Alveolar osteitis associated with mandibular third molar extractions

Comparision Between Neocone, Alvogyl and Zinc Oxide Eugenol Packing for the Treatment of Dry Socket: A Double Blind Randomised Control Trial

“…Most surgical extractions in these studies were performed in patients who were in their 3rd and 4th decades. Surgical extractions are generally associated with higher incidence of dry socket [16,18]. Findings of the present study correlate well with the above.…”

“…According to Blum [3], MacGregor [15], Nusair and Abu Younis [16], Birn [17], Lilly et al [18], Sweet and Butler [19], Torres et al [20] and Ygge et al [21], this great variability in the reported incidence of dry socket may largely be due to differences in diagnostic criteria and methods of assessment [3], intra-operative and post-operative treatment [3], patient age [3], gender [15], surgical technique [17], smoking [19], medical status [18], operator experience [20], and use of oral contraceptives [21].…”

“…Lilly et al [18] and Torres et al [20] believe that certain diseases (e.g., diabetes, bronchial asthma, liver diseases) result in impairment of immune system of the body and increase the possibility of dry socket following tooth extraction. Results of the present study appear to support earlier reports, as the difference in incidence between patients with medical comorbidities and otherwise healthy individuals was markedly high.…”

Influence of immediate post-extraction socket irrigation on development of alveolar osteitis after mandibular third molar removal: a prospective split-mouth study, preliminary report

“…9 Among eight females in the study with DS, only two were on birthcontrol pills that might have contributed to their DS condition. The role of difficulty of extraction (level of impaction) in this study was based on about an equal division between partially and full bony impacted MTM extractions that developed dry sockets: four were full bony and five partial bone impactions.…”

“…7 In comparison, in a healthy post-extraction socket, a properly formed fibrin clot undergoes organisation, vascularisation and gradual replacement with bone through an osteoproliferation process. 8 Based on the literature, risk factors that contribute to the development of AO include the following local and systemic factors: gender (females on oral contraceptives have three times more risk of dry socket than those who are not); 9 age (25-30 years old and above carries a higher risk of dry socket); 10,11 traumatic extraction/ inexperienced surgeon; 1,7,12,13 smoking (on the day of surgery and within 24 hours postoperatively, due to an apparent suction that impedes a clot formation); 12,14 presence of pre-existing pericoronitis or pathology; 15,16 high pre-and postoperative bacterial counts (with emphasis on the overall oral hygiene at the time of extraction); 17 inadequate irrigation while using a motorised drill for an osteotomy for extraction of an impacted mandibular third molar); 8 immunocompromised status of a patient (systemic antibiotics, like metronidazole, is often advisable in these cases due to mostly anaerobic bacterial presence) 4,18 and others. Treatment strategies are varying.…”