Int J Dent Hyg. 2022 Jan 28. doi: 10.1111/idh.12582. Online ahead of print.
ABSTRACT
AIM: The null hypothesis is that there is no difference in the post-operative anti-inflammatory efficacy of chlorhexidine (CHX), 2% saline rinses (SR) and a herbal mouthwash (MW) after non-surgical mechanical debridement (MD) for treatment of peri-implant mucositis (PiM). The aim was to compare the post-operative anti-inflammatory efficacy of CHX, 2% SR and a herbal oral rinse after non-surgical MD of PiM.
MATERIALS AND METHODS: The present randomized controlled trial had a single-blinded parallel arm design. Patients diagnosed with PiM were enrolled. Demographic information were recorded. All patients underwent MD and were randomly divided into 4 groups: CHX-group: 0.12% non-alcoholic CHX; Sodium chloride (NaCl) group: 2% NaCl rinses; Herbal MW group: Herbal-based MW; and H2 O group: distilled water with peppermint flavor. After MD, all participants were advised to rinse twice daily (every 12 hrs) for 2-weeks with their respective MWs. In all groups, peri-implant modified plaque index (mPI), modified gingival index (mGI), and probing depth (PD) were measured at baseline and at 12-weeks of follow-up. Sample-size was estimated using data from a pilot investigation; and group-comparisons were performed. Statistical significance was confirmed when P-values were below 0.01.
RESULTS: Sixty individuals (15 patients/group) were included. At baseline, mPI, mGI, and PD were comparable in all groups. At baseline, there was no significant difference in peri-implant mPI, mGI and PD in all groups. At 12-weeks’ follow-up, there was a statistically significant reduction in peri-implant mPI (P< 0.01), mGI (P< 0.01) and PD (P< 0.01) in CHX, NaCl and herbal MW groups compared with H2 O group. There was no significant relation between implant location, duration for which, implants were functional, gender and peri-implant clinical parameters in all groups.
CONCLUSION: After non-surgical MD, post-operative use of CHX and herbal and NaCl MWs is useful for the management of PiM in the short-term.
PMID:35090087 | DOI:10.1111/idh.12582
