A Clinical Association of Dry Socket and Postoperative Pain with Typhoid fever as Risk Factor

Abstract

Aims: To identify the clinical picture and the association between dry socket and severe postoperative development with one of the systemic risk factors (typhoid fever). Materials and Methods: Twenty adult (both sexes) patients attended dental clinic searching for different dental treatments were studied. The clinical picture of 6 months period study was evaluated by completing two case sheet forms. They were diagnosed having dry sockets and severe postoperative pain. Blood samples were taken for bacteriological, serological and hematological study to diagnose typhoid fever. These tests included WAT, WFT, WBCs and blood culture. Results: Significant correlation existed between postoperative pain and typhoid fever examined by BC and the highest percentage was with dry socket (61.5%) followed by WFT (57.1%(, WAT (44.4%) using two tests for diagnosis showed that WFT and BC gave 97.9% positive for dry socket and Kappa test was 88%, while WAT and WBCs or WFT and WAT gave the least non significant correlation. Conclusion: There was a strong correlation between dry socket and typhoid fever and the most sensitive tests for diagnosis was BC followed by WFT, WBCs and WAT.