Frequency of Dry Socket among Patients Undergoing Dental Extractions Presenting to A Teaching Hospital, Rawalpindi
Frequency of Dry Socket among Patients Undergoing Dental Extractions
DOI:
https://doi.org/10.54393/pjhs.v5i09.1722Keywords:
Dry Socket, Alveolar Osteitis, Tooth Extraction, Dental PracticesAbstract
A dry socket, a painful post-extraction complication, occurs when the blood clot at the extraction site is dislodged or fails to form. Understanding its prevalence is crucial for improving outcomes in dental practices. Objective: To determine the frequency of dry sockets in patients undergoing dental extraction. Methods: A cross-sectional descriptive study was carried out and two customized questionnaires were filled out over three months. One questionnaire was for patients undergoing extractions and the other was filled for patients returning with dry sockets. The study included Pakistani individuals with permanent dentition while excluding non-Pakistani individuals, children with deciduous/mixed dentition, and severely immunocompromised patients. Chi-square and Fischer's exact tests were used to compare the frequency of dry sockets between gender and age groups. p-value of less than or equal to 0.05 was considered statistically significant. Results: Out of the 188 patients, 85 (45.2%) were males and 103 (54.8%) were females. Medically compromised patients comprised 24.5% of the study population. The overall incidence of dry sockets was 9.0%, with a slightly higher occurrence in females (9.7%), though the difference was not statistically significant (p-value=0.802). Smokers demonstrated a higher incidence of dry sockets (23.1%), which was also not statistically significant (p-value=0.099). Medically compromised patients experienced dry sockets at 17.4%, compared to 6.3% in healthy patients, suggesting a trend that did not reach statistical significance (p-value=0.363). Conclusions: It was concluded that identifying high-risk groups and promoting effective prevention and management techniques can reduce the incidence of dry sockets, leading to better outcomes and overall oral health
References
Akinbami BO and Godspower T. Dry Socket: Incidence, Clinical Features, and Predisposing Factors. International Journal of Dentistry. 2014 Jun; 2014(1): 796102.doi: 10.1155/2014/796102.
Laurence‐Chasen JD, Arce‐McShane FI, Hatsopoulos NG, Ross CF. Loss of Oral Sensation Impairs Feeding Performance and Consistency of Tongue–Jaw Coordination. Journal of Oral Rehabilitation. 2022 Aug; 49(8): 806-16. doi: 10.1111/joor.13336.
Yue Yi EK, Siew Ying AL, Mohan M, Menon RK. Prevalence of Postoperative Infection After Tooth Extraction: A Retrospective Study. International Journal of Dentistry. 2021 Jun; 2021(1): 6664311. doi: 0.1155/2021/6664311.
Caso A, Hung LK, Beirne OR. Prevention of Alveolar Osteitis with Chlorhexidine: A Meta-Analytic Review. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 2005 Feb; 99(2): 155-9. doi: 10.1016/j.tripleo.2004.05.009,
Sakka S, Kharma MY, Al Rafedah A. Chlorhexidine Mouthwash and Augmentin to Prevent Alveolar Osteitis After Removal of Mandibular Third Molar: A Three-Arm Placebo-Controlled Randomized Clinical Trial. African Health Sciences. 2024 Jul; 24(2): 117-23. doi: 0.4314/ahs.v24i2.14.
Cardoso RB, Soto VC, Gonçalves RC, Pedroso AM, De Oliveira Jabur R, Bortoluzzi MC. Prevalence and Factors Associated with Dry Socket Following Routine Dental Extractions. Medicina Oral, Patología Oral y Cirugía Bucal. 2024 May; 29(3): e408. doi: 10.4317/medoral.26391.
Tarakji B, Saleh LA, Umair A, Azzeghaiby SN, Hanouneh S. Systemic Review of Dry Socket: Aetiology, Treatment, and Prevention. Journal of Clinical and Diagnostic Research. 2015 Apr; 9(4): ZE10. doi: 10.7860/JCDR/2015/12422.5840.
Mamoun J. Dry socket Etiology, Diagnosis, And Clinical Treatment Techniques. Journal of the Korean Association of Oral and Maxillofacial Surgeons. 2018 Apr; 44(2): 52-8. doi: 10.5125/jkaoms.2018.44.2.52.
