Journal of Maxillofacial and Oral Surgery

, Volume 15, Issue 3, pp 349–354 | Cite as

Comparative Evaluation of Er:Cr:YSGG, Diode Laser and Alvogyl in the Management of Alveolar Osteitis: A Prospective Randomized Clinical Study

  • Amita RaniEmail author
  • Sujata Mohanty
  • Pankaj Sharma
  • Jitender Dabas
Clinical Paper



Alveolar osteitis (AO) is a well-known complication following tooth extraction. Plethora of literature is available regarding its treatment modalities signifying that none of the treatment is as effective as any another treatment. LASER on the other hand, has been used to promote soft tissue healing.

Material and method

In order to evaluate the effects of laser on healing of AO we undertook a randomized clinical trial. In the trial, sixty patients diagnosed with AO were randomly divided into three groups viz: alvogyl, diode laser and Er:Cr:YSGG laser (erbium chromium yttrium scandium gallium garnet).


On analyzing the results, diode laser at 1.0 W power settings (energy: 20–25 J/cm2) in non-contact, continuous mode was found to be the most effective for both pain relief and healing improvement.


The diode laser is an acceptable and effective non-dressing treatment modality for alveolar osteitis, which is the most common painful complication following extraction.


Alveolar osteitis Low level laser therapy Erbium chromium yttrium scandium gallium garnet laser Alvogyl 



We are most grateful to Professor Arundeep Kaur Lamba for providing her departmental Laser Devices for the use of study.

Compliance with Ethical Standards

Conflict of interest


Ethical Approval

Prior ethical approval was taken from Ethical Committee of Institute.


  1. 1.
    Crawford JY (1896) Dry sockets after extraction. Dent Cosmos 38:929Google Scholar
  2. 2.
    Blum IR (2002) Contemporary view on dry socket (alveolar osteitis): a clinical appraisal of standardization, aetiopathogenesis and management: a critical review. Int J Oral Maxillofac Surg 31:309–317CrossRefPubMedGoogle Scholar
  3. 3.
    Kaya GS, Yapıcı G, Savas Z et al (2011) Comparison of alvogyl, SaliCept patch, and low-level laser therapy in the management of alveolar osteitis. J Oral Maxillofac Surg 69:1571–1577CrossRefPubMedGoogle Scholar
  4. 4.
    van Glenn A (2004) Erbium lasers in dentistry. Dent Clin N Am 48:1017–1059CrossRefGoogle Scholar
  5. 5.
    Tahmassebi JF, Nikolaon M et al (2009) A comparison of pain and anxiety associated with administration of maxillary local analgesia with wand and conventional technique. Eur Archiv Paediatr Dent 10:2CrossRefGoogle Scholar
  6. 6.
    Powell RA, Downing J, Ddungu H, Mwangi-Powell FN (2010) Pain history and pain assessment. In: Kopf A, Patel NB (eds) Guide to pain management in low-resource settings. International association for study of pain, Seattle, pp 67–78Google Scholar
  7. 7.
    Vezeau PJ et al (2000) Dental extraction wound management: medicating post extraction sockets. J Oral Maxillofac Surg 58:531–537CrossRefPubMedGoogle Scholar
  8. 8.
    Alexander Roger E et al (2000) Dental extraction wound management: a case against medicating post extraction sockets. J Oral Maxillofac Surg 58:538–555CrossRefPubMedGoogle Scholar
  9. 9.
    Goldman L, Goldman B, Van Lieu N et al (1987) Current laser dentistry. Lasers Surg Med 6:559–562CrossRefPubMedGoogle Scholar
  10. 10.
    Rajaratnam S, Bolton P et al (1994) Macrophage responsiveness to laser therapy with varying pulsing frequencies. Laser Ther 6:107–112CrossRefGoogle Scholar
  11. 11.
    Ross Gerald, Ross Alana et al (2009) Photobiomodulation: an invaluable tool for all dental specialties. J Laser Dent 17(3):117–124Google Scholar
  12. 12.
    Molla ES (2007) Natural scaffold formation after Er:Cr:YSGG laser irradiation: case report of a laser-assisted extraction. J Oral Laser Applications 7:247–254Google Scholar

Copyright information

© The Association of Oral and Maxillofacial Surgeons of India 2015

Authors and Affiliations

  • Amita Rani
    • 1
    Email author
  • Sujata Mohanty
    • 1
  • Pankaj Sharma
    • 1
  • Jitender Dabas
    • 1
  1. 1.Department of Oral and Maxillofacial SurgeryMaulana Azad Institute of Dental SciencesNew DelhiIndia

Personalised recommendations