Dry socket

Á¦¸ñ : dry socket
------------------------------------------------------------------------------

 Dry socket

 DEFINITION
 . a condition in which the blood clot disintegrate
 . faulty healing with pain ranging from slight to excruciating in
 intensity following the extraction of one or more teeth
 . Dry socket is a term probably introduced by CRAWFORD(1896)
 . It is most distressing postoperative sequlae after extraction due
 to the long standing extreme radiating pain. And it is secondarily
 infected.

 SYNONYMS:
 . alveolar osteitis, alveolalgia, painful socket, sloughing socket,
 alveolitis, necrotic socket, localized osteomyelitis, and
 postextraction osteomyelitic syndrome

 . Dr. Archer has suggested that the best term for this is alveolal
 gia meaning pain in alveolus.
 . Dry socket introduced by Crawford(1896) is a term generally
 understood to refer to the delayed onset of severe pain associated
 with the breakdown of a clot which
 had been satisfactorily established in a normal extraction wound.
 (Birn.1973)

 ETIOLOGY:
 1. preexisting infection
 2. trauma to socket and surrounding tissues incidental to the
 removal of the teeth
 3. decreased bleeding  because of the hemostatic effect of the
 adrenaline injected
  with the local anesthetics
 4. entrance of saliva into the open alveolus and infection entering
 after tooth has
 been removed.
 5. loss of clot because of rinsing the mouth or sucking the wound

 Predisposing factors
 1. dense bone
 2. exostosis of root apices
 3. poor general health
 4. dietary deficiency; vitamin c.d
 5. debilitating disease
 In cases of defensive osteitis or traumatic occlusion, there is a
 concentration of
 calcium salts about the root after the tooth is extracted; This
 dense bony wall prevent the ready nourishment of clot, which
 collapses, exposing the cribriform walls of socket.

 ArcherÕs suggestion of the etiologic factors for the alveolalgia
 1. trauma
    . using the bone bur and repeated elevating
    . frictional trauma with the hypercementosed root
    . simple ext.; 44%     traumatic ext.: 56%
 2. ischemic, toxic acid drugs
   . vasoconstrictor effect
   . general anesthesia

Back to Korean or  English homepage

This homepage is maintained by Dr.Jaehee Ahn