Post-Operative Rinsing: Is Sugar Water Better Than Warm Salt Walter?

IMO, Bad idea, especially if there's any teeth.

I use salt, no idea about sugar. Salt by the reverse Osmosis help removing water not from the rebuilding cell but mainly from the inflamed tissue where water have been accumulated due to inflamation...that need a concentration greater than the physiologic concentration...Salt in water make a dissociation into sodium ion and cholrium ion which has an antiseptic effect...so i would prefer salt until further evidence on sugar... but in implant i use cholerixidine mainly....

You would actually have to be well over physiological sodium cholride concentrations to have the describe scenario. Normal serum NACL concentration is roughly 0.9%. Unless you are using more than a teaspoon per a glass (8oz), I doubt you have a seriously hypertonic solution. Should taste about like seawater and that is very close to physiological concentrations.

I usually recomend phys serum, and never encountered problems, sugar..... plaque would love that wouldnt it?

Use 50/50 perioxide and water. It oxegenates the tissues and they seem to heal better. This is imperical and not study based. Sugar is not good for a diabetic or some one on the verge. Also what about the remaining teeth if any.

Most studies and articles concentrate on the "expected" result, ignoring "side" issues like plaque, caries, etc. Particularly if it was in a surgical journal, they might only look at localized soft tissue response.

Ummmm, really? Can you post the literature source, I've never heard this and would love to read more

I would reccommed chlorihexidine post op. It can be used twice a day and will help reduce local bacterial load. In vitro studies demostrate possible fibroblast inhibition but this has not been substantiated clinically. Perio surgery healing seems to be enhanced especially in the smoker or immunocompromised. Saline rinses can sooth the tissue ,but could stimulate bacterial growth.

chlorhexidine stains teeth USE LISTERINE OR SALT WATER ONLY

The essential oil in listerine is bad for tissues. Periodontal healing is enhanced by the SUBSTANTIVITY of Chlx. Your patient's teeth may stain a bit if they use it quite a bit, I usually get around this by having them use a cotton swab. The stain is not permanent, and if your DA's have a coronal polish lic, they can polish the stain away in 5 minutes.

Hi, I use salt but concentration of salty water is important...ıt doesn't have osmotic effect if you prepare high concentration... after GTR procedure I dont recommend CHX or Listerine these are also harm effect the progenitor cells so for standard eudematous tissue sterile saline(Nacl) is best solution...

Salt water gargling to improve oral wound healing? No use. Sugar ..sorry again. Although it is very much in practice for a very very long time, it lacks scientific evidence. The roots of this therapy can be traced back to the one recommended in Throat infection where warm salt water helps to reduce the severity of congestion and make the individual more comfortable. In a randomized controlled trial done (published in JADA 2000-2001, not sure of the volume, but will get you that soon), they found no difference with addition of salt to water. The temperature of the water made no difference either. So evidence based dentistry has clearly proven that - Plain water is as good as any mixture of some different temperature. Thus one can comfortably put the theory of reverse osmosis to rest. The removal of debris from the wound area and due to rinsing with water and keeping it clean is the only thing that helps in oral wound healing.

Read Jorgen Slots' (USC perio dept.) articles on bleach rinses. A 20/1 ratio. Kills everything. Makes biologic sense. I cannot address implants specifically as relates to his articles, but we use this ratio at home as a twice daily regimen. You won't read about it anywhere because it costs nothing and therefore won't get any corporate traction. Sugar just sounds like a bad idea. If we are trying as dentists to fight bacteria, why would we want to feed them? We are trying to kill them. Even on implants.

The question is a very interesting one, especially since I know of a person with a large abdominal wound who was unable to receive grafts and was given up for terminal. Someone decided to cover the wound with sugar every day for a month and watched the wound completely heal itself with new skin growth! The therory behind that was that the bacteria love sugar and will move OUT of the host and affix themselves to the sugar that can be easly rinsed away and hence actually aid in minimizing the infection. Worth doing a study, don´t you think?

I seen to recall that large, avulsive wounds were treated in orthopedic clinics with a combination of sugar and betadine which promoted the formation of granulation tissue and sped up wound healing. Sugar has been used as a home remedy wound dressing, with the same results. When I was in dental school ('74-'78), one of the staff in Oral Diagnosis was an old German Stomatologist who recommended Karo Syrup for intraoral ulcers...and they seemed to heal in a hurry. Just food for thought.

I have suffered from sores in my mouth since I was a child. I was advised to use tinture of violet, as I recall, to help with the healing process, when I was a child. As you might expect the sight was not so appealing , as my teeth would turn purple , as well as my gums and tongue. These sores can be very painful and I cannot talk properly when I have a few at a time, which is a problem because I work as a receptionist in my husband's office. They can last up to 14 days...and in some cases longer. Years ago my dentist recommended a clear liquid that was a presciption , but cautioned me that it could cause a problem with my heart. Any ideas on how to treat these?

Mary- May I suggest a medicament called 'Debacterol' to treat your ulcers. It is sold by Henry Schein. It is a chemical solution that cauterizes and disinfects the ulcers. It goes on w/ a prefilled cotton tip applicator (one snaps the inner glass tube and the tip becomes saturated), it burns like heck initially ( and also smells quite bad) but all of my patients that have had it used on them are thrilled w/ the nearly immediate pain relief. Give it a try, I think you'll like it.

For oral ulcers aka canker sores etc, I have found that allowing a small amount of powdered alum cauterizes (yes it burns a bit) and numbs the sensitive tissue. I also seems to shrink the opening. I use a small amount on a flat toothpick and cake a tiny amount onto the dried sore. Let it dry on there then rinse the alum out. Avoid getting any on your tongue, it is very bitter. Usually it heals after one treatment, but always after two. The pain relief was better than anything CVS carries OTC. Alum can be bought in the spice area in your grocery store. It is used for making pickles!

I HAVE to respond to this! For over 30 years my daughter has had sores in her mouth BUT the solution is to take a high dose of B Complex. As a child she used B-50's but as a married mother she takes 100 B Complex or sometimes takes 2 of them and always before 2 pm or it will keep her awake at night. A Naturpath told us that way back when and it works every time but it takes about 2 months of daily use to build enough in the body to work. Also, hydrogen peroxide (yes, I mean that) on a Q-tip and hold on the sore will get rid of the pain almost immediately and by the next day the sore will be almost gone. No pain with that! AND IT WORKS. Try it! Do walnuts bother you? The naturpath said my daughter's system was too acidic and she can't take regular Vit C (powdered is okay) or have tomatos, pop with citric acid etc. But if she takes her B's she's fine. Those are in addition to whatever in a mutliple.

Karen, Thank you so much! I have the same problem. I can detect the most minor acid in foods. Without any existing oral tissue problems, it usually initiates mild inflammation and raw spots in my mouth develop with minutes or hours. I have only figured out the pH balance component in the last few years and now consume massive amounts of brewed herbal tea (not processed) to counter the oxidative damage. I also switched to Biotene toothpaste (no sodium laural sulfate = no foam, no stripping the oral lining). I have met only a handful of people who have this issue, and no, it's not an STD or other orally transmissible disease. It is, however, very difficult to explain to friends why I can't drink endless amounts of lemonade (or margaritas), fruit, or eat Italian and Mexican food with tomato-based sauces everyday, like they do. Finding appropriate recipes are very hard. How do you and your daughter manage besides excessive vitamin B and what other accommodations have you made to attempt a more normal life???? Thanks LBJD