The Prevention and Management of Dry Socket: Do Antibiotics Have a Role to Play?

Wates, Emma; Ria, B.

doi:10.1308/205016815815944696

Cited by 5 publications

(5 citation statements)

References 11 publications

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“…The cause of dry socket is believed to be multifactorial, and satisfactory explanations of its causes were provided by Birn6 and Nitzan13. The contributions of Actinomyces viscosus and Treponema denticola to dry socket have been reported in previous studies1113, leading to the extended use of antibiotic mouthwashes, intra-socket medicaments and various pharmacological agents415, mostly in vain.…”

Section: Discussionmentioning

confidence: 98%

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Is treatment with platelet-rich fibrin better than zinc oxide eugenol in cases of established dry socket for controlling pain, reducing inflammation, and improving wound healing?

Paul

Choudhury²,

Kumari

et al. 2019

J Korean Assoc Oral Maxillofac Surg

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Objectives To appraise the effectiveness of platelet-rich fibrin (PRF) in the management of established dry socket in terms of pain, inflammation, and wound healing. Materials and Methods Two hundred patients with established alveolar osteitis were studied to determine the efficacy of PRF and zinc oxide eugenol (ZOE) for pain control, inflammation reduction, and wound healing. Patients were randomly allocated to Group A (PRF) or Group B (ZOE). Patients were examined on the 1st, 3rd, 7th, and 14th postoperative day and evaluated for pain using visual analogue scale scores, inflammation with a gingival index score, and wound healing through a determination of the number of bony walls exposed. Results Group A showed better results in terms of pain remission, control of inflammation, and wound healing compared to Group B. Results between groups were statistically significant ( P <0.05). Conclusion PRF is a better alternative than ZOE for the effective management of alveolar osteitis.

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Section: Discussionmentioning

confidence: 98%

“…Dry socket is of great concern to dentists worldwide. Various etiologies have been described in the contemporary literature711121314 regarding management and prevention of this condition4151617.…”

Section: Introductionmentioning

confidence: 99%

Is treatment with platelet-rich fibrin better than zinc oxide eugenol in cases of established dry socket for controlling pain, reducing inflammation, and improving wound healing?

Paul

Choudhury²,

Kumari

et al. 2019

J Korean Assoc Oral Maxillofac Surg

View full text Add to dashboard Cite

show abstract

“…This can be used to improve wound healing. [9][10][11][12][13] The primary aim of AO management is pain control until initiation of normal healing, and in the vast majority, local measures alone are satisfactory but in some cases, systemic analgesics or antibiotics may be necessary. Treatment of AO includes modifications in the surgical technique, use of antibiotics, mouth rinsing with antimicrobial agents, placement of different medications in the socket, etc.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Efficacy of Platelet-Rich Fibrin (PRF) versus Alvogyl and Zinc Oxide and Eugenol (ZOE) packing in the Management of Alveolar Osteitis: A prospective randomized clinical study

Rashed

Elsharkawy

Zaied

2019

Egyptian Dental Journal

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Purpose: The purpose of this research was to compare the effectiveness of platelet rich fibrin (PRF), alvogyl and zinc oxide/ eugenol (ZOE) intra-alveolar dressings for pain relief and socket healing (Epithelialization) in dry socket management and to study relevant epidemiological features. Patients and methods: A total of 45 patients with alveolar osteitis were randomly divided into three groups; Group (A) patients received PRF, Group (B) patients received Alvogyl and Group (C) patients received ZOE dressing. All the patients were evaluated for Pain (VAS), degree of inflammation, healthy granulation tissue formation and number of exposed socket walls (socket epithelialization) at 1 st , 3 rd , 7 th , and 14 th post-operative day. Results: Group A (PRF) showed better and faster socket healing than Group B and C. However, symptomatic pain relief was faster in Group B (Alvogyl) than in Group A and C. Conclusion: PRF in this study illustrates the promising results to be used effectively as the suitable dressing material in the management of alveolar osteitis. PRF treated cases showed a shorter time required for complete and fast clinical healing.

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“…alveolar osteitis (AO) was defined by Blum 4 as "The presence of postoperative pain in and around the site of extraction which increases in severity between 1 and 3 days after the extraction, accompanied by a partially or totally disintegrated blood clot within the alveolar socket, with or without halitosis. [5][6][7][8] Exact etiology of AO is not fully clarified, but the fibrinolysis of the the blood clot as a result of bacterial invasion is the most common cause. It has been theorized that traumatic extraction or the presence of a bacterial infection hastens the release of plasminogen tissue activators resulting in the plasmin induction of fibrinolysis that disintegrates blood clot leading to alveolar osteitis.…”

Section: Introductionmentioning

confidence: 99%

A comparative Prospective Clinical Study of Efficacy of Platelet-Rich Fibrin (PRF) and Chlorhexidine Gel for Wound Healing Enhancement and Prevention of Alveolar Osteitis

Rashed

2019

Egyptian Dental Journal

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Objective: The purpose of this research was to compare the effectiveness of intra-alveolar platelet rich fibrin (PRF) and chlorhexidine gel for pain relief and quality of socket healing (Epithelialization) with prevention of dry socket after the surgical removal of impacted third molars.Patients and methods: A total of 30 patients (17 males and 13 females; with a mean age of 30 years). who required extraction of impacted third molars were randomly divided into three groups: PRF group ; PRF were placed in the extraction sockets ,chlorhexidine CHX gel 0.2% group ; 1 ml CHX were placed in the extraction sockets and control group, while the sockets remained empty. All the patients were evaluated for Pain (VAS), degree of inflammation, healthy granulation tissue formation and number of exposed socket walls (socket epithelialization) , dry socket incidence and maximum interincisal mouth opening MIO at 1 st , 3 rd and 7 th , post-operative day.Results: In the PRF group, a significantly less pain was recorded in the third and seventh postoperative days (P = 0.003, 0.04) respectively. Group (PRF) showed better soft tissue and socket healing than chlorhexidine gel and control groups but non-significant difference was observed. PRF reduced the incidence of alveolar osteitis. . Conclusion:PRF in this study illustrates the promising results to be used effectively in the prevention of alveolar osteitis. PRF treated cases showed better response to postoperative pain, better clinical socket healing with reduction of inflammation and more improvement of maximum interincisal mouth opening MIO than chlorhexidine gel 0.2% after the removal of third molars.

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The Prevention and Management of Dry Socket: Do Antibiotics Have a Role to Play?

Cited by 5 publications

References 11 publications

Is treatment with platelet-rich fibrin better than zinc oxide eugenol in cases of established dry socket for controlling pain, reducing inflammation, and improving wound healing?

Is treatment with platelet-rich fibrin better than zinc oxide eugenol in cases of established dry socket for controlling pain, reducing inflammation, and improving wound healing?

Evaluation of Efficacy of Platelet-Rich Fibrin (PRF) versus Alvogyl and Zinc Oxide and Eugenol (ZOE) packing in the Management of Alveolar Osteitis: A prospective randomized clinical study

A comparative Prospective Clinical Study of Efficacy of Platelet-Rich Fibrin (PRF) and Chlorhexidine Gel for Wound Healing Enhancement and Prevention of Alveolar Osteitis

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