Local anaesthesia and dry socket. A clinical investigation of single extractions in male patients

Meechan, J G; Venchard, G.R.; Rogers, Simon N.; Hobson, Ross; Prior, Ian A.; Tavares, Carlos Alberto Estevanell; Melnicenko, S.

doi:10.1016/s0901-5027(87)80148-0

Cited by 18 publications

(6 citation statements)

References 18 publications

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“…Many factors contribute to the occurrence of dry socket. For example: low experience level of operator [2, 6] preoperative infection [10, 11], sex [10, 12], site of extraction [6, 12], use of oral contraceptives [13], smoking [14], and use of local anesthetics with vasoconstrictor [15]. The incidence of dry socket can be reduced through the use of antibiotics [16,17], antifibrinolytic agents [18], mouthwashes [19-21], steroids [22] and intra-alveolar medicaments [7].…”

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confidence: 99%

Dry Socket: Frequency, Clinical Picture, and Risk Factors in a Palestinian Dental Teaching Center

Younis

Hantash²

2011

TODENTJ

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Aims: The objectives of this study were to find out the frequency, clinical picture, and risk factors of dry socket at the Dental Teaching Center of Al-Quds University in Palestine.Methods and Materials: Two previously used questionnaires were accomplished in this study over a one year period. The first questionnaire was completed for every patient who had one or more permanent teeth extracted in the Dental Surgery Clinic. The other one was completed for every patient suffered a postoperative pain and was diagnosed with dry socket.Results: There were 1305 dental extractions performed in 805 patients. The overall frequency of dry socket was 3.2%. The incidence of dry socket following non-surgical extractions was 1.7% while it was 15% following surgical extractions (P< 0.005). The incidence of dry socket was significantly higher in smokers (12%) than in non-smokers (4%) (P < 0.005), however, there is a strong association between the amount of smoking and the incidence of dry socket (P < 0.002). The incidence of dry socket was significantly higher in the single extraction cases (13%) than in the multiple extraction cases (5%) (P = 0.005). Age, sex, medical history, extraction site, amount of local anesthesia and experience of operator play no role in the occurrence of dry socket.Conclusion: Smoking, surgical trauma and single extractions are considered predisposing factors in the occurrence of dry socket. On the other hand, factors like: age, sex, medical history, extraction site, amount of anesthesia, and operator experience have no effect on the observation of dry socket.

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confidence: 99%

Dry Socket: Frequency, Clinical Picture, and Risk Factors in a Palestinian Dental Teaching Center

Younis

Hantash²

2011

TODENTJ

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“…A compromised blood supply, sclerotic bone, or profound vasoconstriction with regional anaesthesia may predispose to dry socket. 15,16 In our study, a previous history of dry socket was an important factor in determining whether a patient returned with pain. This agrees with work by Berge and Boe, 17 which indicated that as yet unidentified intrinsic factors influenced post operative healing.…”

Section: Bacteria Play No Part In the Development Of Dry Socketmentioning

confidence: 72%

The prevention of 'dry socket' with topical metronidazole in general dental practice

Reekie¹,

Downes

Devlin

et al. 2006

Br Dent J

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Objective The purpose of the study was to determine if the intra-alveolar application of topical metronidazole gel could reduce the incidence of alveolar osteitis (dry socket) following routine tooth extraction in molar and premolar extraction sites. Design This was a multicentre, double blind, randomised, placebocontrolled clinical trial. A total of 302 patients took part, of which 23 returned with alveolar osteitis. Of these, eight had received the metronidazole gel and 15 the placebo. Setting The study was carried out in three general dental practices by general dental practitioners working in England over the period [2000][2001][2002][2003]. Main outcome measures Following extraction of either a molar or premolar tooth, either a 25% metronidazole gel or KY Jelly was syringed gently into the socket. A painful post operative complication was recorded if either a dry socket was present or the patient returned with pain. Results and conclusions The difference in the incidence of alveolar osteitis between the placebo and the active gel groups was not significant and it was concluded that 25% topical metronidazole gel was not effective in reducing the incidence of alveolar osteitis. It was found that the incidence of alveolar osteitis reduced with increasing age and was more likely to occur in a patient with a previous history of the condition.

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“…In patients which develop dry socket, bacterial theory is based on the existence of the high presence of bacteria ,before and after tooth extraction, versus a less bacterial environment in other patients who do not develop dry socket [9]. This theory supports the occurrence of higher incidence of dry socket in patients with poor oral hygiene more [10], or in those with pericoronitis or simultaneous periodontal disease [11].…”

Section: Introductionmentioning

confidence: 98%

Impact of Local Application of Clindamycin in Preventing Dry Socket after Third Mandibular Molar Extraction

Hamiti¹,

Agani²,

Shtino³

et al. 2014

OJST

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Extraction of third mandibular tooth is one of the most commonly performed surgical procedures in oral surgery. One of the most common complications following the extraction of third mandibular molar teeth is dry socket (alveolar osteitis). Dry socket is the delayed healing of the wound of the alveolar bone after dental extractions. The purpose of this study was to determine if the intra-alveolar application of Clindamycin could reduce the incidence of dry socket following the extraction of third mandibular molar tooth. Patients who qualified for the prospective, randomized, double-masked, placebo-controlled trial were randomly divided into 2 groups, each group 30 patients. The first group (30 patients) included smokers and the second group (30 patients) included non smokers. Both groups had the mandibular third molar extracted in both sides at the same time. In total, 120 third molars were extracted. The left site was a study group in which we applied the clindamycin and the right site was a control group. The patients were also divided by gender. Dry socket occurred in 3.3% of cases for patients whom were given Clindamycin, regardless of their smoking habits, as opposed to 31.7% for those who did not receive the antibiotic. Results clearly showed that Clindamycin had a huge impact on reducing dry socket regardless of smoking habits.

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Local anaesthesia and dry socket. A clinical investigation of single extractions in male patients

Cited by 18 publications

References 18 publications

Dry Socket: Frequency, Clinical Picture, and Risk Factors in a Palestinian Dental Teaching Center

Dry Socket: Frequency, Clinical Picture, and Risk Factors in a Palestinian Dental Teaching Center

The prevention of 'dry socket' with topical metronidazole in general dental practice

Impact of Local Application of Clindamycin in Preventing Dry Socket after Third Mandibular Molar Extraction

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