Bowe Denise C, Rogers Seamus, Stassen Leo F A
Dublin Dental School and Hospital, Dublin 2.
J Ir Dent Assoc. 2011;57(6):305-10.
Dry socket/alveolar osteitis is a very debilitating, severely painful but relatively common complication following dental extractions. Its incidence is approximately 3% for all routine extractions and can reach over 30% for impacted mandibular third molars. A number of methods have been suggested in the literature as to how this condition may be prevented and managed. Most of these suggestions are empirical and not evidence based. This paper is a review of the literature on dry socket. The results of an audit carried out in the Dublin Dental School and Hospital are also presented and a suggestion is made as to how best this painful condition may be managed. Our audit showed that a wide range of treatments are being used in the treatment of dry socket: rinsing of the socket with chlorhexidine (74%) or saline (26%); placement of a non-resorbable obtundant dressing (56%); and, instruction in home rinsing of the socket with chlorhexidine (44%). This condition is one of the most examined topics in dentistry and is currently being researched in the Dublin Dental School and Hospital. Over the years little progress has been made in establishing firm conclusions as to how best dry socket should be managed. Our recommendations are based on a review of the literature, being the best available evidence on which to base our clinical practice.
干槽症/牙槽骨炎是拔牙后一种非常使人虚弱、疼痛剧烈但相对常见的并发症。在所有常规拔牙中，其发生率约为3%，而在下颌阻生第三磨牙拔除中，发生率可达30%以上。文献中已提出多种关于如何预防和处理这种情况的方法。这些建议大多是经验性的，而非基于证据。本文是对干槽症相关文献的综述。文中还展示了都柏林牙科医院进行的一项审计结果，并就如何最好地处理这种疼痛状况提出了建议。我们的审计表明，在干槽症治疗中使用了多种治疗方法：用洗必泰（74%）或盐水（26%）冲洗牙槽窝；放置不可吸收的填塞敷料（56%）；以及指导患者在家用洗必泰冲洗牙槽窝（44%）。这种情况是牙科领域研究最多的课题之一，目前都柏林牙科医院正在对其进行研究。多年来，在确定干槽症最佳处理方法方面进展甚微。我们的建议基于文献综述，这是我们临床实践的最佳可用证据。
