Year : 2018

Volume : Volume 8

Issue : Issue 2

Address for correspondence :
Dr. Kanwaldeep Singh Soodan.
dr.kanwal@rediffmail.com

Abstract

Background:  Polyvinylpyrrolidone-iodine (PVP-I) irrigation is a simple and inexpensive solution with the potential to reduce surgical site infection the aim of this study was to evaluate the effect of Polyvinylpyrrolidoneiodine (PVP-I) 2% as an antioedematous agent in mandibular third molar surgery. Materials and Methods: A single blind randomized control trial was carried out on 50 healthy outpatients requiring surgical removal of Mandibular third molars under local anesthesia. The patients were divided into 2 groups (n= 25), the treatment and control group. The treatment group patients were irrigated with PVP-I 2% (w/v) during bone guttering and tooth sectioning. The control group patients were irrigated with saline (sodium chloride 0.9% w/v) only. Procedures exceeding more than 1 hour were excluded from study. Using Pederson difficulty index, patients with moderately difficulty index were chosen. Parameters for swelling were recorded preoperatively, on first, second and seventh postoperative days. The data were statistically analyzed using SPSS (version 22.0) software. Results: T-tests was applied for swelling and found more increase in swelling in saline group that was highly significant for change from preoperative to day 2 (p=.005) and from preoperative to day 7 (p-value<.001). Mean for Pederson index for both groups was found out to be same (P=1). Conclusion: PVP-I 2% significantly reduced swelling as compared to saline suggesting that it acts as an antioedematous agent in mandibular third molar surgery.

Keywords: Povidone iodine, anti-oedematous, sodium chloride, third molar surgery.