Effectiveness of warm saline mouth bath in preventing alveolar osteitis: A systematic review and meta-analysis. Issue 10 (October 2021)

• Record Type: Journal Article
• Authors: Adekunle, Adegbayi Adeola; Egbunah, Uchenna Patrick; Erinoso, Olufemi Akinwunmi; Adeyemo, Wasiu Lanre
• Is Part Of: Journal of cranio-maxillofacial surgery. Volume 49:Issue 10(2021)
• Page Start: 980
• Page End: 988
• Publication Date: 2021-10
• Subjects: Warm saline mouth bath -- Alveolar osteitis -- Dry socket -- Extraction -- Complications; Skull -- Surgery -- Periodicals; Maxilla -- Surgery -- Periodicals; Face -- Surgery -- Periodicals; Surgery, Plastic -- Periodicals; Maxilla -- surgery -- Periodicals; Face -- surgery -- Periodicals; Skull -- surgery -- Periodicals; Oral Surgical Procedures -- Periodicals; Reconstructive Surgical Procedures -- Periodicals; Surgery, Plastic -- Periodicals; Surgery, Oral -- Periodicals; Electronic journals; 617.514
• DOI: 10.1016/j.jcms.2021.09.001
• Languages: English
• ISSNs: 1010-5182

Abstract

Abstract: This systematic review and meta-analysis aimed to assess the effectiveness of a warm saline mouth bath (WSMB) in preventing dry socket after tooth extractions. A systematic search for randomized controlled trials published until August 30, 2020, in seven databases was conducted: Cochrane, PubMed, Ovid Medline, Google Scholar, and OpenGrey databases, ClinicalTrials.gov, and the World Health Organization International Clinical Trials Registry. The inclusion criteria were studies investigating the use of a warm saline mouth bath postoperatively in a population of participants who had a tooth extraction, compared to no mouth rinse at all/any other mouth rinse. The primary outcome assessed in the studies was the incidence of alveolar osteitis. Only eight randomized studies met all inclusion criteria and were selected for qualitative analysis. Six of the studies compared WSMB with antimicrobial rinses, and two studies compared WSMB with no-rinse. This review found no significant difference (P > 0.05) in the incidence of alveolar osteitis between WSMB and other antimicrobial rinses. Based on the results of this review, WSMB has potential in reducing post-operative complications such as alveolar osteitis following a routine or surgical extraction of teeth. However, more studies are needed to validate these findings, as most of the studies reviewed had a high level of bias.