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VOLUME 8 , ISSUE 3 ( March, 2007 ) > List of Articles

RESEARCH ARTICLE

Prevalence, Clinical Picture, and Risk Factors of Dry Socket in a Jordanian Dental Teaching Center

Y.M. Nusair, M.H. Abu Younis

Citation Information : Nusair Y, Younis MA. Prevalence, Clinical Picture, and Risk Factors of Dry Socket in a Jordanian Dental Teaching Center. J Contemp Dent Pract 2007; 8 (3):53-63.

DOI: 10.5005/jcdp-8-3-53

License: CC BY-NC 3.0

Published Online: 01-07-2008

Copyright Statement:  Copyright © 2007; The Author(s).


Abstract

Aims

The aims of this study were to determine the prevalence, clinical picture, and risk factors of dry socket at the Dental Teaching Center of Jordan University of Science and Technology (DTC/JUST).

Methods and Materials

Two specially designed questionnaires were completed over a four-month period. One questionnaire was completed for every patient who had one or more permanent teeth extracted in the Oral Surgery Clinic. The other questionnaire was completed for every patient who returned for a post-operative visit and was diagnosed with dry socket during the study period.

Results

There were 838 dental extractions carried out in 469 patients. The overall prevalence of dry socket was 4.8%. There was no statistically significant association between the development of dry socket and age, sex, medical history, medications taken by the patient, indications for the extraction, extraction site, operator experience, or the amount of local anesthesia and administration technique used. The prevalence of dry socket following non-surgical extractions was 3.2%, while the prevalence following surgical extractions was 20.1% (P< 0.002). The prevalence of dry socket following surgical and non-surgical extractions was significantly higher in smokers (9.1%) than in non-smokers (3%) (P = 0.001), and a direct linear trend was observed between the amount of smoking and the prevalence of dry socket (P = 0.034). The prevalence of dry socket was significantly higher in the single extraction cases (7.3%) than in the multiple extraction cases (3.4%) (P = 0.018). The clinical picture and management of dry socket at DTC/JUST were similar to previous reports in the literature. The prevalence of dry socket, its clinical picture, and management at DTC/JUST are similar to those reported in the literature.

Conclusion

Smoking and surgical trauma are associated with an increased incidence of dry socket. Moreover, patients who had single extractions were more likely to develop dry socket than those who had multiple extractions in the same visit.

Citation

Nusair YM, Younis MHA. Prevalence, Clinical Picture, and Risk Factors of Dry Socket in a Jordanian Dental Teaching Center. J Contemp Dent Pract 2007 March;(8)3:053-063.

