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Case report: late complication of a dry socket treatment
Ramón Manuel Alemán Navas1, María Guadalupe Martínez Mendoza
1Department of Oral and Maxillofacial Surgery, Zacamil National Hospital, Evangelical University of El Salvador, San Salvador 00106-8000, El Salvador.
International Journal of Dentistry
|January 22, 2011
Summary
Dry socket treatments using intra-alveolar dressings can cause complications. A zinc-oxide eugenol paste dressing mimicked trigeminal neuralgia, leading to chronic osteomyelitis, which was resolved by surgical removal.
Area of Science:
- Dentistry
- Oral Surgery
- Pathology
Background:
- Intra-alveolar dressings are a common dental treatment for dry socket.
- Their use is controversial due to potential side effects like neuritis, foreign body reactions, and myospherulosis.
Observation:
- A case study involving a patient with a zinc-oxide eugenol paste intra-alveolar dressing is presented.
- The dressing mimicked trigeminal neuralgia for three years.
Findings:
- The dressing led to chronic osteomyelitis and a foreign body reaction in the right maxillary first molar alveolus.
- Successful management involved complete foreign body removal and surgical curettage.
Implications:
- This case highlights the potential for long-term complications from intra-alveolar dressings.
- Complete foreign body removal is crucial for managing such complications.
