Nusair Y M, Younis M H Abu
Department of Oral Medicine and Surgery, Faculty of Dentistry, Jordan University of Science and Technology, Irbid, Jordan.
J Contemp Dent Pract. 2007 Mar 1;8(3):53-63.
The aims of this study were to determine the prevalence, clinical picture, and risk factors of dry socket at the Dental Teaching Center of Jordan University of Science and Technology (DTC/JUST).
Two specially designed questionnaires were completed over a four-month period. One questionnaire was completed for every patient who had one or more permanent teeth extracted in the Oral Surgery Clinic. The other questionnaire was completed for every patient who returned for a post-operative visit and was diagnosed with dry socket during the study period.
There were 838 dental extractions carried out in 469 patients. The overall prevalence of dry socket was 4.8%. There was no statistically significant association between the development of dry socket and age, sex, medical history, medications taken by the patient, indications for the extraction, extraction site, operator experience, or the amount of local anesthesia and administration technique used. The prevalence of dry socket following non-surgical extractions was 3.2%, while the prevalence following surgical extractions was 20.1% (P< 0.002). The prevalence of dry socket following surgical and non-surgical extractions was significantly higher in smokers (9.1%) than in non-smokers (3%) (P = 0.001), and a direct linear trend was observed between the amount of smoking and the prevalence of dry socket (P = 0.034). The prevalence of dry socket was significantly higher in the single extraction cases (7.3%) than in the multiple extraction cases (3.4%) (P = 0.018). The clinical picture and management of dry socket at DTC/JUST were similar to previous reports in the literature. The prevalence of dry socket, its clinical picture, and management at DTC/JUST are similar to those reported in the literature.
Smoking and surgical trauma are associated with an increased incidence of dry socket. Moreover, patients who had single extractions were more likely to develop dry socket than those who had multiple extractions in the same visit.
本研究旨在确定约旦科技大学牙科教学中心（DTC/JUST）干槽症的患病率、临床表现及危险因素。
在四个月的时间里完成了两份专门设计的问卷。一份问卷是为在口腔外科诊所拔除一颗或多颗恒牙的每位患者填写的。另一份问卷是为在研究期间术后复诊且被诊断为干槽症的每位患者填写的。
469例患者共进行了838次拔牙。干槽症的总体患病率为４.８％。干槽症的发生与年龄、性别、病史、患者服用的药物、拔牙指征、拔牙部位、术者经验或局部麻醉用量及给药技术之间无统计学显著关联。非手术拔牙后干槽症的患病率为３.２％，而手术拔牙后患病率为20.1％（P＜０.００２）。手术和非手术拔牙后，吸烟者干槽症的患病率（9.1％）显著高于非吸烟者（3％）（P ＝ ０.００１），并且观察到吸烟量与干槽症患病率之间存在直接线性趋势（P ＝ ０.０３４）。单颗牙拔除病例干槽症的患病率（7.3％）显著高于多颗牙拔除病例（3.4％）（P ＝ ０.０１８）。DTC/JUST干槽症的临床表现及处理与文献中先前的报道相似。DTC/JUST干槽症的患病率、临床表现及处理与文献报道相似。
吸烟和手术创伤与干槽症发病率增加有关。此外，在同一次就诊中，单颗牙拔除的患者比多颗牙拔除的患者更易发生干槽症。
