Published on January 26, 2016
1. DRY SOCKET Dr. Ebei Eliud BDS University of Nairobi.
2. OBJECTIVES: Definition of Dry socket Pathophysiology Signs and Symptoms Aetiology Treatment Prevention
3. DEFINITION: Dry socket is also called Alveolar Ostitis. It refers to the inflammation of the alveolar bone which commonly occurs as a complication of tooth extraction.
4. EPIDEMIOLOGY A dry socket will occur in only 1% to 3% of all tooth extraction. But its more common in the extraction of Mandibular Wisdom teeth. In lower impacted wisdom teeth, as many as 25% to 30% of cases will result dry socket.
5. PATHOPHYSIOLOGY: After tooth extraction, a blood clot forms on the socket of the extracted tooth, mainly to reduce blood loss due to the extraction and also to prevent the alveolar bone from getting exposed to the oral environment. When this blood clot fails to form or is physically lost from the socket, the alveolar bone gets exposed to the oral saliva, bacteria and food debris. This results in localized inflammation of the alveolar bone, leading to a severe throbbing pain that radiates to the jaws, ears and eyes of the affected side.
6. SIGNS AND SYMPTOMS: Symptoms Severe pain. Onset : 2 – 3 days after extraction. Radiation: Pain radiates to the jaws, ears ,eyes and neck of the affected tooth. Intra-oral Odor (Halitosis) Bad taste in the mouth. Regional Lymphadenopathy (Rare).
7. SIGNS: Empty socket:-That partially or totally lacks blood clot. Exposed bone:- Visible and sensitive to touch Inflammation of the soft tissue around. Food debris trapped in the socket.
8. AETIOLOGY: Smoking. Traumatic extraction. Poor oral hygiene. Patients with history of dry sockets. Surgical extraction of wisdom teeth. Oral contraceptives. Pre-existing infection: (pericoronitis)
9. TREATMENT: Cleaning socket by removing food debris- use saline irrigation for better cleaning. Using medicated dressings e.g Alvogil Analgesics for pain relief. Antibiotics.
10. PREVENTION: No smoking before and after tooth extraction. No spitting, eating, washing or using straw for drinks . Good oral hygiene. Do not touch the extraction wound with your tongue, fingers e.t.c Eat cold soft food to avoid irritating the wound.
11. THANK YOU.
Alveolar osteitis of a socket after tooth extraction. Note lack of blood clot in socket and exposed alveolar bone.
Alveolar osteitis, “dry socket”, remains amongst the most commonly encountered complications following extraction of teeth by general ...
Dry socket is a problem that can occur after you have a tooth extracted. Usually, after a tooth is removed, a blood clot forms in the socket, or hole where ...
Dry Socket, also known as dento-alveolar osteitis, alveolar osteitis, alveolitis, focal osteomyelitis without suppuration, alveolalgia, alveolitis sicca ...
Alveolar Osteitis or Dry Socket - Download as Powerpoint Presentation (.ppt), PDF File (.pdf), Text file (.txt) or view presentation slides online.
Conclusion Dry socket is a self-limiting condition, the cause of which remains elusive. Management is aimed at relieving the patient’s pain until
osteitis [os″te-i´tis] inflammation of bone, often with enlargement, tenderness, and a dull, aching pain. alveolar osteitis dry socket. condensing ...
Dry socket is a condition that sometimes arises when teeth have been extracted and is more likely to occur following extraction of wisdom teeth in the ...
Bowe DC(1), Rogers S, Stassen LF. Author information: (1)Dublin Dental School and Hospital, Dublin 2. Dry socket/alveolar osteitis is a very debilitating ...