Factors Affecting Incidence of Dry Socket: A Prospective Community-Based Study

Prevention of Localized Osteitis in Mandibular Third-Molar Sites Using Platelet-Rich Fibrin

“…Localized osteitis is also called alveolar osteitis, alveolitis sicca dolorosa, septic socket, necrotic socket, localized osteomyelitis, and fibrinolytic alveolitis among other terms to describe this phenomenon [2]. When this condition occurs, it is characterized as postoperative pain surrounding the alveolus that increases in severity during a period of 1–3 days after tooth extraction, followed by partial or complete loss of the initial blood clot in the interior of the alveolus (socket) with or without halitosis [1, 3, 4].…”

“…Prevention of LO has been studied over the years and the exact etiology remains elusive but has been associated with trauma during extraction, local anesthetics with vasoconstrictors, oral contraceptive use, gender, patient age, tooth location, smoking, physical dislodgement of the clot, bacterial infection, eruption pattern timing of tooth removal, and operator skill [2, 7, 8]. Preventative treatments have ranged from altered surgical technique, systemic antibiotic use, antimicrobial rinses, socket lavage, to medicaments placed within the socket at the time of surgery (Gelfoam saturated with Cleocin, Gelfoam with Tetracycline, Tetracycline alone, Terra-Cortril on Gelfoam, Chlorhexidine rinses or gel, thorough saline irrigation, use of calcium sulfate and use of activated platelet rich plasma) [2, 7, 9–13]. The application of PRF use within oral and maxillofacial surgery was first described by Dr. Joseph Choukroun, who used a centrifuge to develop a platelet-rich fibrin clot from autogenous whole blood [14].…”

Treatment of Dry Socket With Platelet-Rich Fibrin

“…[1] There are many different names of dry socket -alveolitis sicca, dry socket, alveolitis sicca dolorosa, alveolar osteitis, local osteitis, fibrinolytic osteitis, septic socket, etc. [2,3] Dry socket is a postoperative complication that is defined as postoperative pain in the extraction wound with increasing intensity from the first to the third day after the extraction. The process occurs with the partial or total destruction of the blood clot with or without halitosis and with or without affecting the surrounding tissues.…”

“…[9] The causes of dry socket may be different: traumatic extraction, age, sex, smoking, contraceptive use, high concentration anesthetic, intraligamentary anesthesia, localization of the tooth, etc. [2,3,4,10] Prevention and treatment of dry socket includes changes in the surgical technique, use of antibiotics, mouth rinsing with antimicrobial agents before the extraction, socket lavage, placement of different medications in the socket, etc. [3,11,12] Initially in France clinicians recommend using of PRF following tooth extraction to accelerate healing, reduce postoperative pain and to prevent dry socket.…”

“…[2,3,4,10] Prevention and treatment of dry socket includes changes in the surgical technique, use of antibiotics, mouth rinsing with antimicrobial agents before the extraction, socket lavage, placement of different medications in the socket, etc. [3,11,12] Initially in France clinicians recommend using of PRF following tooth extraction to accelerate healing, reduce postoperative pain and to prevent dry socket. [13] Recently, many authors reported very good results, when using PRF, for prevention of dry socket after removing lower third molars.…”