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  1. Clinical evaluation of antibiotic supplemented bone allograft. J Oral Maxillofac Surg 1992;51:982-987.
  2. A study of dry sockets. Oral Surg 1960;13:1046-1050.
  3. Alveolar osteitis associated with mandibular third molar extractions. J Am Dent Assoc. 1974;88:802-806.
  4. Dental extraction wound management: A case against medicating post-extraction sockets. J Oral Maxillofac Surg 2000;58:538-551.
  5. A clinical study of dry socket in Sri Lanka. Br J Oral Maxillofac Surg 1988;26:410-418.
  6. Dry socket incidence compared after a 12-year interval. Br J Oral Maxillofac Surg 1985;23:419-427.
  7. The prevalence of post-extraction complications in an outpatient dental clinic in Kuala Lumpur Malaysia – a retrospective survey. Singapore Dent J 2000;23(1):24-28.
  8. A clinical evaluation of dry socket in a Nigerian teaching hospital. J Oral Maxillofac Surg 2003;61(8):871-876.
  9. Alveolar osteitis prevention by immediate placement of medicated packing. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000;90:282-284.
  10. Alveolar osteitis after surgical removal of impacted mandibular third molars. Identification of patients at risk. Oral Surg Oral Med Oral Pathol 1992;73:393-397.
  11. Etiology and pathogenesis of fibrinolytic alveolitis (‘dry socket’). Int J Oral Surg 1973;2:215-263.
  12. The relationship between the indications for the surgical removal of impacted third molars and the incidence of alveolar osteitis. J Oral Maxillofac Surg 1991;49:141-145.
  13. The relationship of smoking to localized osteitis. J Oral Surg 1979;37:732-735.
  14. Aetiology of dry socket: A clinical investigation. Br J Oral Surg 1968:6:49-58.
  15. Effect of oral contraceptive cycle on dry socket (localized alveolar osteitis). J Am Dent Assoc 1980;101:777-780.
  16. Local anesthesia and dry socket: a clinical investigation in of single extractions in male patients. Int J Oral Maxillofac Surg 1987;16:279-284.
  17. Effect of lavage on the incidence of localized osteitis in mandibular third molar extraction sites. Oral Surg Oral Med Oral Pathol 1977;44:14-20.
  18. Effect of antimicrobial mouthrinses on the incidence of localized alveolitis and infection following mandibular third molar surgery. Oral Surg Oral Med Oral Pathol 1985;59:24-6.
  19. The effect of chlorhexidine irrigation on the incidence of dry socket: A pilot study. Br J Oral Maxillofac Surg 1988;26:395-401.
  20. Evaluation of 0.12% chlorhexidine rinse on the prevention of alveolar osteitis. Oral Surg Oral Med Oral Pathol 1991;72:524-526.
  21. The prophylactic use of propylic ester of p-hydrobenzoic acid on alveolitis sicca dolorosa. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1977;43:32-37.
  22. Alveolitis after operative removal of third molar in the mandible. Int J Oral Surg 1981;10:173-179.
  23. Metrondizole in the prevention of ‘dry socket’. Br J Oral Surg 1979;17:62-70.
  24. Prevention of dry socket: An overview. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1990;70:131-136.
  25. Contemporary views on dry socket (alveolar osteitis): a clinical appraisal of standardization, aetiopathogenesis and management: a critical review. Int J Oral Maxillofac Surg. 2002;31:309-317.
  26. Treatment of fibrinolytic alveolitis by a collagen paste (Formula K): A preliminary report. Int J Oral Maxillofac Surg 1986;15:127-133.
  27. Reduction in the incidence of alveolar osteitis in patients treated with the SaliCept patch, containing Acemennan Hydrogel. J Oral Maxillofac Surg 2002;60:374-379.
  28. On the genesis of ‘dry socket’. J Oral Maxillofac Surg 1983;41:706-710.
  29. Dental extraction wound management: Medicating postextraction sockets. J Oral Maxillofac Surg 2000;58:531-537.
  30. Dry socket: a painful post-extraction complication (A review). Dental update 1991;18:31-34.
  31. The effect of a chlorhexidine rinse on the incidence of alveolar osteitis following the surgical removal of impacted mandibular third molars. J Oral Maxillofac Surg 1991;49:932-937.
  32. Incidence of dry socket. J Am Dent Assoc. 1937;24:1829-1836.
  33. Predisposing and operative factors: Effect on the incidence of localized osteitis in mandibular third molar surgery. Oral Surg Oral Med Oral Pathol 1978;46:206-215.
  34. Does oral contraceptive use affect the incidence of complications after extraction of a mandibular third molar? Br Dent J 2003;194:453-455.
  35. An evaluation of 9-aminoacridine/ Gelfoam to reduce dry socket formation. Oral Surg Oral Med Oral Pathol 1988;66:167-170.
  36. Dry socket: Frequency of occurrence after intraligamentary anesthesia. Quint Int 1992;23:575-577.
  37. HIV status and the risk of post-extraction complications. J Dent Res 1997;76:1644-1652.
  38. Perioperative use of 0.12% chlorhexidine gluconate for the prevention of alveolar osteitis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1998;85:381-387.
  39. Effect of azidocillin, erythromycin, clindamycin, and doxycycline on postoperative complications after surgical removal of impacted mandibular third molars. Int J Oral Surg 1980:9:157-65.
  40. Metrondizole and dry socket: prophylactic use in mandibular third molar removal complicated by non-acute pericoronitis. New Zealand Dent J 1987;7:71-75.
  41. Antitibrinolytic prevention of alveolitis sicca dolorosa. Int J Oral Surg 1978;7:534-540.
  42. The Relationship of “Shisha” (Water Pipe) Smoking to Postextraction Dry Socket. J Oral Maxillofac Surg 2004;62:10-14.
  43. Analysis of one hundred cases of dry socket. Dent Pract Dent Rec 1958; 8: 275-279.
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