Asian Journal of Dental Sciences

Comparative Efficacy of Warm Water-Only and Warm Saline Mouth Bath in Oral Wound Healing

Arthur Nwashindi *

Oral and Maxillofacial Surgery Unit, Department of Dental Surgery, University of Uyo Teaching Hospital, Uyo, Nigeria.

*Author to whom correspondence should be addressed.

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Abstract

Aim: The management of oral wounds is aimed at ensuring fast and efficient healing while preventing secondary infections. Warm water and warm saline mouth baths are commonly used for oral wound management, but the comparative efficacy of these two options remains unclear. The aim of the study is to compare the effectiveness of warm saline rinse and warm water-only mouth rinse on the occurrence of infection after dental procedures in a tertiary care hospital.

Study Design: A prospective study conducted in the Oral and Maxillofacial unit of the Dental Department at the University of Uyo Teaching Hospital, Uyo. from 2020 to 2023.

Methodology: The study sample was 96 patients with clinically diagnosed pericoronitis who required excision of the operculum and relieved them of the acute problem. They were randomly assigned to Group 1 and Group 2 of 48 each. Group 1 were operculectomy cases managed post-operatively with a warm saline mouth bath while Group 2 comprised operculectomy cases treated with warm water without salt. Comparison of data was done using Pearson’s Chi-square, Fisher’s exact, or Mann–Whitney U-tests, as applicable. Statistical significance was set at P ₌ 0.05.

Results: Mean age of study group was 32 ± 10.66. The overall number of female patients (n = 32) was less than that of male patients (n = 64). The most satisfactory wound healing was found among males on the Asepsis score. Wound healing after day 5 and 7 with higher percentage of satisfactory wound healing in both groups. There was no significant difference in healing for both groups of patients who used warm saline and only warm water mouth rinse.

Conclusion: Warm water-only mouthwashes and warm saline mouthwashes are equally helpful in the healing of oral wounds. However, because saline has antibacterial, antiseptic, and anti-inflammatory qualities, using it to treat oral wounds may have additional advantages. As a result, the use of warm saline mouthwashes may be thought of as a favored alternative in the care of oral wounds. However, warm water only can be useful in known hypertensive patients where the use of salt may be contraindicated.

Keywords: Warm water, saline, mouth rinse, healing

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References

Swanson AE. Prevention of dry socket: an overview. Oral Surg Oral Med Oral Pathol. 1990 Aug;70(2):131.

Adegbayi Adeola Adekunle, Uchenna Patrick Egbunah, Olufemi Akinwunmi Erinoso, Wasiu Lanre Adeyemo. Effective-ness of warm saline mouth bath in preventing alveolar osteitis: A systematic review and meta-analysis. Journal of Cranio-Maxillofacial Surgery. 2021;49(10):980-988. Available:https://doi.org/10.1016/j.jcms.2021.09.001.

Matthews R. Hot salt water mouth baths. Br Dent J. 2003;195:3. Available:https://doi.org/10.1038/sj.bdj.4810318

Delilbasi C, Saracoglu U, Keskin A. Effects of 0.2% chlorhexidine gluconate and amoxicillin plus clavulanic acid on the prevention of alveolar osteitis following mandibular third molar extractions. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002 Sep;94(3):301-304.

Bloomer CR. Alveolar osteitis prevention by immediate placement of medicated packing. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2000 Sep;90(3):282-284

Schatz JP, Fiore-Donno G, Henning G. Fibrinolytic alveolitis and its prevention. Int J Oral Maxillofac Surg. 1987 Apr;16(2): 175-183.

Bergdahl M, Hedström L. Metronidazole for the prevention of dry socket after removal of partially impacted mandibular third molar: A randomised controlled trial. Br J Oral Maxillofac Surg. 2004 Dec;42(6):555-558.

Wilson AP, Webster A, Gruneberg RN, Treasure T, Sturridge MF. Repeatability of asepsis wound scoring method. Lancet. 1986;1:1208-9.

Osunde OD, Anyanechi CE, Bassey GO. Prevention of alveolar osteitis after third molar surgery: A comparative study of the effect of warm saline and chlorhexidine mouth rinses. Niger J Clin Pract. 2017 Apr;20(4):470-473

Ashcroft GS, Ashworth JJ. Potential role of estrogens in wound healing. Am J Clin Dermatol. 2003;4:737-743

Yumiba T, Ito T, Ikushima H, et al. Effect of mucosal suture on the healing of mucosal defect in laparoscopic intragastric surgery. Gastric Cancer. 2003;6:96-99.

Lopez R, Fernandez O, Jara G, Baelum V. Epidemiology of necrotizing ulcerative gingival lesions in adolescents. J Periodontal Res. 2002;37:439-444.

Conrad SM, Blakey GH, Shugars DA, Marciani RD, Phillips C, White RP Jr. Patients’ perception of recovery after third molar surgery. J Oral Maxillofac Surg. 1999;57:1288-1294.

Phillips C, White RP Jr, Shugars DA, Zhou X. Risk factors associated with prolonged recovery and delayed healing after third molar surgery. J Oral Maxillofac Surg. 2003;61:1436-1448.

Benediktsdottir IS, Wenzel A, Petersen JK, Hintze H. Mandibular third molar removal: risk indicators for extended operation time, postoperative pain, and complications. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004;97: 438-446

Ashcroft GS, Mills SJ. Androgen receptor-mediated inhibition of cutaneous wound healing. J Clin Invest. 2002;110:615-624.

Christopher G, Engeland Jos A Bosch, John T Cacioppo, Phillip T Marucha. Mucosal wound healing. The Role of Age and Sex Arch Surg. 2006;141:1193-1197.

Larsen PE. Alveolar osteitis after surgical removal of impacted mandibular third molars. Identification of the patient at risk. Oral Surg Oral Med Oral Pathol. 1992 Apr;73(4):393-397.

Naik C, Dany SS, Satpathy AK. Efficacy of Warm Saline and Chlorhexidine Mouth Rinses in the Prevention of Alveolar Osteitis after Third Molar Surgery: A Comparative Study. Int J Oral Care Res. 2017;5(4):270-2.