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Dry Socket Prevalence and Risk Factors in Third Molar Extractions: A Prospective Observational Study
Parul Tandon1, Sushil Kumar Sahoo2, Liza Mohanty3
1Department of Oral and Maxillofacial Surgery, Saraswati Dental College & Research Centre, Lucknow, IND.
Cureus
|April 22, 2024
Summary
Dry socket (alveolar osteitis) affects over 40% of patients after third molar extraction. Smoking, poor oral hygiene, and surgical technique significantly increase dry socket risk, necessitating targeted interventions.
Area of Science:
- Oral Surgery
- Dental Public Health
Background:
- Dry socket (alveolar osteitis) is a common complication following third molar extraction.
- Understanding its prevalence and risk factors is crucial for improving patient outcomes.
Purpose of the Study:
- To determine the prevalence of dry sockets after third molar extraction.
- To identify significant risk factors and causes associated with dry socket development.
Main Methods:
- Prospective observational study with a 12-month follow-up.
- Included 238 participants aged 18-40 years undergoing third molar extraction.
- Data collected at baseline, intraoperatively, and postoperatively (48 hours, 1 week, 2 weeks); analyzed using descriptive statistics and logistic regression.
Main Results:
- Dry socket prevalence increased from 20.6% at 48 hours to 41.2% at two weeks.
- Significant risk factors identified: smoking (OR 6.41), poor oral hygiene (OR 9.53), and surgical technique (OR 3.27).
- Pain intensity decreased over the two-week follow-up period.
Conclusions:
- Smoking, poor oral hygiene, and surgical technique are significant risk factors for dry sockets post-third molar extraction.
- Preoperative counseling and targeted interventions are essential for mitigating dry socket development.
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