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Harsukh Educational Charitable Society International Journal of Community Health and Medical Research

Volume 6 Issue 1 Jan-March 2020

Original Articles

Assessment of incidence of dry socket in patients undergoing extraction of impacted third molar
Atul Singh, Mudit Agarwal, Arun Prasad

Background: Dry socket is a post-extraction complication characterised by the onset of a severe pain usually 48 to 72 hours after the extraction of a tooth. Clinical examination will reveal a necrotic blood clot in the extraction wound which, on removal, will disclose alveolar bone with a Ądry‟ appearance. Hence; the present study was conducted for analysing the incidence of dry socket. Material and method: 80 patients were enrolled in this study that underwent tooth extraction in the oral surgery department of the dental college. All extractions were performed by senior faculty of the dental college. All demographic details of the patients were obtained. After each extraction an assessment of the blood clot in the extraction socket was made. Patients were then told to return to the hospital should they experience any discomfort from the site of the extraction during the following few days. SPSS software was used for statistical analysis. Results: Out of 80 patients who underwent extraction of impacted third molar in this study it was observed that only 3 patients reported with clinical evidence of dry socket. The mean age group of patients who developed dry socket was 31.62 years. 2 out of 36 females developed dry socket. Only 1 male out of 44 developed post extraction alveolar osteitis. This relation however was not statistically significant with P value of .25. Only 1 case of extraction of impacted maxillary third molar out of 33 cases developed dry socket. In mandibular third molar disimpaction 2 out of 47 cases developed dry socket. Conclusion: The incidence of dry socket is higher in extraction of impacted mandibular third molars and males and females are almost equally effected. Key words: Dry socket, alveolar osteitis, fibrinolysis

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