Extraction healing complications have been attributed to several factors. The influence of trans-operative complications on an extraction site wound healing was the focus of this investigation.
Methods and Materials
This prospective study was conducted at the Oral Surgery Clinic of the Department of Oral and Maxillofacial Surgery of the Lagos University Teaching Hospital (LUTH) in Nigeria . Subjects selected were those referred for one or two adjacent extractions and who satisfied the inclusion criteria for the study. The relevant pre-operative information recorded for each patient were age and sex of patient, indications for extraction, time taken to extract the tooth, tooth/teeth removed, and any trans-operative complications. Extractions were performed with dental forceps, elevators, or both under local anaesthesia. Patients were blindly evaluated on the third and seventh post-operative day for socket healing assessment without reference to preoperative information on the patients.
Results
Seventy-three (24.25%) of 301 teeth considered for socket healing assessment had various transoperative complications due to accidental crown, root, or alveolar bone fractures. Of the 73 extractions with trans-operative complications during extraction, 18 developed a socket healing complication, while 17 of the 228 extractions without trans-operative complications developed socket healing complications (p = .000). The mean (SD) time taken to extract teeth developing healing complications was also found to be significantly longer than those without healing complications (p < .01).
Conclusions
The study demonstrated the combination of tooth/bone fragments in the socket and increased time of extraction due to trans-operative complications and accidents predispose to the development of extraction site wound healing disturbance.
Citation
Adeyemo WL, Ladeinde AL, Ogunlewe MO. Influence of Trans-operative Complications on Socket Healing Following Dental Extractions. J Contemp Dent Pract 2007 January;(8)1:052-059.
Exodontia: A retrospective study of the reasons, methods and complications of tooth extraction in oral and maxillofacial surgery clinic, Lagos University Teaching Hospital. NPMC dissertation. National postgraduate medical college of Nigeria. May, 1993.
The reasons underlying the extraction of teeth in Scotland. Br Dent J 1986;160:287-290.
Survey of reasons for extraction of permanent teeth in Italy. Comm Dent Oral Epidem 1996;24(5):36-40.
Patterns of and reasons for tooth extractions in general dental practice in Ontario, Canada. Comm Dent Oral Epiderm 1996;24(3):196-200.
The reasons for extraction of permanent teeth in Scotland: a 15-year follow-up study. Br Dent J 2001;190(12):658-662.
Mann J. The reasons for tooth loss in geriatric patients attending two surgical clinics in Jerusalem, Israel. Gerodontology 1997;14(2):83-88.
Causes and pattern of tooth extraction in children treated at the University Teaching Hospital, Ibadan. West Afr Med J 1999;18(4):261-264.
A Textbook of oral pathology. 4th ed., Philadelphia, W.B. Saunders Company, 1983:601-605.
Killey and Kay's Outline of oral surgery Part 1. 2nd ed., IOP Bristol, Publishing Ltd., 1987:174-178.
A clinical investigation into the incidence of dry socket. Br J Oral Maxillofac Surg 1984;22(2):115-122.
The effect of smoking on immediate post extraction socket filling with blood and on the incidence of painful socket. Br J Oral Maxillofac Surg 1988;26(5):402-409.
The relationship of smoking to localized osteitis. J Oral Surg 1979;37:732-735.
Long term effect of desalivation on extraction wound healing: a densitometric study in rats. Dent Maxillofac Radiol 1993;22(4):195-198.
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.
The extraction of teeth. 2nd ed., England, wright, 1961:68-86.
An evaluation of complications following dental extractions using either sterile or clean gloves. Int J Oral Maxillofac Surg 2001;30:550-554.
Complications following removal of impacted third molars: the role of the experience of the surgeon. J Oral Maxillofac Surg 1986;44:855-859.
Periodontal disease in pregnancy. II. Correlation between oral hygiene and periodontal conditions. Acta Odontol Scand 1964;22:121-135.
Are sterile gloves necessary in nonsurgical dental extractions? J Oral Maxillofac Surg 2005;63:936-940.
Disturbed healing of extraction wounds J Oral Implant 1999;25(3):179-184.
Frequency of alveolar osteitis (dry socket) at Kenyatta National Hospital Dental outpatient Clinic – a retrospective study. East Afr Med J 1989;66(10):658-662.
A clinical study of dry socket in Sri Lanka. Int J Oral Maxillofac Surg 1988;26(5):410-418.
Post-extraction complications seen at a referral dental clinic in Dar Es Salaam, Tanzania. Int Dent J 2001;51(4):273-276.
The pattern of tooth loss in a selected population of Nigeria. Arch Oral Biol 1972;17:1573-1582.
Tooth mortality: A clinical study of causes of loss. Nig Med J 1977;7(1):84-87.
Pattern of exodontias in children treated at Lagos University Teaching Hospital. Niger Dent J 1982;6(1):10-19.
Tooth loss among Nigerians, causes and pattern of mortality. Int J Oral Maxillofac Surg 1987;16:184-189.
Decidous tooth loss in Nigerian children. Paed Dent J 1991;1(1):195-200.
A clinical study of “dry socket”. Int Oral Surg 1982;11(4):226-231.
A clinical investigation of dry socket in a Nigerian teaching hospital. J Oral Maxillofac Surg 2003;61(8):871-876.
Prevention of dry socket; an overview. Oral Surg Oral Med Oral Pathol 1990;70(2):131-136.
The prevalence of post extraction complications in an out patient dental clinic in Kuala Lumpur Malaysia a retrospective survey. Singapore Dent J 2000;23(1);24-28.
Etiology and pathogenesis of fibrinolytic alveolitis (“dry socket”). Int J Oral Surg 1973;2:211-263.
Dental extraction wound management: A case against medicating postextraction sockets. J Oral Maxillofac Surg 2000;58:538-551.
The role of fibrinolysis in the pathogenesis of alveolitis after tooth extraction: preliminary report. Dtsch Stomatol 1991; 41(8): 295-296.