HOME - Clinical cases - Oral surgery
 
 
23 September 2022

Dry socket: better to prevent?

Simona Chirico


Dry socket is a common complications that develops after the extraction of a permanent tooth, and it is characterized by pain in and around the extraction site with a partial or total loss of a blood clot within the alveolar socket. It can occur in 3–4% of cases but this value may be extended to 45% with impacted tooth. The etiology of dry socket is multifactorial, but not completely clear. Density of the bone, vasoconstriction of the anesthetic agents, systemic conditions, smoking and difficulties related to the extraction are some of the conditions predisposing to dry socket.  Treatment choices are multiple but due to the condition of severe pain, prevention of dry socket is of primary importance. Different modalities have been investigated in attemp to prevent the incidence. 

Objectives:
in this systematic review the Authors aim to analyze the efficacy of different methods used in preventing dry socket.

Material and methods
A Cochrane and PubMed-MEDLINE database search was conducted with the prearranged search terms and among studies that included at least 30 patients published from 2005 to 2015. 

Results
24 publications were selected at the end: 9 prospective studies, 2 retrospective studies and 13 clinical trials. The reviewed articles analyzed three different methods for preventing dry socket: chlorhexidine, antibiotic therapy and platelet-rich plasma.

Conclusions
As regard chlorhexidine, ten articles included in this review didn’t come to any conclusive results about its efficacy in preventing dry socket. Platelet rich plasma reduce dry socket development instead antibiotics do not have a preventive effect on postoperative complications. Risk factors for developing dry socket should be carefully considered by the clinician when carrying out the procedure.




For additional information: Efficacy of different methods used for dry socket prevention and risk factor analysis: A systematic review


Related articles

In a grand finale to an already record-breaking year, Viper Partners, the leading dealmaker in the dental industry, successfully closed three major oral surgery deals in the final week of 2023.


Ridge Oral Surgery has completed a major milestone as it celebrates its first-year anniversary.


U.S. Oral Surgery Management (USOSM) has partnered with eight new partner practices in seven states: California, Colorado, Oregon, Michigan, Mississippi, South Carolina, and Texas.


This scoping review and analysis were designed to assess the amount of time spent delivering photobiomodulation light therapy after dental extraction to improve postoperative pain and wound healing.


Butch Marino tapped as the new chief executive officer

Butch Marino is an entrepreneurial and relational executive with over three decades of health care experience, including corporate development and senior leadership within multi-state, multi-location...


Read more

At UF Health, we bridge discoveries with clinical care, leading to new advances that offer hope and healing for our patients and their loved ones.


Specialist business property adviser Christie & Co has announced the promotion of Joel Mannix to the esteemed position of head of dental for the UK.


Intiveo, patient engagement software designed to empower dental practices to enhance the patient experience, has announced the launch of Intiveo Connect, a feature designed to enhance communication...


Straine Dental Management (SDM) announced a significant expansion into Florida with the affiliation of both Myers Pediatric Dentistry & Orthodontics practices in Middleburg and Jacksonville, led...


ZimVie announced management will participate in the upcoming 23rd Annual Needham Virtual Healthcare Conference.


 
 
 
 

 
 
 
 

Most popular

 
 

Events