2011, Number 6
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Rev ADM 2011; 68 (6)
Treatment alternatives for alveolar osteítis (Dry socket) and a review of the literature
Morales TB
Language: Spanish
References: 32
Page: 278-282
PDF size: 151.22 Kb.
ABSTRACT
Alveolar osteitis (AO), also known as dry socket,
is the most common postoperative complication
following the surgical removal of a third molar
or any other tooth. The patient experiences pain,
for which conventional anesthetics provide no
relief. Managing AO, and the associated pain
in particular, is key to solving this problem. A
range of procedures have been used to help
resolve this issue, some of the most notable
of which include the administration of Alvogyl,
eugenol, analgesics, anti-inflammatories,
iodoform, and topical anesthetics.
Objective. The aim of this review is to study
the pathophysiology of AO, and the how AO is
currently treated and managed at Universidad
la Salle Bajío University.
Conclusions. The aim of this review is to study
the pathophysiology of AO, and the how AO is
currently treated and managed at Universidad
la Salle Bajío university.
Curettage and scraping of the alveolar bone
is not recommended due to the intense pain
that results and because there is no guarantee
that the new blood clot will remain in the
desired spot. Antiseptic mouthwashes, such as
Chlorhexidine, used prior to and following any
extraction have been shown to be very effective
in preventing and treating alveolar osteitis.
Filling the socket with a zinc oxide and eugenol
compress combined with a topical anesthetic
seems to be a good alternative treatment
for patients.
REFERENCES
1.- Crawford JY. Dry Socket. Dental Comos 1896;38:929-931
2.- Charles RB, Abilene T, Alveolar osteitis by immediate placement of medicated parking. Oral Sur Oral Med Oral Pathol 2000;90:282-284
3.- Gôksel SK, Gûnay Y, Zeynep S, Comparison of Alvogyl, Salicep Patch, and Low-Level Laser Therapy in the mangement of alveolar osteitis. J Oral Maxillofac Surg 2011; 69:1571-1577
4.- Corey CB, James AG, Sarah ER, Adam PS, Daniel ML, The efficacy of a topical anestehesic gel in the relief of pain associated with localizad alveolar osteitis. J Oral Maxillofac Surg 2010;68:144-148
5- Schow SR, Evaluation of postoperative localizad osteitis in mandibular third molar surgery. Oral Surg Oral Med Oral Pathol 1974;38:352-358.
6.- Catellani JE, Harvey S, Erickson SH, Cherkin D. Effect of oral contraceptive cycle on dry socket (localized alveolar osteitis). J Am Dent Assoc 1980; 101:77-780
7.- Larsen PE, Alveolar osteitis after surgical removal of impacted mandibular third molars. Oral Sur Oral Med Oral Pathol 1992; 73:393-397
8.- Nitzan DW, On the genesis of “Dry Socket”. J Oral Maxillofac Surg 1983;41:706-710
9.- Catellani JE, Review factors contributing to dry socket through enhanced fibrinolysis. J Oral Surg 1979; 37:42-45
10- Lehner T, Analysis one hundred cases of dry socket. Dent Practice Rec 1958;8:275
11.- Birn H, Bacteria and fibrynolitic activity in dry socket. Acta Odont Scand 1970;287-73
12.- Larsen PE, The effect of a clorhexidine rinse on the incidence of alveolar osteitis following the surgical removal of impacted mandibular third molars. J Oral Maxillofac Surg 1991;49:932-937
13.- Morales TB, Osteitis alveolar (alveòlo seco) después de la remoción quirúrgica de terceros molares inferiores impactados. Revista ADM 2010;6:285-290
14.- Summers L, Matz LR, Extraction wound sockets. Histological changes and paste packs-a trial. British Dental Journal 1976;141:377- 379.
15.- Syrjanen SM, Sryjanen KJ, Influence of alvogyl on the healing of extraction wound in man. International Journal of Oral Surgery 1979;8:22-30.
16.- Loy LJ, Hungerford RW, Nelsomn WJ, McKercher TC. Prevention of dry socket with local application of Terra-Cortril in Gelfoam. J Oral Maxillofac Surg 1982;40:285-286.
Crawford JY. Dry Socket. Dental Comos 1896;38:929-931
Charles RB, Abilene T, Alveolar osteitis by immediate placement of medicated parking. Oral Sur Oral Med Oral Pathol 2000;90:282-284
Gôksel SK, Gûnay Y, Zeynep S, Comparison of Alvogyl, Salicep Patch, and Low-Level Laser Therapy in the mangement of alveolar osteitis. J Oral Maxillofac Surg 2011; 69:1571-1577
Corey CB, James AG, Sarah ER, Adam PS, Daniel ML, The efficacy of a topical anestehesic gel in the relief of pain associated with localizad alveolar osteitis. J Oral Maxillofac Surg 2010;68:144-148
Schow SR, Evaluation of postoperative localizad osteitis in mandibular third molar surgery. Oral Surg Oral Med Oral Pathol 1974;38:352-358.
Catellani JE, Harvey S, Erickson SH, Cherkin D. Effect of oral contraceptive cycle on dry socket (localized alveolar osteitis). J Am Dent Assoc 1980; 101:77-780
Larsen PE, Alveolar osteitis after surgical removal of impacted mandibular third molars. Oral Sur Oral Med Oral Pathol 1992; 73:393-397
Nitzan DW, On the genesis of “Dry Socket”. J Oral Maxillofac Surg 1983;41:706-710
Catellani JE, Review factors contributing to dry socket through enhanced fibrinolysis. J Oral Surg 1979; 37:42-45
Lehner T, Analysis one hundred cases of dry socket. Dent Practice Rec 1958;8:275
Birn H, Bacteria and fibrynolitic activity in dry socket. Acta Odont Scand 1970;287-73
Larsen PE, The effect of a clorhexidine rinse on the incidence of alveolar osteitis following the surgical removal of impacted mandibular third molars. J Oral Maxillofac Surg 1991;49:932-937
Morales TB, Osteitis alveolar (alveòlo seco) después de la remoción quirúrgica de terceros molares inferiores impactados. Revista ADM 2010;6:285-290
Summers L, Matz LR, Extraction wound sockets. Histological changes and paste packs-a trial. British Dental Journal 1976;141:377- 379.
Syrjanen SM, Sryjanen KJ, Influence of alvogyl on the healing of extraction wound in man. International Journal of Oral Surgery 1979;8:22-30.
Loy LJ, Hungerford RW, Nelsomn WJ, McKercher TC. Prevention of dry socket with local application of Terra-Cortril in Gelfoam. J Oral Maxillofac Surg 1982;40:285-286.