Oral Surgery · single question

A patient with oral mucositis is currently rinsing with chlorhexidine. What is the recommended change?

  1. Switch to a povidone-iodine rinse
  2. Increase chlorhexidine to four times daily
  3. Discontinue all rinses
  4. Add an alcohol-containing antiseptic rinse
Show answer and explanation

Correct answer: A. Switch to a povidone-iodine rinse

  • A. Correct. Alcohol-based chlorhexidine burns already-ulcerated mucosa and has not shown benefit in mucositis. Povidone-iodine provides antisepsis with better tolerability on denuded tissue.
  • B. Increasing frequency intensifies the burning and staining without improving mucositis outcomes.
  • C. Antimicrobial rinsing still has a role — the issue is choosing an agent the ulcerated tissue tolerates.
  • D. Alcohol is directly irritating to ulcerated mucosa and is contraindicated.

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