Frequency of Alveolar Osteitis (Dry Socket) in Smokers after Mandibular Molar Extraction: Alveolar Osteitis (Dry Socket) in Smokers After Mandibular Molar Extraction

Zeeshan Khoso; Bakhtawar Laghari; Shahzaman Memon; Anil Kumar; Nighat Zia; Muhammad Amin Sahito; Rehmatullah Kandhro

doi:10.54393/pjhs.v6i7.3133

Authors

Zeeshan Khoso Department of Oral and Maxillofacial Surgery, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan
Bakhtawar Laghari Department of Oral and Maxillofacial Surgery, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan
Shahzaman Memon Department of Oral Pathology, Muhammad Dental College, Ibne Sina University, Mirpurkhas, Pakistan
Anil Kumar Department of Oral and Maxillofacial Surgery, Muhammad Dental College, Ibne Sina University, Mirpurkhas, Pakistan
Nighat Zia Department of Community Dentistry, School of Dentistry, Shaheed Zulfikar Ali Bhutto Medical University, Islamabad, Pakistan
Muhammad Amin Sahito Department of Community Dentistry, Dow University of Health Sciences, Karachi, Pakistan
Rehmatullah Kandhro Department of Community Dentistry, Muhammad Dental College, Ibne Sina University, Mirpurkhas, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v6i7.3133

Keywords:

Alveolar Bone, Dry Socket, Smoking Cessation, Molar Extraction

Abstract

Alveolar osteitis (AO) is the infection of the alveolar bone of the maxilla or mandible. Alveolar osteitis is a frequent and delayed complication, causing extreme pain with disruption in social life, sleep and work. Objectives: To determine the smoking status and prevalence of dry socket in patients undergoing mandibular molar extraction. Methods: A prospective observational cohort study was undertaken in the Department of Oral and Maxillofacial Surgery at LUMHS, Jamshoro, Pakistan. Data acquisition was completed over a duration of six months using a non-probability convenience sampling strategy. Statistical evaluation was conducted through SPSS software version 26.0. The Chi-square test was utilized to determine associations between variables, with a p-value of less than 0.05 regarded as statistically significant. Results: Patients were 32.91 ± 8.61 years old on average. There were 59.6% male and 40.94% female. The frequency of dry socket in patients presenting for mandibular molar extraction at 7 days was 10.4% (31/298). The rate of dry socket was significantly high in smokers (61.1%) and ex-smokers (80%) cases compared to non-smokers (0.4%) patients. Conclusions: In individuals having their mandibular molars extracted, there was a significant correlation between smoking status and the occurrence of dry socket (p=0.001). These results highlight how important quitting smoking is for lowering the chance of this excruciating side effect and enhancing recovery after surgery.

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