Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Summary Review
  • Published:

Is saltwater mouth rinse as effective as chlorhexidine following periodontal surgery?

A Correction to this article was published on 25 March 2022

This article has been updated

Abstract

Design Randomised prospective double-blind study.

Case selection Thirty-seven chronic periodontitis patients were randomly prescribed either saltwater (n = 17) or chlorhexidine (n = 20) mouth rinse following open flap debridement. Gingival Index (GI), post-operative pain, mouth rinse satisfaction, matrix metalloproteinase activity and tasting were assessed at baseline, one week and 12 weeks.

Data analysis Inter-group and intra-group comparisons were done for all the parameters recorded at different time intervals using Friedman, Wilcoxon signed-rank and Mann-Whitney U tests. P value less than 0.05 was considered statistically significant.

Results There was a statistically significant decrease in GI from baseline to week 1/week 12 following surgery in both the groups. However, there was no significant difference between the groups at any time point.

Conclusions Saltwater rinses are as efficient as 0.12% chlorhexidine in reducing inflammation following minimal invasive periodontal surgery. Being an inexpensive and easily accessible option, it might be considered the mouth rinse of choice during the early stages of wound healing.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Similar content being viewed by others

Change history

References

  1. Solderer A, Kaufmann M, Hofer D, Wiedemeier D, Attin T, Schmidlin P R. Efficacy of chlorhexidine rinses after periodontal or implant surgery: a systematic review. Clin Oral Investig 2019; 23: 21-32.

  2. Santos G O, Milanesi F C, Greggianin B F, Fernandes M I, Oppermann R V, Weidlich P. Chlorhexidine with or without alcohol against biofilm formation: efficacy, adverse events and taste preference. Braz Oral Res 2017; DOI: 10.1590/1807-3107BOR-2017.vol31.0032.

  3. Coelho A S, Laranjo M, Gonçalves A C et al. Cytotoxic effects of a chlorhexidine mouthwash and of an enzymatic mouthwash on human gingival fibroblasts. Odontology 2020; 108: 260-270.

  4. Math M V, Balasubramaniam P. Water and Oral Hygiene. Indian J Nutr Diet 2008; 45: 388-391.

  5. Osunde O D, Adebola R A, Adeoye J B, Bassey G O. Comparative study of the effect of warm saline mouth rinse on complications after dental extractions. Int J Oral Maxillofac Surg 2014; 43: 649-653.

  6. Huynh N C, Everts V, Leethanakul C, Pavasant P, Ampornaramveth R S. Rinsing with saline promotes human gingival fibroblast wound healing in vitro. PLoS One 2016; DOI: 10.1371/journal.pone.0159843.

  7. Fomete B, Saheeb B D, Obiadazie A C. A prospective clinical evaluation of the effects of chlorhexidine, warm saline mouth washes and microbial growth on intraoral sutures. J Maxillofac Oral Surg 2015; 14: 448-453.

Download references

Acknowledgements

Shipra Gupta and Akanksha Jain contributed equally as first authors.

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Gupta, S., Jain, A. & Singla, M. Is saltwater mouth rinse as effective as chlorhexidine following periodontal surgery?. Evid Based Dent 22, 130–131 (2021). https://doi.org/10.1038/s41432-021-0227-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/s41432-021-0227-6

Search

Quick links