Use of chlorhexidine 0.2% gel to prevent alveolar osteitis in mandibular third molar surgical extraction.

  • Shuja Hamid Bhittai Dental & Medical College, Mirpurkhas.
  • Mahwish Memon Institute of Dentistry, LUMHS, Jamshoro.
  • Raza Ali Sir Syed College of Medical Sciences Karachi.
  • Salman Shams LUMHS.
Keywords: 0.2% Chlorohexidine Gel, Alveolar Osteitis, Efficacy, Intra Alveolar, Mandibular Third Molar, Surgical Extraction


Objectives: To evaluate the efficacy of 0.2% chlorhexidine gel placed intra alveolar in the prevention of alveolar osteitis after the surgical extraction of mandibular third molar. Study Design: Randomized Control trial. Setting: Department of Oral and Maxillofacial Surgery, LUMHS, Jamshoro/Hyderabad. Period: January 2016 to July 2016. Material & Methods: This study consisted of 40 patients in control group A and 40 patients of Chlorohexidine gel group B used after surgical extraction. A single dose of 0.2% bio-adhesive gel was introduced in group B while the control group A was left alone. Postoperative complications like pain, swelling, limited mouth opening, and dry socket were seen. Frequency and percentages were calculated. Mean +/- SD were calculated for quantitative variables. Results: On 3rd day patients reported with pain in group A were 24 and in group B were 15. Pain was seen in 4 patients (10%) on 15th day in group A while in group B no patient came with pain. 19 patients reported with dry socket on day 3 in group A and 4 patients in group B, While none of the patient encountered with Dry socket on 15th day in group in both groups. Conclusion: The data presented indicates that the bio-adhesive gel containing 0.2% chlorohexidine, applied post-extraction produced a better patient recovery.

Author Biographies

Shuja Hamid, Bhittai Dental & Medical College, Mirpurkhas.

Bds, MSC

Lecturer Oral & Maxillofacial Surgery

Mahwish Memon, Institute of Dentistry, LUMHS, Jamshoro.


Assistant Professor

Operative Dentistry

Raza Ali, Sir Syed College of Medical Sciences Karachi.

BDS, Msc

Senior Registrar Oral Medicine

Salman Shams, LUMHS.

Bds, Msc (OMFS)


Oral & Maxillofacial Surgery