Authors :
Dr. Pradeep Jesudas Christopher; Dr. Harsh Buch; Dr. Apoorv Singh; Dr. Sathma Manikandan; Dr. Mohammad Afradh
Volume/Issue :
Volume 7 - 2022, Issue 11 - November
Google Scholar :
https://bit.ly/3IIfn9N
Scribd :
https://bit.ly/3TZBEpf
DOI :
https://doi.org/10.5281/zenodo.7359203
Abstract :
Following dental extractions, dry
socket/alveolar osteitis is a very crippling, excruciatingly
painful, but rather frequent condition. For all normal
extractions, its incidence is roughly 3%, but for impacted
mandibular third molars, it can be as high as 30%. In the
literature, a number of strategies for managing and
preventing this illness have been proposed. Most of these
recommendations are empirical and not supported by
data. Various conventional methods are used for
management of Alveolar osteitis like gels, rinse, and
medicated gauze. Use of novel methods can prove to be
more effective in treatment of Alveolar osteitis since it
provides local delivery of drug with sustained and
controlled release, low dose thus leading to reduced side
effects with a better patient compliance compared to
conventional methods.
Rinsing the socket with chlorhexidine (74% or
saline; placement of a non-resorbable obtundent dressing
(56%); and instruction in home chlorhexidine rinsing
(44%). This is one of the most researched topics in
dentistry, and it is currently being studied at the Dublin
Dental School and Hospital. Over the years, little progress
has been made in reaching firm conclusions about how to
best manage dry socket. Our recommendations are based
on a review of the literature, which we believe is the best
available evidence for guiding our clinical practice.
Following dental extractions, dry
socket/alveolar osteitis is a very crippling, excruciatingly
painful, but rather frequent condition. For all normal
extractions, its incidence is roughly 3%, but for impacted
mandibular third molars, it can be as high as 30%. In the
literature, a number of strategies for managing and
preventing this illness have been proposed. Most of these
recommendations are empirical and not supported by
data. Various conventional methods are used for
management of Alveolar osteitis like gels, rinse, and
medicated gauze. Use of novel methods can prove to be
more effective in treatment of Alveolar osteitis since it
provides local delivery of drug with sustained and
controlled release, low dose thus leading to reduced side
effects with a better patient compliance compared to
conventional methods.
Rinsing the socket with chlorhexidine (74% or
saline; placement of a non-resorbable obtundent dressing
(56%); and instruction in home chlorhexidine rinsing
(44%). This is one of the most researched topics in
dentistry, and it is currently being studied at the Dublin
Dental School and Hospital. Over the years, little progress
has been made in reaching firm conclusions about how to
best manage dry socket. Our recommendations are based
on a review of the literature, which we believe is the best
available evidence for guiding our clinical practice.
