Incidence of Dry Socket After Third Molar Extraction

M.D.Ashok Kumar et al /J. Pharm. Sci. & Res. Vol.
7(7), 2015, 451-452
Incidence of Dry Socket after Third Molar Extraction

M.D.Ashok Kumar, S.Gheena,
Saveetha Dental College & Hospitals,Chennai
Abstract:
Aim: The aim of the study is to evaluate incidence of dry socket following extraction of third molars.
Objective: Information regarding the type and time period of extraction, interval between presentation, management given,
and its outcome will be retrieved and analyzed to study the incidence of dry socket after third molar extraction.
Background: One of the most common postoperative complications following the extraction of third molar is a condition
known as dry socket. Although the etiology of dry socket is debated, it is probably multi-factorial, and its pathogenesis
remains unknown.
Reason: To understand about the percentage of Incidence of dry sockets in both male and female patients with both maxillary
and mandibular third molar extraction.
INTRODUCTION: by the clinical procedures and the patient was recalled and
The aim of the current study was to evaluate the incidence reviewed.
of dry socket in South Indian population in a hospital The following table shows the number of male and female
between a time period of four months. The common patients who have undergone their third molar extraction in
postoperative complications following the extraction of our hospital and their tooth numbers.
third molar is a condition known as dry socket. It is
characterized by severe pain starting usually on the second 18 28 38 48
or third day postoperatively. Although the etiology of dry Male 35 42 76 47
socket is debated, it is probably multifactorial, and its Female 51 41 72 80
pathogenesis remains Unknown. Some of the factors
include vasoconstriction activity of the local anesthetic Inference:
agents, imbalance of vitamin levels, contraceptive pills, Hence, Out of 420 patients, only one female patient was
smoking, age and gender, and trauma.The reason was to found with an incidence of dry socket in the tooth 48
understand about the percentage of Incidence of dry between the time period between January 2015 and April
sockets in both male and female patients with both 2015.
maxillary and mandibular third molar extraction.
DISCUSSION:
MATERIALSANDMETHODS: A dry socket is a painful, foul smelling postoperative
420 patients with a total of 444 extractions entered this condition that develops during the course of the first
study. Extractions to remove the third molar teeth between several days after a tooth extraction. An equivalent term for
January 2015 and March 2015 were included in this study. a dry socket is "alveolar osteitis." Dry sockets occur when
This study was done at Saveetha dental college and either an adequate blood clot has failed to form in the
hospital, Chennai, India. Records of total number of extracted tooth's socket or else the blood clot that did form
patients were studied who underwent extraction of third has been dislodged and lost.
molar for various reasons. There were both male patients Since the formation of a blood clot is an important part of
and female patients. Information regarding indications for the healing process, the healing of the extraction site is
extraction, extracted tooth status, interval between disrupted and delayed.The term "dry socket" comes from
presentation, management given, and its outcome were the appearance of the wound. Since no blood clot is
retrieved and analyzed. present, exposed bare bone is visible.[2]
A dry socket's symptoms typically include:
RESULT: A dull, often throbbing, pain that doesn't first appear until
Out of the the total number of extraction done in our three or four days after the tooth has been extracted.The
hospital, only one female patient was found with an pain can be moderate to quite severe.The socket typically
incidence of this dry socket in 48. has a foul odor or taste coming from it.
The case report is as follows, Although there are risk factors that may predispose a dental
Name: Vijayalakshmi patient to the formation of a dry socket, knowing who will
Age/sex: 31/F actually develop one is totally unpredictable.
She reported with a chief complaint of pain in her lower Dentists typically advise their patients that after having a
right back tooth region of the jaw for a week. tooth pulled they should, Place firm biting pressure on the
The past history was that her 48 was extracted a week gauze packing that has been placed over their extraction
before she reported, in a private clinic. site for the next 30 to (preferably) 60 minutes.Doing so will
The diagnosis, Incidence of a dry socket in 48 was found, help to insure that a proper blood clot has a chance to form
and the treatment objective was to manage the dry socket in their tooth's empty socket.
451
M.D.Ashok Kumar et al /J. Pharm. Sci. & Res. Vol. 7(7), 2015, 451-452
Once a clot has formed, a patient must be careful not to CONCLUSION:

