background:
- Impacted third molar surgery can lead to bacteraemia.
- Evaluating the efficacy of antiseptic mouthrinses is crucial for infection control.
Purpose of the Study:
- To assess the impact of 7.5% povidone iodine and 0.2% chlorhexidine mouthrinses on post-surgical bacteraemia.
- To compare these effects against a sterile saline control group.
Main Methods:
- A pilot study involving 34 patients undergoing impacted third molar surgery.
- Patients pre-rinsed with povidone iodine, chlorhexidine, or sterile saline.
- Blood samples were collected preoperatively and at 1 and 15 minutes post-surgery for microbiological analysis.
Main Results:
- Bacteraemia occurred in 33% of patients using povidone iodine, 33% using chlorhexidine, and 50% in the control group.
- Predominant isolates included anaerobes (58%) and Streptococcus species (92%).
- A reduction in bacteraemia incidence was observed with both antiseptic mouthrinses, though not statistically significant (p > 0.05).
Conclusions:
- Antibacterial mouthrinses show potential in reducing bacteraemia following third molar surgery.
- Larger-scale studies are needed to validate these preliminary findings and explore other agents.
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