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Comparison of the Efficacy of Alvogyl Paste and Chlorhexidine Gel in Reducing Pain Following Impacted Mandibular Third Molar Surgery
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AH Almayiah *    , SS Al-Adili |
| 1.Department of Oral and Maxillofacial Surgery, College of Dentistry, University of Baghdad, Baghdad, Iraq. , haleem_1994@yahoo.com |
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Abstract: (568 Views) |
Background and Objective: The common side effects of mandibular third molar surgery are swelling, pain, and trismus, all resulting from tissue inflammation secondary to surgical trauma and the quality of life of these patients has been significantly impacted. This study aims to compare Alvogyl paste and 0.2% chlorhexidine gel (CHX) to evaluate their effects on postoperative pain following third molar surgery due to their antimicrobial and anti-inflammatory properties.
Methods: This study is a randomized single-blind clinical trial conducted from February 2022 to September 2022 on 51 patients with an age range of 18-39 years who required the removal of impacted mandibular third molars and had referred to the Oral Surgery Clinic at the Faculty of Dentistry in Baghdad. The samples were divided into three groups with 17 patients each; in the first group, patients received 0.5 gm Alvogyl paste following third molar surgery while the second group received 1 ml of 0.2% chlorhexidine bio-adhesive gel and the last control group didn’t receive any medication following surgery. The pain was assessed and compared daily on two occasions using a numerical rating scale (NRS) throughout the first week following surgery.
Findings: The results of the study on 51 patients showed that there was a statistically significant decrease between the three groups (p=0.001), but especially on the third day, the Alvogyl group compared to the other two groups (5.41±1.12 and 4.0±1.11 and 2.88±2.23) had a significant superiority in terms of pain reduction (p=0.001). In each group, the intensity of pain decreased significantly from the first day to the seventh day.
Conclusion: The results of the study showed that after impacted lower third molar surgery, Alvogyl paste performed better than 0.2% chlorhexidine gel in pain reduction. |
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| Keywords: Impacted Third Molar, Pain, Chlorhexidine Gel, Alvogyl®. |
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Full-Text [PDF 432 kb]
(58 Downloads)
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Type of Study: Research |
Subject:
Dentistry (Oral Diseases)
Received: 2023/06/22 | Accepted: 2023/09/17 | Published: 2024/11/4
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