disrupt it. To aid in this goal, during the first 24 hours after Through this study we conclude the incidence of dry socket
their surgery they should ... in third molars is very less compared to many other studies
● Avoid vigorous rinsing or spitting. done in various clinics.
● Refrain from creating negative-pressure situations such
as sucking on a straw or drawing in on a cigarette. REFERENCES:
● Avoid alcohol and tobacco use in general. 1. GE, Osborn DB, Rael EM, Samuels HS, Jones JC. Alveolar osteitis
associated with mandibular third molar extractions. J Am Dent
● Minimize physical activities and exercise. Assoc. 1974;88:802-6.
● Avoid hot liquids such as coffee and soup. 2. Krogh HW: Incidence of dry socket. J Am Dent Assoc.
● Each of the factors above place the blood clot at risk. 1937;24:1829.
They should be avoided.[1] 3. Field EA, Speechley JA, Rotter E, Scott J. Dry socket incidence
compared after a 12-year interval. Br J Oral Maxillofacial Surgery..
Studies have shown that smokers are significantly more 1985;23: 419-27.
likely to get a dry socket as compared to those who don't. 4. H. Momeni, S. Shahnaseri, and Z. Hamzeheil, “Evaluation of
The sucking action created when a person smokes may relative distribution and risk factors in patients with dry socket
dislodge or otherwise disrupt the blood clot that has formed referring to Yazd dental clinics,” Dental Research Journal,vol.8,
supplement 1, pp. S84–S87, 2011.
in their tooth's socket.The carbon monoxide that enters a 5. Nig Q J Hosp Med. 2007 Oct-Dec;17(4):126-30.Ogunlewe MO1,
person's bloodstream when they smoke limits the amount Adeyemo WL, Ladeinde AL, Taiwo OA.Department of Oral and
of oxygen that can be carried to (and therefore is available Maxillofacial Surgery, College of Medicine, University of Lagos,
for) their extraction site's healing tissues.Nicotine creates Lagos, Nigeria.
systemic effects that interfere with the normal healing
process. (Like vasoconstriction, which reduces blood flow
to tissues.)At a local level, tobacco smoke may damage or
be toxic to tissue cells.[3]
Women who take birth control pills may be at greater risk
for getting dry sockets.
This factor, however, may have been more of an issue in
previous decades when oral contraceptives contained a
larger dosing of estrogen.The correlation between oral
contraceptives and dry sockets may be due to fibrinolysis
activity triggered by estrogen (this process leads to blood
clot disintegration).It's possible (but still debated) that
women as a group are more likely to experience dry sockets
than men. If they are, one reason could be related to the use
of oral contraceptives.[4]
According to one of the abstract[6] referred,
Their result was,
Thirty-one teeth (5.6%) of a total of 554 teeth extracted
during the period of the study developed dry socket. The
mean age (SD) of the 27 patients who developed dry socket
was 32.2 +/- 13.0 years, (m; f ratio of 1: 4.4). Most (44.5%)
of the patients who presented with dry socket were in the
3rd decade of life, with more than half (59%) of them
presenting on the 3rdday following extraction. Mandibular
and maxillary teeth were equally affected. Molars and
premolars were exclusively affected. Difficulty of
extraction was significantly associated with the
development of dry socket.
But according to modern trends and recent strategy in our
college only one patient was found to be developed with
dry socket out of the 444 extractions taken in our study.
452

Incidence of Dry Socket After Third Molar Extraction

Uploaded by

Copyright:

Available Formats

Incidence of Dry Socket After Third Molar Extraction

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Incidence of Dry Socket After Third Molar Extraction

Uploaded by

Copyright:

Available Formats

M.D.Ashok Kumar et al /J. Pharm. Sci. & Res. Vol.

7(7), 2015, 451-452

Incidence of Dry Socket after Third Molar Extraction

Once a clot has formed, a patient must be careful not to CONCLUSION:

You might also like