Ralho A, Coelho A, Ribeiro M, Paula A, Amaro I, Sousa J et al. Effects of Electronic Cigarettes on Oral Cavity: A Systematic Review. Journal of Evidence-Based Dental Practice. 2019 Dec; 19(4): 101318. doi: 10.1016/j.jebdp.2019.04.002.
Miclotte I, Agbaje JO, Spaey Y, Legrand P, Politis C. Incidence and Treatment of Complications in Patients Who Had Third Molars or Other Teeth Extracted. British Journal of Oral and Maxillofacial Surgery. 2018 Jun; 56(5): 388-93. doi: 10.1016/j.bjoms.2018.02.001.
Cahen PM, Frank RM, Turlot JC. A Survey of the Reasons for Dental Extractions in France. Journal of Dental Research. 1985 Aug; 64(8): 1087-93. doi: 10.1177/00220345850640081401.
Ghosh A, Aggarwal VR, Moore R. Aetiology, Prevention and Management of Alveolar Osteitis—A Scoping Review. Journal of Oral Rehabilitation. 2022 Jan; 49(1): 103-13. doi: 10.1111/joor.13268.
Kallel I, Douki N, Amaidi S, Ben Amor F. The Incidence of Complications of Dental Trauma and Associated Factors: A Retrospective Study. International Journal of Dentistry. 2020 Mar; 2020(1): 2968174. doi: 0.1155/2020/2968174.
Pakravan A, Elyassi Gorji N, Vaziri P, Moaddabi A, Ebrahimi Saravi M, Bamdadian T. Prevalence of Dry Socket Following Tooth Extraction and Associated Factors. Journal of Mazandaran University of Medical Sciences. 2021 Jul; 31(198): 182-7.
Saeed MS, Khan A, Sohail S, Jamal M, Javed A, Murtaza M. Frequency of dry socket among patients undergoing dental extraction presenting to Ayub Teaching Hospital. Journal of University Medical & Dental College. 2022 May;1 3(2): 387-90. doi: 10.37723/jumdc.v13i2.618.
Kuśnierek W, Brzezińska K, Nijakowski K, Surdacka A. Smoking as A Risk Factor for Dry Socket: A Systematic Review. Dentistry Journal. 2022 Jul; 10(7): 121. doi: 10.3390/dj10070121.
Khan ZA, Prabhu N, Maqsood A, Issrani R, Ahmed N, Abbasi MS et al. Frequency and etiological denominators of alveolar osteitis at Northern Province of Kingdom of Saudi Arabia—An observational study. Serial Analysis of Gene Expression Open Medicine. 2023 Dec; 11: 20503121231219420. doi: 10.1177/20503121231219420.
Chhabra V, Batra H, Gupta V, Chhabra A, Garg AK. To Identify the Incidence and Risk Factors of Dry Socket: A Prospective Study. Journal for Reattach Therapy and Developmental Diversities. 2023 Aug; 6(6s): 1000-5. doi: 10.53555/jrtdd.v6i6s.3028.
Abdullah EH, AL-Hamdani SA, Alhamdani F, Hussein KT. The Incidence of Dry Socket Development and Its Risk Factors. Revis Bionatura. 2023 Jun; 8(3): 1-7. doi: 10.21931/RB/CSS/2023.08.03.100.
Sardar T, Sadiq N, Ishfaq M, Sheikh G. Incidence of Dry Socket After Removal of Impacted Mandibular Third Molar and Its Relation to Surgical Difficulty. Pakistan Oral and Dental Journal. 2019 Jul; 39(2): 159-63.
Khan M, Ali S, UroosaZeb II. Frequency of Dry Socket in Patients coming to Dental Outpatient Department, Saidusharif Hospital, SWAT. Bulletin of Environment, Pharmacology and Life Sciences. 2020 Jul; 9: 94-9.
Khan AH. Prevalence and Association of Dry Socket in Oral Health and Dental Management. Oral Health Dent Manag. 2017 Oct; 16(4): 1-6. doi: 10.4172/2247-2452-16-993.
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