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The Establishment of a Murine Mandibular Molar Extraction Socket Healing Model
Published on: January 13, 2023
The management of dry socket/alveolar osteitis
Denise C Bowe1, Seamus Rogers, Leo F A Stassen
1Dublin Dental School and Hospital, Dublin 2.
Journal of the Irish Dental Association
|February 18, 2012
Summary
Dry socket, a painful dental extraction complication, has many suggested treatments, but few are evidence-based. This review examines current management strategies and audit results to guide clinical practice.
Area of Science:
- Dentistry
- Oral Surgery
Background:
- Dry socket (alveolar osteitis) is a common and painful complication after dental extractions.
- Incidence varies from 3% for routine extractions to over 30% for impacted mandibular third molars.
Purpose of the Study:
- To review existing literature on dry socket prevention and management.
- To present audit results from Dublin Dental School and Hospital.
- To suggest evidence-based management strategies for dry socket.
Main Methods:
- Literature review on dry socket.
- Audit of current treatment modalities used at Dublin Dental School and Hospital.
- Analysis of empirical and evidence-based treatment suggestions.
Main Results:
- A wide range of treatments are currently employed, including chlorhexidine or saline rinses, and obtundant dressings.
- Chlorhexidine rinsing is common (74%), as is patient instruction for home rinsing (44%).
- Limited progress has been made in establishing definitive management conclusions over time.
Conclusions:
- Current dry socket treatments are largely empirical and lack strong evidence.
- Recommendations for management are based on the best available literature evidence.
- Further research is ongoing to establish firm conclusions for optimal dry socket care.
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