Alvogyl versus zinc oxide eugenol after saline irrigation as a treatment for alveolar osteitis

Abstract

Background: Alveolar osteitis is one of the most common post-odontectomy complications. An agreement is lacking regarding the relative merits of various treatment methods. Of these treatments were alvogyl and Zinc oxide eugenol after saline irrigation. Objectives:The aim of the current study therefore was to evaluate the efficacy of both agents. Methods: A total of 987 patients were categorized into 4 groups (I, II, III, and IV) according to pain severity (mild, moderate, severe, or agonizing, respectively). Each group was randomly divided into two subgroups according treatment method: Alvogyl (Alv) and Zinc oxide eugenol following saline irrigation (I+Z). Results: Although, Alv was palliative in group. I, I+Z was curative in group, I and palliative in group II. Both agents were ineffective otherwise. Conclusion:The author recommends I + Z over alv.

Curettage versus Zinc Oxide Eugenol as a Treatment Modality in Patients with Dry Socket

“…In regards with ZOE, the current study approves with other studies which accepted and even recommended ZOE for DS treatment [5][6][7][8][9] . On the other hand, despite curettage was a recommended treatment method by the current study and also other studies [10][11][12][13][14][15] , some authors considered curettage contraindicated [16][17][18] in a disagreement with the current study.…”

“…Despite DS has more than one manifestation, pain is the most important symptom but there is no general agreement about the efficacy of its treatment methods [2][3][4][5] . Despite (ZOE) is a very old treatment and is recommended by variant authors [5][6][7][8][9] . Taberner et al and others proposed the obtunding nature of the eugenol [2,[5][6][7][8] to be the cause of pain alleviation.…”

“…Despite (ZOE) is a very old treatment and is recommended by variant authors [5][6][7][8][9] . Taberner et al and others proposed the obtunding nature of the eugenol [2,[5][6][7][8] to be the cause of pain alleviation. This obtunding effect might issue from the protein denaturizing power of the eugenol as it reacts with the phospholipids layer in the neural membrane leading to marked reduction in its permeability and physical occlusion of the sodium channels.…”

“…Variant treatment methods were utilized to control the pain but with a great controversy about their efficacies [3][4][5] . Despite packing the extraction socket with a cotton impregnated with zinc oxide eugenol (ZOE) paste is recommended by variant authors [5][6][7][8][9] due to the obtunding effect of the eugenol [5][6][7][8] . Eugenol causes protein denaturation of the lipoprotein layer of the nerve membrane, which leads to prevention of the action potential initiation and propagation along the nerve leading to pain control [6,9] .…”