Abstract
Background The alveolar osteitis, commonly known as “dry socket” (DS), is one of the common post-operative problems that result in severe pain inside and around the extraction site, usually caused by a partial or total disintegrated blood clot within the socket. The literature shows variation in its incidence and risk factors.
Aim The aim of this study was to determine and to establish the risk factors associated with dry socket after tooth extraction cases in the dental clinics of the Syrian Private University.
Materials and Methods 1921 permanent tooth extractions with non-surgical techniques were performed in 1185 patients. All patients were asked to come back to the clinic of the faculty in case of persistent or increasing pain during the first week of extraction. Every patient who returned back with a post-operative pain in the site of extraction was clinically examined by a calibrated operator for possible diagnosis of DS. Data regarding demographic information of patients, smoking habits, medical history, medications, tooth extracted, indication for extraction, amount and technique of local anesthesia, post-operative medications, and the duration of the extraction were collected over a period of 6 months. Statistical analysis using SPSS software program was performed for the collected data.
Results The overall incidence of dry socket was 7.3% (141 dry socket cases in 1921 extractions). Risk factors related to dry socket in our study were smoking, bad oral hygiene, long duration and traumatic extractions, failure to follow post-operative instructions. There was no statistically significant association between the development of dry socket and patient’s age, sex, or extraction site.
Conclusion Smoking, extraction difficulty, failure to follow postoperative instructions, and poor oral hygiene might be behind the increased prevalence of dry socket. No clear association between the development of dry socket and patient’s age, sex was found.
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