Evidence supporting the use of: Sodium Bicarbonate
For the health condition: Oral Surgery

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Synopsis

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

Sodium bicarbonate (NaHCO3), commonly known as baking soda, has established scientific support for its use in oral surgery and dental care, primarily as a component of mouth rinses. Its efficacy is based on its mild alkalinizing (buffering) properties, which help neutralize acids in the oral cavity, thereby creating a less favorable environment for acidogenic bacteria and reducing the risk of infection and dental caries. Clinical studies have demonstrated that sodium bicarbonate mouth rinses can assist in maintaining oral hygiene post-surgery by aiding plaque removal and neutralizing acidic by-products. Its use is especially valuable after oral surgical procedures when brushing may be uncomfortable or contraindicated. Additionally, sodium bicarbonate has mild antiseptic properties, helping to reduce microbial load and promote healing. The American Dental Association and several peer-reviewed studies support the recommendation of sodium bicarbonate rinses for post-operative care, particularly in cases involving mucositis, oral ulcers, or after procedures like tooth extraction. However, while its use is supported for symptomatic relief and oral environment management, it is not a substitute for antiseptic or antibiotic therapy where those are indicated. Overall, sodium bicarbonate’s use in oral surgery is underpinned by both its chemical properties and clinical data, though the evidence is moderate rather than robust, meriting a rating of 3 out of 5.

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