Evidence supporting the use of: Lactobacillus rhamnosus
For the health condition: Oral Surgery

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Synopsis

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

Lactobacillus rhamnosus is a probiotic bacterium that has garnered scientific interest for its potential role in supporting oral health, particularly in the context of oral surgery. Several randomized controlled trials and systematic reviews have investigated its efficacy in reducing postoperative complications such as infection, inflammation, and delayed healing, as well as its impact on oral microbiota balance.

The rationale for using L. rhamnosus after oral surgery is based on its ability to inhibit pathogenic bacteria, modulate immune responses, and promote a healthy microbial environment in the oral cavity. Studies have shown that administration of L. rhamnosus can decrease the prevalence of periodontal pathogens, reduce levels of inflammatory markers, and improve clinical outcomes such as wound healing and reduction in postoperative pain and swelling. For instance, some clinical trials demonstrated that patients receiving L. rhamnosus post-extraction or after periodontal surgery experienced less alveolar osteitis (dry socket) and fewer postoperative infections compared to controls.

However, while the evidence is promising, it is not yet definitive. The quality and size of studies vary, and more large-scale, high-quality randomized controlled trials are needed to confirm these findings and to establish standardized dosages and administration protocols. Overall, the use of L. rhamnosus in oral surgery is supported by a moderate level of scientific evidence, justifying its consideration as an adjunctive therapy in clinical practice.

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