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Chlorhexidine in the prevention of dry socket: effectiveness of different dosage forms and regimens

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Chlorhexidine in the prevention of dry socket: effectiveness of different dosage forms and regimens

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dc.contributor.author Mínguez Serra,María Paz es
dc.contributor.author Salort Llorca,Cesar es
dc.contributor.author Silvestre Donat,Francisco Javier es
dc.date.accessioned 2023-06-22T12:12:40Z
dc.date.available 2023-06-22T12:12:40Z
dc.date.issued 2009 es
dc.identifier.citation Minguez-Serra MP, Salort-Llorca C, Silvestre-Donat FJ. Chlorhexidine in the prevention of dry socket: Effectiveness of different dosage forms and regimens. Med Oral Patol Oral Cir Bucal. 2009 Sep 1;14(9):e445-e449. es
dc.identifier.uri https://hdl.handle.net/10550/88502
dc.description.abstract Dry socket (DS) is a potential postoperative complication of dental extractions. It is clinically diagnosed by the presence of a denuded socket secondary to premature loss of the blood clot, and manifests as slight discomfort for the patient, followed by sudden worsening with intense or lancing pain.Since the underlying etiology is not clear, the best treatment is prevention. Chlorhexidine (CHX) is an antiseptic that acts upon the bacteria of the oral cavity, and is widely used in dental practice.Objectives: A metaanalysis is made of the different CHX treatment regimens used for the prevention of DS, with the proposal of a management protocol designed to maximize the efficacy of such treatment.Material and Methods: Literature searches were made in the PubMed Medline, Cochrane and ISI Web of Knowledge databases, crossing the terms: alveolar osteitis, dry socket and chlorhexidine. The search was limited to randomized or nonrandomized clinical trials.Results: Twelve clinical trials using CHX in rinse or gel form at doses of 0.12% or 0.2% with different administration regimens for the prevention of DS were identified.Conclusion: After reviewing the existing medical literature, it can be concluded that 0.2% CHX gel, applied every 12 hours for 7 days after extraction is the best available option for the prevention of DS. However, this is also the most expensive option, and since CHX is not subsidized by the Spanish public healthcare system, it occasionally may be more advisable to use the 0.12% rinse with the same dosing regimen. es
dc.title Chlorhexidine in the prevention of dry socket: effectiveness of different dosage forms and regimens es
dc.type journal article es_ES
dc.subject.unesco UNESCO:CIENCIAS MÉDICAS es
dc.type.hasVersion VoR es_ES
dc.identifier.url http://www.medicinaoral.com/medoralfree01/v14i9/medoralv14i9p445.pdf

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