Paper Information

Journal:   JOURNAL OF GUILAN UNIVERSITY OF MEDICAL SCIENCES   SUMMER 2007 , Volume 16 , Number 62; Page(s) 20 To 25.
 
Paper:  INCIDENCE RATE OF DRY SOCKET FOLLOWING DENTAL EXTRACTION
 
Author(s):  KADKHODAEI M.H.*, ASADI ATA ELAH
 
* 
 
Abstract: 

Introduction: Dry Socket (Alveolitis Sicca Dolorosa, ASD, Alveolar osteitis) is a common complication after removal of teeth, particularly after operations on mandibular third Molars. The incidence is from a few percent to 68% depending on which teeth were removed and the relative difficulty and upon the integrity of tooth Socket.
Dry socket is usually due to difficulty in tooth extraction or because of lack of blood clot hit manifest with pain 3-4 days thereafter.
Objective: Survey the incidence Rate of dry socket on patients who presented to the private clinic using local anesthetics.
Materials and Methods: This is a descriptive and prospective study which 1486 patients who had referred to private clinic were studied from April 2001 – March 2004, 2363 teeth were extracted in routine method by local anesthetics.
Age, gender, the number of teeth, the type of tooth, and the cause of dental extraction, the length of time for extraction and damage that had caused to the tissues were recorded. The patients were asked to report for any pain and other complaints by phone or return to the clinic for the necessary advice or treatment.
Results: 2363 extraction teeth were carried out among 1486 patients of whom 1020 patients had one tooth extracted and 466 patients had more than one under local anesthesia over a three year period. Of 1020 patients who had single extraction only 34 dry sockets were seen (3.3%), and among 466 patients who had multiple extractions, 35 dry sockets were diagnosed (2.6%). The incidence of dry socket is related to place of dental extraction in the lower jaw (4.7%) and in the upper (1.3%).
Only 69 dry sockets were diagnosed from 60 patients. The number of extraction teeth didn't produce dry socket.
Conclusion: It seems that the increase incidence of dry socket in women as compare with men is due to use of contraceptive pills and hormones, and it is also due to excess use of mouthwash after dental extraction.

 
Keyword(s): DRY SOCKET, MOLAR, MOLAR, THIRD, TOOTH EXTRACTION
 
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