Alveolar Osteitis or Dry Socket
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Transcript of Alveolar Osteitis or Dry Socket
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DR.K.THANGAVELU
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DRY SOCKET VIDEO
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DRY SOCKET PICTURE
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DRY SOCKET IS A COMPLICATION
OF TOOTH EXTRACTION
IT IS A PAINFUL CONDITION WHICH
OCCURS MOSTLY AFTER LOWER3RD MOLAR EXTRACTION DUE TO
TRAUMATIC EXTRACTION
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IT IS CHARACTERISED BY SEVERE PAIN IN
AND AROUND THE EXTRACTION SITE USUALLY STARTS ON THE 2 – 4 POST-
OPERATIVE DAY AND CAN LAST FOR 10 – 40
DAYS.
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THE PAIN IS USUALLY DESCRIBED AS A
THROBBING ACHE AND IS CAUSED BY CHEMICAL AND THERMAL IRRITATION OF
THE EXPOSED NERVE ENDINGS IN THE
PERIODONTAL LIGAMENT AND ALVEOLAR BONE.
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PAIN RADIATES TO THE EAR AND TEMPORAL
REGION. POST-EXTRACTION
BLOOD CLOT IS ABSENT IN THE TOOTH SOCKET;
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BONY WALLS OF THE SOCKET ARE BARE AND EXTREMELY SENSITIVE
BAD BREATH AND AN
UNPLEASANT TASTE IN THE MOUTH ARE
PRESENT.
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INITIALLY THE CLOT HAS A DIRTY GRAY
APPEARANCE AND THEN IT DISINTEGRATES,
LEAVING A GRAY OR GRAYISH YELLOW BONY
SOCKET BARE OF GRANULATION TISSUE..
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DRY SOCKET IS THE MOST COMMON CAUSE OF DELAYED POST EXTRACTION PAIN.
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DRY SOCKET, ALSO KNOWN AS 1.DENTO-
ALVEOLAR OSTEITIS, 2.ALVEOLAR OSTEITIS,
3.ALVEOLITIS, 4.FOCAL OSTEOMYELITIS
WITHOUT SUPPURATION,
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5.ALVEOLAGIA
6.ALVEOLITIS SICCA DOLOROSA AND
7.ALVEOLAR PERIOSTITIS,
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CAUSES FOR DRY SOCKET
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THE CONDITION ARISES AS A RESULT OF A
COMPLEX INTERACTION BETWEEN SURGICAL TRAUMA, LOCAL BACTERIAL
INFECTION AND VARIOUS SYSTEMIC
FACTORS
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THEORIES OF DRY SOCKET
1.TRAUMATIC EXRACTION RELEASE TISSUE
ACTVATORS NEAR MARGINS OF SOCKET WHICH
CONVERTS PLASMINOGE TO PLASMIN WHICH IS RESPONSIBLE FOR
PRODUCTION OF DRY SOCKET AND PAIN
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PATHOGENESIS
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FOLLOWING TRAUMA AND INFECTION , INFLAMMATION OF BONE MARROW OCCURS –WHICH RESULTS IN RELEASE OF TISSUE ACTIVATORS WHICH CONVERTS PLASMINOGEN IN THE CLOT TO PLASMIN
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PLASMIN CAUSES LYSIS OF BLOOD CLOT
PLASMIN RELEASES KININ FROM KININOGEN WHICH IS ALSO PRESENT IN THE CLOT
KININ IS RESPONSIBLE FOR SEVERE PAIN
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2.TRAUMA TO ALVEOLAR BONE REDUCE
RESISTANCE TO INFECTION WHICH
CAUSE DRY SOCKET(Birn’S
theory)
3. PRIOR INFECTION,
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4.FREQUENT WASH BY PATIENT,
5.ACTION OF ADRENALINE IN LA SOLUTION
6.INFECTION FOLLOWING EXTRACTION
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THE DIAGNOSIS IS CONFIRMED BY GENTLY
PASSING A BLUNT INSTRUMENT INTO THE
SOCKET
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INSTRUMENT FINDS NO RESISTANCE IN EMPTY
SOCKET
WHEN CLOT IS PRESENT PASSAGE OF INSTRUMENT IS PREVENTED BY CLOT.
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TREATMENT
SOCKET SHOULD BE IRRIGATED WITH
SALINE
CURETTAGE SHOULD NOT BE DONE
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STERILE GAUZE TO THE SIZE OF SOCKET
IS DIPPED IN EUGENOL AND PLACED INSIDE THE SOCKET
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THE PACK ACTS AS AN OBTUDENT TO PROTECT THE EXPOSED BONE
THE PACK SHOULD BE REMOVED AFTER 3
DAYS
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ANOTHER PACK SHOULD BE GIVEN FOLLOWING
REMOVAL FIRST DRESSING
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THE DRESSING PREVENTS THE
ACCUMULATION OF FOOD DEBRIS IN THE
EXTRACTION SOCKET, PROTECTS THE EXPOSED
BONE FROM LOCAL IRRITATION AND
CALMS DOWN THE INFLAMMATION-
INFECTION WITHIN THE EXTRACTION SOCKET WALLS.
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DRUGS TO BE PRESCRIBED METRANIDAZOLE 400MG TWICE DAILY FOR 3 DAYS
AMOXICILLIN 500MG TWICE DAILY FOR 3 DAYS
BRUFEN600MG TWICE DAILY FOR 3 DAYS
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END