Dry socket prevention and treatment -How Is It Formed and How to Treat It

10 Jan

Dry Socket – How Is It Formed and How to Treat It “Dry socket” is the colloquial term for a rare complication from a wound caused by the extraction of a tooth. (The technical term is “alveolar osteitis.”) It is the result of a healing disturbance. The true cause is unknown, but certain habits, such as smoking or (for women) using hormonal contraceptives may increase a patient’s risk for dry socket. Also, women in general are more likely than men to develop dry socket, because estrogen tends to slow the healing process. Thus, dentists choose if possible to remove women’s teeth during the final week of the menstrual cycle, when the production of estrogen decreases. Older patients may also be at higher risk than younger ones. Location is another determining factor: The lower jaw sockets are more vulnerable than the upper ones; back teeth sockets (i.e. molars) more than front ones.
The greatest risk appears to involve lower wisdom teeth, especially if the tooth removed was an impacted one. And if a patient has had dry socket before, there is a great chance that he will have it again. The most common form of the disorder occurs within four to five days following the extraction, when the blood clot fails to be replaced by granulation tissue. Sometimes complications occur two weeks later, in which case scientists refer to the disorder as “suppurative osteitis;” it is characterized by discharges of pus from the socket. Later still, “necrotizing” osteitis may occur, in which case the inflammatory cells are accompanied by bony sequestrae near them. Signs and symptoms of alveolar osteitis include: pain in the affected socket (this disappears as the wound heals); bone visible when one looks down the socket; a bad odor; and reddened, inflamed gum tissue.
Dry socket has no “treatment” as such; the wound heals by itself. However, the pain can be decreased or minimized by rinsing the socket and applying a sedative dressing containing aspirin and some other ingredients. If you develop dry socket, the best thing to do is go back to your dentist to have this done. The dressing is changed regularly over a few days, depending on the particular requirements of the patient. Sometimes, the dentist also prescribes analgesics to treat the pain.In the long run, prevention is much less costly, with regard to both money and time, than treatment. Following a tooth extraction, follow any instructions from your dentist. He may give you a piece of gauze to bite down on for a certain period of time, so as to allow the blood clot to form properly. And avoid alcohol, tobacco, or hot liquids.

Dry socket prevention and treatment

Dry socket mandibular impacted wisdom teeth is a common complication after removal, the cause of dry socket and pathogenesis is not fully understood, many believe that trauma and infection as the main reason, the treatment principles of dry socket debridement, isolation from outside stimulation, promote the growth of granulation tissue, the author nearly two decades of 100 patients with the treatment of dry socket as follows:
I. Prevention of dry socket: According to the mandibular impacted wisdom teeth cause of dry socket, that the prevention of dry socket in addition to minimize the trauma outside the main hit from reduced extraction in order to maintain the presence of blood clots, promote blood circulation, to avoid foreign bodies extraction record , the wound tight stitching, to prevent infection.
II. Dry socket diagnostic criteria: A few days after tooth extraction pain, tooth extraction was within the record, next to the ear or the anterior temporal direction of diffusion, taking ordinary painkillers ineffective |, extraction create emptiness, be covered with a layer of corruption, putrefaction has a special odor, tooth record within the alveolar bone exposed, very sensitive, graze or cold stimulation can cause severe pain.
III. The treatment of dry socket: Debridement for treatment of dry socket is very important, in the mandibular block anesthesia to forceps small cotton ball dipped in 3% hydrogen peroxide wipe alveolar wall repeatedly, until the cotton ball to wipe out invasive tooth color is no longer dirty So far, the adhesion of corruption necrosis after thoroughly cleaned with normal saline extraction record, and then close with clove oil iodoform gauze packing.
IV. The discussion of dry socket: Clove oil has significant anti-inflammatory, analgesic and antiseptic effect, iodoform to corrosion, can promote the growth of granulation tissue, both isolated from external stimuli and to prevent food scraps into the record extraction, the teeth to prevent the destruction of blood clots in the wound, promote fibroblasts and capillaries from the surrounding healthy tissue grow outward, in the formation of granulation tissue within the tooth socket and healing the past, the reasons for poor treatment is to ignore the clove oil iodoform gauze packing method and unnecessarily frequent displacement gauze, I think: if debridement, tight after iodoform gauze packing clove oil, and maintain it does not fall off (if necessary, suture), the vast majority of dry socket the pain disappeared after one treatment or the basic disappeared, without dressing, 8 to 10 days out of the box, if eugenol iodoform gauze packing is not tight, not isolation from outside stimulation, tooth socket bone wall is exposed, then can not effectively relieve pain, tight iodoform gauze packing does not hinder the growth of granulation tissue into the wound drainage, on the contrary, eugenol iodoform gauze packing tight tooth dry socket can be created to promote early inflammation subsided and granulation tissue growth, eugenol iodoform gauze drawn convenient, effective, referral to reduce the number of topical and systemic administration to avoid adverse reactions caused by a variety of easy to operate, safe, no side effects in clinical practice to receive good treatment results.


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