Dental Implants and Mouth Rinse

Comparison of the Effect of the Preoperative Use of Chlorhexidine, Essential Oil, and Cetylpyridinium Chloride Mouthwashes on Bacterial Contamination During Dental Implant Placement: A Randomized Controlled Clinical Trial

The primary aim of this study is to evaluate and compare the efficacy of a 60 second rinse with chlorhexidine, essential oil-based mouthwash, cetylpyridinium chloride mouthwash, or saline solution on bacterial contamination in the buccal vestibule when used preoperatively using the real-time Polymerase Chain Reaction (qPCR).

We hypothesize that preoperative rinse with chlorhexidine mouthwash will result in greater reduction of bacterial counts than with essential oil-based, cetylpyridinium chloride, or saline mouthwashes.

The secondary aim of this study is to evaluate the effect of the tested mouthwashes in reducing the bacterial counts over time.

We hypothesize that preoperative rinse with chlorhexidine mouthwash will result in a reduction of bacterial counts for longer duration than with essential oil-based, cetylpyridinium chloride, or saline mouthwashes.

Inclusion Criteria:

• Patient who is treatment planned for dental implant placement and qualifies for dental implant placement according to the standards of care in the Department of Periodontology at Tufts University School of Dental Medicine.
• Aged 18 years and above.
• Partially edentulous.

Exclusion Criteria:

• Antibiotic therapy within 2 weeks of the study.
• Active infection in the oral cavity.
• Known allergy to any of the agents used in the study.
• Self-reported pregnancy (as the surgical procedure of dental implant placement is elective and typically deferred until after the delivery).
• Fully edentulous.
• Patient with severe periodontitis (Clinical attachment loss of 5mm or more in the majority of intraoral sites).
• Regular use of mouthwashes (once/day).