Keshini M P, Shetty Sahith Kumar, Sundar Shyam, Chandan S N, Manjula S
Department of Oral and Maxillofacial Surgery, JSS Dental College and Hospital, JSS Academy of Higher Education and Research, Mysore, Karnataka, India.
Ann Maxillofac Surg. 2020 Jul-Dec;10(2):320-324. doi: 10.4103/ams.ams_259_19. Epub 2020 Dec 23.
Dry socket is one of the most common postoperative complications following the extraction of permanent teeth, which is characterized by pain and exposed bone. The usual protocol followed for its management is irrigation of the socket and packing of the socket with medicated gel or paste to provide relatively faster pain relief and allow normal wound healing. In this study, we evaluated the outcome of management of dry socket with platelet-rich fibrin (PRF) and intraalveolar alvogyl dressing, in terms of improvement in pain and socket epithelialization after the treatment.
Thirty participants with established dry socket were randomly divided into two groups: Group A and Group B. The participants in Group A were treated with alvogyl and those in Group B were treated with PRF. Clinical parameters were assessed for both groups on the 1 day of the procedure and on the 3 and 10-day postoperatively for the reduction in pain and wound healing.
There was a significant decrease in pain and the number of socket wall exposure in both the groups by the 3 postoperative day. In both the groups, the pain had completely resolved and socket fully epithelialized by the 10 postoperative day.
The use of PRF in the present study yielded promising results in terms of both pain reduction and improved wound healing which was comparable to the conventional alvogyl dressing. It may be concluded that PRF is an effective modality for the management of dry socket.
干槽症是恒牙拔除术后最常见的并发症之一，其特征为疼痛和牙槽骨暴露。处理干槽症的常规方法是冲洗牙槽窝并用含药凝胶或糊剂填充，以相对更快地缓解疼痛并促进伤口正常愈合。在本研究中，我们评估了富含血小板纤维蛋白（PRF）和牙槽内碘仿纱条敷料治疗干槽症的效果，包括治疗后疼痛的改善情况和牙槽窝上皮化情况。
30例确诊为干槽症的参与者被随机分为两组：A组和B组。A组参与者接受碘仿纱条治疗，B组参与者接受PRF治疗。在治疗当天以及术后第3天和第10天评估两组的临床参数，以观察疼痛减轻情况和伤口愈合情况。
术后第3天，两组的疼痛和牙槽窝壁暴露数量均显著减少。术后第10天，两组的疼痛均完全缓解，牙槽窝完全上皮化。
在本研究中，PRF在减轻疼痛和促进伤口愈合方面均取得了令人满意的结果，与传统的碘仿纱条敷料相当。可以得出结论，PRF是治疗干槽症的一种有效方法。
