Etiology and pathogenesis of fibrinolytic alveolitis (“dry socket”)

Pain control after third molar surgery

The purpose of this study was to evaluate 2 methods that could be used universally to reduce the incidence of alveolar osteitis. In addition other variables including age and sex of patient preoperative aspirin use and discomfort and the use of oral contraceptives (OCs) were studied. A large controlled prospective study was completed with 952 surgical extraction sites in 476 patients. Postoperative dressings included lincomycin hydrochloride (Lincocin)/absorbable gelatin sponge (Gelfoam) oxytetracycline HCL-hydrocortisone acetate (Terra-Cortril)/absorbable gelatin sponge and absorbable gelatin sponge/saline. Bilaterally impacted mandibular 3rd molars of similar surgical difficulty were selected. Standard accepted surgical technique was used. Patients were seen 1 and 7 days after surgery or as needed. Lincomycin hydrochloride/absorbable gelatin sponge and oxytetracycline HC1-hydrocortisone acetate/absorbable gelatin sponge were effective in reducing the incidence of alveolar osteitis. Lincomycin hydrochloride/absorbable gelatin sponge is preferred because of the increased morbidity associated with dressings containing petrolatum products. Absorbable gelatin sponge alone is not effective in reducing the incidence of alveolar osteitis. Age and OC use were found to be significant factors in the incidence of this problem. (authors modified)

Alveolar osteitis following surgical removal of mandibular third molars.

On the genesis of "dry socket".

(1970). Bacteria and Fibrinolytic Activity in “Dry Socket”. Acta Odontologica Scandinavica: Vol. 28, No. 6, pp. 773-783.

Bacteria and fibrinolytic activity in "dry socket".

Effect of the sulfa cones and suturing on the incidence of pain after removal of impacted lower third molars.

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Effect of the sulfa cones and suturing on the incidence of pain after removal of impacted lower third molars.