Supe Narendra B, Choudhary Sneha H, Yamyar Sheetal M, Patil Kuldeep S, Choudhary Amit Kumar, Kadam Vishwas D
Department of Oral and Maxillofacial Surgery, C.S.M.S.S. Dental College and Hospital, Aurangabad, Maharashtra, India.
Department of Oral Medicine and Radiology, Teerthanker Mahaveer Dental College and Research Centre, Moradabad, Uttar Pradesh, India.
Ann Maxillofac Surg. 2018 Jul-Dec;8(2):193-199. doi: 10.4103/ams.ams_167_18.
Alveolar osteitis (AO) (dry socket) is a postoperative healing complication after tooth extraction. Pain is considered the most important symptom of dry socket which can vary in frequency and intensity.
The aim of the present study was to evaluate the management of AO with alvogyl and zinc oxide eugenol (ZOE).
This study was designed as a single-blinded prospective study with a sample size of fifty patients included in the study after obtaining the informed consent.
All the fifty patients with dry socket were randomly selected and divided into two groups as follows: (1) Group I: Patients who received alvogyl paste as an intrasocket medication and (2) Group II: Patients who received ZOE as an obtundant dressing.
Data were analyzed using -test and Chi-square test.
The mean number of dressings required was less in Group I as compared to Group II, and thus Group I showed faster healing. In addition, the intensity of pain decreased more rapidly in Group I as compared to Group II. The mean time required for complete pain relief was less in Group I as compared to Group II, and thus Group I showed faster relief from pain.
Alvogyl is better for the management of dry socket by virtue of shorter time required for complete pain relief, fewer visits for dressing change, and faster clinical healing of the socket.
牙槽骨炎(AO)(干槽症)是拔牙术后的一种愈合并发症。疼痛被认为是干槽症最重要的症状,其频率和强度可能有所不同。
本研究的目的是评估用碘仿纱条和氧化锌丁香油(ZOE)治疗牙槽骨炎的效果。
本研究设计为单盲前瞻性研究,在获得知情同意后,纳入50例患者作为样本。
随机选取50例干槽症患者,分为两组:(1)第一组:接受碘仿纱条糊剂作为牙槽窝内用药的患者;(2)第二组:接受氧化锌丁香油作为钝性敷料的患者。
采用t检验和卡方检验进行数据分析。
与第二组相比,第一组所需的敷料平均数量更少,因此第一组愈合更快。此外,与第二组相比,第一组疼痛强度下降得更快。与第二组相比,第一组完全缓解疼痛所需的平均时间更少,因此第一组疼痛缓解更快。
碘仿纱条在治疗干槽症方面效果更好,因为其完全缓解疼痛所需时间更短,换药次数更少,牙槽窝临床愈合更快。