Evaluation of Alveolitis After Extraction

Abstract

The extraction socket fills with blood and thisblood turns into coagulate after the dental extraction. This coagulate comprise such mechanismsthat make a barrier against microorganisms andhelps wound healing. Alveolitis is a condition withsevere pain when a coagulation disorder occurs atthe extraction site and this results in inflammation.The aim of this study is to evaluate alveolitisclinically and prospectively, which is one of thepostoperative complications of tooth extraction.30 patients, diagnosed with alveolitis, wereincluded in this study among 3387 patients referredto the University of Ankara, Department of Oraland Maxillofacial Surgery between November2009-March 2010 for tooth extraction.The incidence of alveolitis was higher infemale patiens % 83.3 , between the ages of 18-45 %73.3 and at the mandibuler first molar region %70 . Traumatic extraction was marked significantly as an etiologic factor. Alveolitis was in adirect relation with age, gender, extraction site andtraumatic extraction

Keywords

• Alveolitis, extraction

EKSTRAKSİYON SONRASI GÖZLENEN ALVEOLİT OLGULARININ DEĞERLENDİRİLMESİ

Abstract

Diş çekiminin ardından çekim soketi kanladolar ve pıhtı oluşur. Kan pıhtısı ortama mikroorganizmaların girmesini önleyen bir dizi mekanizmayı da beraberinde işleve sokar ve yara bölgesininiyileşmesine yardımcı olur. Pıhtının oluşmadığı

Keywords

• Alveolit, ekstraksiyon.

References

1. Blum IR. Contemporary views on dry socket (alveolar osteitis): a clinical appraisal of standard- ization, etiopathogenesis and management: a critical review. Int J Oral Maxillofac Surg 2002; 31:309-17.
2. Neville BW, Damm DD, Ailen CM, Bouquot JE. Oral and Maxillofacial Pathology. W.B. Saunders Company, Philadelphia. 1995; p.119.
3. Alexander RE. Dental extraction wound management. A case against medicating postextrac- tion sockets. J Oral Maxillofac Surg 2000; 58:538- 51.
4. Bloomer CR. Alveolar osteitis prevention by immediate placement of medicated packing. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000; 90: 282-4.
5. Cheung LK, Chow LK, Tsang MH, Tung LK. An evaluation of complications following dental extractions using either sterile or clean gloves. Int J Oral Maxillofac Surg 2001; 30: 550-4.
6. Awang M.N. The aetiology of dry socket: a review. Int Dent J. 1989; 39: 236–40.
7. Alexander R.E. Dental extraction wound management: a case against medicating postextrac- tion sockets. J Oral Maxillofac Surg. 2000; 58: 538–51.
8. De Boer M.P. Complications after mandibu- lar third molar extraction. Quintessence Int 1995; 26: 779–84.

9. MacGregor AJ. Aetiology of dry socket: a clinical investigation. Br J Oral Surg 1968; 6: 49–58.
10. Güngörmüş M, Yıldırım G, Gürbüz G, Ertaş Ü. Alveolitisin görülme sıklığı (Klinik bir araştırma). Atatürk Üniv Diş Hek Fak Derg 2000; 10: 49-52.
11. Tuncay Ü. Alveolitis ve etiolojisi. Ege Üniv Diş Hek Fak Derg 1989; 10: 65-72.
12. Monaco G, Staffolani C, Gatto MR, Checchi L. Antibiotic therapy in impacted third molar surgery. Eur J Oral Sci 1999; 107: 437–41.
13. Sweet JB, Butler DP. Predisposing and operative factors: effect on the incidence of localized osteitis in mandibular third molar surgery. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1978; 46: 206–15.
14. Larsen PE. Alveolar osteitis after surgical removal of impacted mandibular third molars: Identification of the patient at risk. Oral Surg Oral Med Oral Pathol 1992; 73: 393–7.
15. Meechan JG, Macgregor DM, Rogers SN, Hobson RS, Bate JPC, Dennison M. The effect of smoking on immediate post-extraction socket filling with blood and on the incidence of painful socket. Br J Oral Maxillofac Surg 1988; 26: 402–9.
16. Penarrocha M, Sanchis JM, Saez U, Gay C, Bağan JV. Oral hygiene and postoperative pain after mandibular third molar surgery. Oral Surg Oral Med Oral Pathol Oral Radiol Oral Endol 2001;92: 260-4.
17. Alling III CC, Helfrick JF, Alling RD. Impacted teeth, Saunders, Philadelphia 1993 p.371.
18. Öğütcen M, Yılmaz D. Gömülü alt yirmi yaş dişlerinin çıkarılmasında kanama ve lokalize alveolitis oluşumunun değerlendirilmesi. G.Ü. Dişhek Fak Derg1989; 6:147-57.
19. Muhonen A, Venta I. J Am Coll Health 1997; 46: 39–42.
20. Johnson WS, Blanton EE. An evaluation of 9-aminoacridine/ gelfoam to reduce dry socket for- mation. Oral Surg Oral Med Oral Pathol 1988; 66:167–70.
21. Yoshii T. , Hamamoto Y., Muraoka S., Furudoi S., Komori T. Differences in postoperative morbidity rates, including infection and dry socket, and differences in the healing process after mandibu- lar third molar surgery in patients receiving 1-day or 3-day prophylaxis with lenampicillin. J Infect Chemother 2002; 8: 87–93.
22. Alexander RE. Dental extraction wound management: a case against medicating postextrac- tion sockets. J Oral Maxillofac Surg 2000;58: 538–51.
23. Brekke JH, Bresner M, Reitman MJ. Effect of surgical trauma and polylactate cubes and gra- nules on the incidence of alveolar osteitis in mandibular third molar extraction wounds. J Can Dent Assoc.1986; 52: 315–20.
24. Swanson AE. Reducing the incidence of dry socket: a clinical appraisal. J Can Dent Assoc 1996; 32:25–33.
25. Meyer RA. Effect of anesthesia on the inci- dence of alveolar osteitis. J Oral Surg. 1971;29: 724–6.
26. Colby RC. The general practitioner's pers- pective of the etiology, prevention, and treatment of dry socket. Gen Dent. 1997; 5: 461–7.
27. Birn H. Etiology and pathogenesis in fibri- nolytic alveolitis (dry socket). Int J Oral Surg 1973; 2: 211–63.
28. Vezeau PJ. Dental extraction wound mana- gement: medicating post-extraction sockets. J Oral Maxillofac Surg 2000;58: 531–7.
29. Heasman PA, Jacobs DJ. A clinical investi- gation into the incidence of dry socket. Br J Oral Maxillofac Surg 1984; 22: 115–22.