Oginni F O, Fatusi O A, Alagbe A O
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Obafemi Owolowo University, Ile-Ife, Osun, State, Nigeria.
J Oral Maxillofac Surg. 2003 Aug;61(8):871-6. doi: 10.1016/s0278-2391(03)00248-9.
We sought to determine the incidence of dry socket in a Nigerian teaching hospital and to evaluate the patients' demographic pattern, predisposing factors, the treatment given, and treatment outcome.
A retrospective review of records of dental extractions complicated by dry socket in Obafemi Awolowo University Teaching Hospital, Ile-Ife, between January 1996 and December 2000 was undertaken. Information retrieved included patient sociodemographic data, indications for extraction, tooth extracted, status of attending surgeon, onset of symptoms, relevant findings of the examining clinician, interval before presentation, treatment given, and its outcome.
Of the 3,319 dental extractions performed in 3,008 patients, 136 (4.1%) were complicated by dry socket. The patients' mean age was 33.4 (15.4) years and a peak age incidence of 21 to 30 years was found. A slight female preponderance (1.4:1) was observed. The majority of patients were in the low-income group, and presentation in the hospital was prompt in the high-income group. Mandibular teeth were affected 3 times more than maxillary teeth (P =.00080). Most cases of dry socket resulted from extractions performed by undergraduates and house officers. Various underlying systemic conditions were found in 11.0% of cases, none of which included use of oral contraceptives. Treatment was usually the use of zinc oxide eugenol dressing in an irrigated socket, combined with antibiotic therapy in 45.3% of cases. No adverse reaction to zinc oxide eugenol was observed.
The incidence of dry socket in our hospital is 4.1%. The mandible was involved 3 times more than the maxilla. With the use of zinc oxide eugenol dressing, 70.6% of patients completed treatment satisfactorily and 29.2% were lost to follow-up.
我们试图确定一家尼日利亚教学医院干槽症的发病率，并评估患者的人口统计学模式、诱发因素、所给予的治疗及治疗结果。
对1996年1月至2000年12月间在伊费的奥巴费米·阿沃洛沃大学教学医院发生的并发干槽症的拔牙记录进行回顾性研究。检索到的信息包括患者的社会人口统计学数据、拔牙指征、拔除的牙齿、主治外科医生的情况、症状出现时间、检查临床医生的相关发现、就诊前的间隔时间、所给予的治疗及其结果。
在3008例患者中进行的3319次拔牙中，136例（4.1%）并发干槽症。患者的平均年龄为33.4（15.4）岁，发现21至30岁年龄组发病率最高。观察到女性略占优势（1.4:1）。大多数患者属于低收入群体，高收入群体患者到医院就诊较为及时。下颌牙受影响的次数是上颌牙的3倍（P = 0.00080）。大多数干槽症病例是由本科生和住院医生进行的拔牙所致。11.0%的病例存在各种潜在的全身状况，其中均未包括口服避孕药的使用。治疗通常是在冲洗后的牙槽窝内使用氧化锌丁香油糊剂，45.3%的病例联合抗生素治疗。未观察到对氧化锌丁香油的不良反应。
我院干槽症的发病率为4.1%。下颌骨受累的次数是上颌骨的3倍。使用氧化锌丁香油糊剂治疗后，70.6%的患者治疗满意完成，29.2%的患者失访。
