Evidence supporting the use of: Probiotic (unspecified)
For the health condition: Oral Surgery

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Synopsis

Source of validity: Scientific
Rating (out of 5): 3

Probiotics have garnered scientific interest for their potential role in supporting oral health, particularly in the context of oral surgery. Several clinical studies and systematic reviews have evaluated the use of probiotics—usually strains of Lactobacillus and Bifidobacterium—in reducing postoperative complications such as infection, inflammation, and delayed healing following oral procedures. The proposed mechanisms include the inhibition of pathogenic bacteria, modulation of local immune responses, and enhancement of mucosal barrier function.

A number of randomized controlled trials have reported that adjunctive probiotic supplementation can reduce the incidence and severity of postoperative infections and may decrease the risk of alveolar osteitis ("dry socket") following tooth extractions. Probiotics have also been linked to reduced oral malodor and less plaque accumulation post-surgery. However, while these findings are promising, the quality of evidence varies. Meta-analyses often highlight heterogeneity in probiotic strains, dosages, and administration protocols, making it difficult to draw definitive conclusions.

Overall, the use of probiotics in the context of oral surgery is supported by moderate scientific evidence, with clinical guidelines in some regions cautiously endorsing their use as an adjunct—not a replacement—for standard prophylactic and therapeutic measures. More robust, large-scale studies are still needed to determine the most effective strains and administration regimens.

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