Effectiveness of 1% Versus 0.2% Chlorhexidine Gels in Reducing Alveolar Osteitis from Mandibular Third Molar Surgery: A Randomized, Double-Blind Clinical Trial

Abstract

Objective: One of the leading, recurrent and most familiar problem after extraction is alveolar osteitis (AO) .This 
case was designed to compare and publish the effectiveness of chlorhexidine (CHX) gel in concentrations 1% and 
.2%  in combating post-operative complication of AO especially after surgical removal of  retained mandibular 
molars .Moreover , this study also aimed at assessment and analysis of  quality of treatment  after use of CHX gel on 
oral wellness. 
Study Design: Observational Study 
Place and Duration: This study was conducted at the department of Oral Medicine, Avicenna Dental College Lahore. 
from January 2017 to 2019.  
Material Methods: This case study was done on basis of practical clinical practice and on patients. The study was 
randomized. Total patients subjected to   treatment were eighty eight. All the patients after post extraction were 
treated with CHX gel to overcome complication AO in concentration either 1% or .5%. About 41 patents were 
treated with 1% of CHX gel and 47 remaining were treated with .2% of gel after extraction. The instructions were 
given to patients to apply this gel twice a day for duration of one week at least. After a week, assessment was made 
regarding CHX gel application outcomes. 
Results: With the assessment and careful observation, it was found that about 13% patient suffered from AO after 
application of CHX gel in concentration of 0.2% and about 7% patients suffered from AO after application of CHX 
gel in concentration of 1%. Such difference was not so important with respect to statists. The pain and inflammation 
that patients suffered post surgically was almost same during whole one week duration 
Conclusion: In a nutshell, there is no significant difference post surgically found in patients after application of 
CHX gel either in concentration 1% or .2% in case of extraction of retained mandibular third molar.