Assessment of the effectiveness of low level laser in the treatment of alveolar osteitis

Jovanović, Goran; Burić, Nikola; Krunić, Nebojša; Tijanić, Miloš; Stojanović, Simona

doi:10.2298/vsp1106506j

Cited by 19 publications

(18 citation statements)

References 24 publications

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“…La terapia con láser ha ganado reconocimiento al mostrar que estimula el metabolismo celular, la microcirculación y producir un efecto analgésico, anti edematoso y anti inflamatorio 51,52 . Esta ha mostrado resultados beneficiosos al acelerar el proceso de curación de heridas en pacientes diabéticos 53 .…”

Section: Laserterapiaunclassified

Alveolitis seca: una revisión de la literatura

Vergara‐Buenaventura

2014

Revista Española de Cirugía Oral y Maxilofacial

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información del artículo Historia del artículo: Recibido el 17 de febrero de 2014 Aceptado el 11 de abril de 2014 On-line el 23 de octubre de 2014 Palabras clave: Alvéolo seco Alveolagia Osteítis alveolar r e s u m e nLa alveolitis seca es la complicación posoperatoria más frecuente como resultado de la alteración en la cicatrización de la herida alveolar después de una extracción dental. El manejo de esta afección tiene por objetivo el control del dolor durante el periodo de curación del cuadro, lo cual se logra fundamentalmente mediante medidas paliativas.El objetivo de esta revisión de la literatura es obtener suficiente información sobre las causas y otros factores que podrían estar involucrados en esta complicación postoperatoria, así como las opciones de tratamiento que existen actualmente. a b s t r a c tDry socket is the most common postoperative complication, due to problems in alveolar wound healing after tooth extraction. The management of this condition aims to control pain during the healing period, and is mainly achieved with palliative drugs.The aim of this literature review is to obtain sufficient information on the causes and any other factors that could be involved in this post-operative complication, as well as the currently available treatment options. IntroducciónLa alveolitis seca es la complicación postoperatoria más frecuente después de una extracción dental 1 , con una frecuencia de aparición comúnmente entre el 1 al 5% 2,3 , aunque existen reportes de hasta un incidencia del 70% 4 de los pacientes en la práctica dental. Se ha aceptado que la alveolitis tiene una etiología multifactorial (sistémica y local) 5 , lo que a su Correo electrónico: avergarab@outlook.com vez ha producido que se enumeren diferentes opciones de tratamiento 6 . Actualmente el manejo de la alveolitis está enfocado a aliviar la sintomatología que refiere el paciente, mediante el uso de agentes paliativos, enjuagues 7 e incluso fármacos. Sin embargo, hasta el momento no existe un consenso establecido para su manejo, pues su exacta patogénesis ha sido aún poco estudiada 8,9 .

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Section: Laserterapiaunclassified

Alveolitis seca: una revisión de la literatura

Vergara‐Buenaventura

2014

Revista Española de Cirugía Oral y Maxilofacial

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“…The management of dry socket is varied34567891112131415, and strategies have varying rate of success19101112131415. Kaya et al11 showed use of alvogyl, Salicept patch, low laser therapy, and curettage with irrigation in dry sockets of 104 patients divided into four groups.…”

Section: Discussionmentioning

confidence: 99%

“…The published literature shows a disparity in interventions and type of measurement scale, and the published results are difficult to compare31. From the published data, it is not possible to draw any clear conclusions on treatment protocol1112131415252627282930313233. Each institution has adopted a different protocol and therefore, despite the many studies and publications, additional investigations are required to establish the best method to treat dry socket313233343536.…”

Section: Discussionmentioning

confidence: 99%

“…Management of dry socket was initially with anti-bacterial agents458, lavage, anti-fibrinolytic agents, steroidal anti-inflammatory agents, obtundents, and clot supportive agents139101112. The concept of dry socket management is changing toward alternative interventions including plasma rich growth factors, low level laser therapy1112, and other treatments such as the use of honey.…”

Section: Introductionmentioning

confidence: 99%

“…The concept of dry socket management is changing toward alternative interventions including plasma rich growth factors, low level laser therapy1112, and other treatments such as the use of honey. However, none of these modalities have proven 100% successful for prevention or for treatment1.…”

Section: Introductionmentioning

confidence: 99%

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Platelet rich fibrin in the management of established dry socket

Chakravarthi

2017

J Korean Assoc Oral Maxillofac Surg

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ObjectivesDry socket may occur secondary to the removal of any tooth. However, most dry socket cases develop in the third molar region. Dry socket is multifactorial in nature and has been treated using various modalities with varying success rates. This study assessed the efficacy of platelet rich fibrin (PRF) in established dry socket.Materials and MethodsTen patients of either sex aged from 41 to 64 years with established dry socket according to established criteria were treated using PRF. Evaluation was performed by observing the reduction of pain using visual analogue scale, analgesic tablet use over the follow-up period, and healing parameters.ResultsPain was reduced on the first day in all patients with decreased analgesic use. Pain was drastically reduced during follow-up on the first, second, third, and seventh days with a fall in pain score of 0 to 1 after the first day alone. The pain scores of all patients decreased to 1 by the first day except in one patient, and the scores decreased to 0 in all patients after 48 hours. Total analgesic intake ranged from 2 to 6 tablets (aceclofenac 100 mg per tablet) over the follow-up period of 7 days. Healing was satisfactory in all patients by the end of the seventh day.ConclusionPRF showed early pain reduction in established dry socket with minimal analgesic intake. No patients had allergic reactions to PRF as it is derived from the patient's own blood. PRF showed good wound healing. Our study suggests that PRF should be considered as a treatment modality for established dry socket.

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Local interventions for the management of alveolar osteitis (dry socket)

Daly

Sharif

Newton³

et al. 2012

Cochrane Database of Systematic Reviews

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Most tooth extractions are undertaken by dentists for a variety of reasons, however, all but three studies included in the present review included participants undergoing extraction of third molars, most of which were undertaken by oral surgeons. There is some evidence that rinsing with chlorhexidine (0.12% and 0.2%) or placing chlorhexidine gel (0.2%) in the sockets of extracted teeth, provides a benefit in preventing dry socket. There was insufficient evidence to determine the effects of the other 10 preventative interventions each evaluated in single studies. There was insufficient evidence to determine the effects of any of the interventions to treat dry socket. The present review found some evidence for the association of minor adverse reactions with use of 0.12%, 0.2% and 2% chlorhexidine mouthrinses, though most studies were not designed to detect the presence of hypersensitivity reactions to mouthwash as part of the study protocol. No adverse events were reported in relation to the use of 0.2% chlorhexidine gel placed directly into a socket (though previous allergy to chlorhexidine was an exclusion criterion in these trials). In view of recent reports in the UK of two cases of serious adverse events associated with irrigation of dry socket with chlorhexidine mouthrinse, it is recommended that all members of the dental team prescribing chlorhexidine products are aware of the potential for both minor and serious adverse side effects.

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Assessment of the effectiveness of low level laser in the treatment of alveolar osteitis

Abstract: This study suggested that the reduction of pain was more pronounced in the patients with alveolar osteitis whose extraction wounds were subjected to low level laser radiation in comparison to those in which extraction wounds were treated with zinc oxide eugenol paste.

Cited by 19 publications

References 24 publications

Alveolitis seca: una revisión de la literatura

Alveolitis seca: una revisión de la literatura

Platelet rich fibrin in the management of established dry socket

Local interventions for the management of alveolar osteitis (dry socket)

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