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Article

Third Molar Extraction: Irrigation and Cooling with Water or Sterile Physiological Solution: A Double-Blind Randomized Study

1
Department of Neurosciences, Section of Clinical Dentistry, Unit of Oral Surgery and Pathology, University of Padova, 35122 Padova, Italy
2
Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padova, 35122 Padova, Italy
*
Author to whom correspondence should be addressed.
Academic Editor: Norina Consuela Forna
Received: 15 February 2021 / Revised: 22 March 2021 / Accepted: 30 March 2021 / Published: 1 April 2021
(This article belongs to the Special Issue Risk Management in Oral Surgery)
Background: The present study aimed to ascertain whether any significant reduction in patients’ postoperative pain and inflammation could be achieved by using sterile physiological solution instead of normal water to irrigate the surgical field and cool the dental bur during third molar extractions. Methods: The study concerned 22 patients (11 females and 11 males) in good general health, who were referred to the Dental Clinic at Padova University hospital for lower third molar extractions. They were randomly assigned to two groups. Only the fluid used to irrigate the surgical field and cool the dental bur differed between the two study groups, being sterile physiological solution for group A, and mains water for group B. Postoperative pain, swelling, trismus and inflammation with high sensitivity CRP where measured and statistically evaluated. The numerosity of our sample was calculated on the grounds of an endpoint based on data in the literature. Results: Eighteen patients needed bilateral extractions, and 4 required only one extraction, so a total of 40 third molars were extracted. A sterile physiological solution was used to irrigate the surgical field in 20 extractions, while water was used in the other 20 cases. Data analysis with Wilcoxon test show no differences between the two groups (p < 0.05). Conclusions: no differences between groups for any of the parameters considered, after third molar extraction procedures undertaken using either sterile physiological solution or water for irrigation and cooling purposes. View Full-Text
Keywords: extraction; inflammation; irrigation; oral surgery; oral surgical procedures extraction; inflammation; irrigation; oral surgery; oral surgical procedures
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MDPI and ACS Style

Sbricoli, L.; Cerrato, A.; Frigo, A.C.; Zanette, G.; Bacci, C. Third Molar Extraction: Irrigation and Cooling with Water or Sterile Physiological Solution: A Double-Blind Randomized Study. Dent. J. 2021, 9, 40. https://0-doi-org.brum.beds.ac.uk/10.3390/dj9040040

AMA Style

Sbricoli L, Cerrato A, Frigo AC, Zanette G, Bacci C. Third Molar Extraction: Irrigation and Cooling with Water or Sterile Physiological Solution: A Double-Blind Randomized Study. Dentistry Journal. 2021; 9(4):40. https://0-doi-org.brum.beds.ac.uk/10.3390/dj9040040

Chicago/Turabian Style

Sbricoli, Luca, Alessia Cerrato, Anna C. Frigo, Gastone Zanette, and Christian Bacci. 2021. "Third Molar Extraction: Irrigation and Cooling with Water or Sterile Physiological Solution: A Double-Blind Randomized Study" Dentistry Journal 9, no. 4: 40. https://0-doi-org.brum.beds.ac.uk/10.3390/dj9040040

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