signal 2
المشرف العام
تاريخ التسجيل : 05/09/2009
 | موضوع: Dry socket  الجمعة مارس 12, 2010 8:20 am | |
| Dry socket Alveolar osteitis
Pathogenesis Wash out of the clot.
Failure of blood clot formation.
Destruction of initial clot by activation
of plasminogen-plasmin fibrinolytic system.
Activation is caused by:
Local trauma.
Estrogen.
Bacterial pyrogenes.
Predisposing factors
Diseases associated with decrease vascularity to the bone.
Immunosupprsed pt
Contraceptive bills.
Smoking.
History of dry socket.
Existing sign of pericoronitis.
Traumatic extraction
Clinical features
Prevalence: 1-3% for all extraction,
25-30% for impacted mandibular third molar.
Socket with dirty gray clot that disintegrates
and leaves empty socket.
Signs & symptoms:
severe pain, foul odor, swelling, lymphadenopathy.
signs may persist for 10-40 days
.Treatment
Reassure the patient
Irrigation with warm saline.
put Idoform gause with eugenol in the socket
and change it daily for 3-7 day
Pain killer. + Antibiotic therapy
Follow up | |
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