جستجوی مقالات مرتبط با کلیدواژه "درای ساکت" در نشریات گروه "پزشکی"

Dry socket is one of the most common postoperative complications following the surgical extraction of the impacted third molar. In clinical observations, the tooth cavity is devoid of the blood clot and bone is completely exposed. The duration of surgery is one of the factors affecting the incidence of this lesion. Nonetheless, the assessment of the studies on the effect of increased length of surgical extraction of impacted third molars on the incidence of dry socket has not yielded accurate results. With this background in mind, the present study aimed to evaluate the correlation between the duration of surgical extraction of impacted third molars and the incidence of dry socket.

The current study was conducted on 227 patients within the age range of 17-30 years old referring to the oral and maxillofacial surgery department of Mashhad Dental School. The impacted difficulty score was considered 4-8 based on the Peterson reference. The amount of pain and incidence of the dry socket was evaluated in 2, 4, and 7 days after surgery.

The mean pain scores in the second, fourth, and seventh days after the surgery were measured at 4.72±1.08, 1.57±1.26, and 0.29±1.11, respectively, which indicated a significant difference in the severity of pain in different times (P<0.001).There was no incidence of dry socket on the second day after surgery; nonetheless, five cases of dry socket were observed on the fourth day and the same five cases on the seventh day after the operation (P=0.007). Moreover, the pain significantly increased on the second and seventh days after surgery with increasing the duration of surgery. Furthermore, with increasing the duration of surgery, the amount of pain increased significantly on the second and seventh days after surgery. However, it increased only to a very small amount on the fourth day and its correlation was not significant

As evidenced by the obtained results, the duration of the impacted mandibular third molar operation is associated with an increased risk of alveolar osteitis.

Backgrounds and Dry socket is a painful disabling condition almost following dental extractions. Given the high prevalence of this complication، many researchers have tried to find successful methods to prevent its occurrence. The purpose of this study is was to evaluate the effect of Gelatamp in prevention of dry socket. In this study 65 subjects with two impacted third molars in mandible were selected. Teeth were removed by conventional method and Gelatamp was inserted in one of the sockets randomly. All patients examined clinically four days after the surgery and obtained data were analyzed statistically. From total number of 57 subjects two subjects after Gelatamp application (22. 2 %) and seven subjects in the controls (77. 8 %) experienced dry socket. The difference between two groups was not significant (p = 0. 08). Gelatamp could be an effective strategy in the prevention of dry socket after mandibular impacted third molar removal.

Impacted third molar surgeries are common in dental settings. Post-operation complications including pain and dry socket are also common. Reducing these complications is one of the necessities in oral surgeries. Although a few studies have found prophylactic metronidazole as an effective means of preventing dry socket, in most of these studies interventional factors have not been controlled properly. Therefore, the present study was aimed at evaluating the effect of metronidazole on prevention of pain and dry socket after controlling the interventional factors. A clinical trial was conducted in double-blinded manner on 42 patients with two mandibular impacted third molars. In each subject, both third molar teeth in mandible were selected, one as control. In case group, metronidazole gel (25%) was placed in the socket after tooth extraction. All operations were carried out by one oral surgeon under same circumstances. Demographic data, and pain and dry socket were evaluated by clinical examination and completing questionnaires 4 days after surgery. The interval between two surgeries was at least one month. The data were statistically analyzed by SPSS and Fisher’s exact test. Four days following surgery, 3 subjects in the case group (3.6%) and 5 subjects in the control group (6%) experienced dry socket. There was no statistically significant difference between the cases and controls (P=0.72). Metronidazole gel (25%) placement in the socket is not efficient in reducing complications after surgical removal of third molars.