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Efficacy of different methods used for dry socket management: A systematic review
Maria Taberner-Vallverdú1, Mariam Nazir, M Ángeles Sánchez-Garcés
1Centro Médico Teknon, C/Vilana 12, 08022 Barcelona, Spain, cgay@ub.edu.
Medicina Oral, Patologia Oral Y Cirugia Bucal
|June 28, 2015
Summary
Dry socket, a common post-extraction complication, lacks a definitive treatment. This review suggests curettage and irrigation, alongside therapies like LLLT or PRGF, improve pain relief and healing.
Area of Science:
- Dentistry
- Oral Surgery
- Evidence-Based Medicine
Background:
- Dry socket (alveolar osteitis) is a frequent complication after tooth extraction.
- Despite its high incidence, established treatment protocols are lacking.
Purpose of the Study:
- To evaluate the efficacy of various dry socket management techniques.
- To compare pain relief and mucosal healing outcomes against conventional curettage and irrigation.
Main Methods:
- Systematic literature search of Cochrane and PubMed-MEDLINE (2004-2014).
- Inclusion criteria: clinical studies, ≥10 patients, English language.
- Exclusion criteria: case reports, non-human studies.
Main Results:
- 8 studies (3 prospective, 2 retrospective, 3 clinical trials) were included from 627 initial publications.
- Heterogeneity of interventions and outcome measures limited direct comparison.
- LLLT, zinc oxide eugenol, and PRGF showed promising results in pain reduction and healing.
Conclusions:
- Conventional curettage and irrigation remain essential for dry socket management.
- Adjunctive therapies like LLLT, zinc oxide eugenol, and PRGF demonstrate superior pain relief and mucosal healing.
- Further research should consider alveolar bone exposure for better treatment assessment.
