Abstract
Objectives
To prospectively evaluate and compare the effectiveness of Neocone, Alvogyl and Zinc Oxide Eugenol (ZOE) intra alveolar dressings for the management of dry socket and to study the epidemiological factors associated with the condition.
Study Design
All the patients who underwent extraction of teeth and who fulfilled our inclusion and exclusion criteria from 1st January 2012 to February 28th 2013 were included in our study. Patients who were diagnosed to suffer from dry socket were randomly allocated to three groups namely Group A (Alvogyl), Group B (ZOE), Group C (Neocone). Pain relief and healing of the socket were compared between these groups. The collected data were subjected to statistical analysis by Chi Square test, Z test of proportionality.
Results and Conclusion
Alvogyl is superior to the other two medications for providing initial pain relief. Neocone provides complete pain relief and the healing was fastest with Neocone. Neocone emerged as the most suitable dressing material for the management of dry socket by virtue of shorter time required for complete pain relief, fewer visits and faster clinical healing.
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References
Crawford JY (1896) Dry socket. Dent Cosmos 38:929
Muhammad AS (2010) Pathogenesis and management of dry socket (alveolar osteitis). Pak Oral Dent J 38:323–326
Blum IR (2002) Contemporary views on dry socket (alveolar osteitis): a clinical appraisal of standardization, aetiopathogenesis and management: a critical review. Int J Maxillofac Surg 31:309–317
Camilla LC (2010) Clinical concepts of dry socket. J Oral Maxillofac Surg 68:1922–1932
Calhoun NR (1971) Dry socket and other postoperative complications. Dent Clin North Am 15:33
Ahmad RN (2009) Modern concepts in understanding and management of the “dry socket” syndrome: comprehensive review of the literature. Oral Surg Oral Med Oral Path Oral Radiol Endod 107:30–35
Nitzan DW (1983) On the genesis of “dry socket”. J Oral Maxillofac Surg 41:706–710
Razanis J, Schofield IDF, Warren BA (1997) Is dry socket preventable? J Can Dent Assoc 43:233–236
Antonia K (2010) Alveolar osteitis: a comprehensive review of concepts and controversies. Int J Dent 1:10
Fazakerlev M, Field EA (1991) Dry socket: a painful post-extraction complication (a review). Dent Update 18:31–35
Archer WH (1975) Oral and maxillofacial surgery, vol 2, 5th edn. WB Saunders, Philadelphia
MacGregor AJ (1985) The impacted lower wisdom tooth. Oxford Med Pub, Oxford, p 115
Milhon JA, Austin LT, Stafnc EC, Gardner BS (1943) Evaluation of sulfa drug and other dressings in “dry socket” in lower third molars. J Am Dent Assoc 30:1839
Quinley JF, Royer RQ, Gores RJ (1960) Dry socket after mandibular odentectomy and use of soluble tetracycline hydrochloride. Oral Surg 13:38
MacGregor AJ (1968) Aetiology of dry socket: a clinical investigation. Br J Oral Surg 6(1):49–58
Nusair YM, Abu Younis MH (2007) Prevalence, clinical picture, and risk factors of dry socket in a Jordanian Dental Teaching Center. J Cont Dent Prac 8(3):53–63
Birn H (1973) Etiology and pathogenesis of fibrinolytic alveolitis (‘dry socket’). Int J Oral Surg 2:215–263
Lilly GE, Osbon DB, Rael EM, Samuels HS, Jones JC (1974) Alveolar osteitis associated with mandibular third molar extractions. J Am Dent Assoc 88(4):802–806
Sweet JB, Butler DP (1979) The relationship of smoking to localized osteitis. J Oral Surg 37(10):732–735
Torres-Lagares D, Serrera-Figallo MA, Romero-Ruíz MM, Infante-Cossío P, García-Calder M, Gutiérrez-Pérez JL (2005) Update on dry socket: a review of the literature. Med Oral Patol Oral Cir Bucal 10(1):77–85
Ygge J, Brody S, Korsan-Bengtsen K, Nilsson L (1969) Changes in blood coagulation and fibrinolysis in women receiving oral contraceptives. Comparison between treated and untreated women in a longitudinal study. Am J Obstet Gynaecol 104(1):87–98
Larsen PE (1991) The effect of chlorhexidine rinse on the incidence of alveolar osteitis following the surgical removal of impacted mandibular third molars. J Oral Maxillofac Surg 49:932–937
Upadhyaya C, Humagain M (2010) Prevalence of dry socket following extraction of permanent teeth. Kathmandu Univ Med J 8(1):18–24
Amaratunga NA, Senaratne CM (1988) A clinical study of dry socket in Sri Lanka. Br J Oral Maxillofac Surg 26(5):410–418
Krogh HW (1937) Incidence of dry socket. J Am Dent Assoc 24:18–29
Rud J (1970) Removal of impacted lower third molars with acute pericoronitis and necrotizing gingivitis. Br J Oral Surg 7:153–157
Gersel-Pederson N (1977) Fibrinolytic activity of blood and saliva before and after oral surgery. Int J Oral Surg 10(1):111–118
Bloomer CR (2000) Alveolar osteitis prevention by immediate placement of medicated packing. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 90:282–284
Alexander RE (2000) Dental extraction wound management: a case against medicating postextraction sockets. J Oral Maxillofac Surg 58(5):538–551
Syrjanen SM, Syrjanen KJ (1979) Influence of Alvogyl on the healing of extraction wound in man. Int J Oral Surg 8(1):22–30
Davor Katanec (2003). Post extraction pain treatment possibilities. Acta Stomat Croat 37:471–475
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Faizel, S., Thomas, S., Yuvaraj, V. et al. Comparision Between Neocone, Alvogyl and Zinc Oxide Eugenol Packing for the Treatment of Dry Socket: A Double Blind Randomised Control Trial. J. Maxillofac. Oral Surg. 14, 312–320 (2015). https://doi.org/10.1007/s12663-014-0667-z
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DOI: https://doi.org/10.1007/s12663-014-0667-z