Assessment of Incidence and Risk Factors of Dry Socket
Background: Alveolar osteitis (AO) is one of the extractions wound healing disorder. Most authors agree that surgical trauma and difficulty of surgery play a significant role in the development of AO. Hence, under the light of above-mentioned data, the present study was undertaken for assessing the incidence and risk factors of dry socket.
Materials & Methods: A total of 200 subjects scheduled to undergo dental extraction procedures under local anesthesia were included in the present study. Complete demographic and clinical details of all the patients were obtained. All the procedures were carried out under the hands of experienced surgeons. Follow-up was done and incidence of dry socket was recorded.
Results: Overall, incidence of dry socket in the present study was 17.5 percent. Positive tobacco smoking/chewing habit, Oral contraceptives, Female gender, Existing tooth/gum infection, Past history of dry socket, Traumatic extraction and Mandibular molar extraction were the risk factors in 62.85 %, 34.28 %, 71.42 %, 14.28 %, 25.71 %, 42.85 % and 54.28 % of the patients.
Conclusion: Dry socket is a commonly encountered phenomenon and can occur the under the hands of skilled and experienced oral surgeons also. Hence, early recognition is necessary.
2. Kolokythas Antonia, Olech Eliza, Miloro Michael. Alveolar osteitis: comprehensive review & controversies. Int J Dent. 2010;2010:249073.
3. Daly B, Sharif MO, Newton T, Jones K, Worthington HV. Local interventions for the management of alveolar osteitis (dry socket) Cochrane Database Syst Rev. 2012;12:CD006968.
4. Rood JP, Murgatroyd J. Metronidazole in the prevention of ’dry socket’ British Journal of Oral Surgery. 1979;17(1):62–70.
5. Butler DP, Sweet JB. Effect of lavage on the incidence of localized osteitis in mandibular third molar extraction sites. Oral Surgery Oral Medicine and Oral Pathology. 1977;44(1):14–20.
6. Krekmanov L, Hallander HO. Relationship between bacterial contamination and alveolitis after third molar surgery. International Journal of Oral Surgery. 1980;9(4):274–280.
7. Catellani JE. Review of factors contributing to dry socket through enhanced fibrinolysis. Journal of Oral Surgery. 1979;37(1):42–46
8. Haraji A, Motamedi MH, Rezvani F. Can flap design influence the incidence of alveolar osteitis following removal of impacted mandibular third molars? Gen Dent. 2010;58:e187–89.
9. Lilly GE, Osbon DB, Rael EM, Samuels HS, Jones JC. Alveolar osteitis associated with mandibular third molar extractions. J Am Dent Assoc. 1974 Apr; 88(4):802-6.
10. Larsen PE. Alveolar osteitis after surgical removal of impacted mandibular third molars. Identification of the patient at risk. Oral Surg Oral Med Oral Pathol. 1992 Apr; 73(4):393-7.
11. Alexander RE. Dental extraction wound management: a case against medicating postextraction sockets. J Oral Maxillofac Surg. 2000 May; 58(5):538-51.
12. Meechan, J, Macgregor, I, Rogers, S, Hobson, R, Bate, J, Dennison, M. The effect of smoking on immediate post-extraction socket filling with blood and on the incidence of painful socket. British J ournal of Oral Maxillofacial Surgery, 1988;26:402-9.
13. Al-Belasy, F. The relationship of "shisha" (water pipe) smoking to postextraction dry socket. Journal of Oral Maxillofacial Surgery, 2004;62:10-4.
14. Cryer, P, Haymond, M, Santiago, J, SD, S. Norepinephrine and epinephrine release and adrenergic mediation of smoking-associated hemodynamic and metabolic events. New England Journal of Medicine, 1976;295:573-7.
15. Sweet, J, Butler, D. The relationship of smoking to localized osteitis. Journal of Oral Surgery, 1979;37:732-5.
16. Mudali V, Mahomed O. Incidence and predisposing factors for dry socket following extraction of permanent teeth at a regional hospital in Kwa-Zulu Natal. S. Afr. dent. j. 2016; 71(4).
Copyright (c) 2022 Sudhir Kumar, Rohit Goyal, Sanjana Arora, Kumari Kusum
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.