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The most common location of dry socket: in the socket of an extracted mandibular third molar (wisdom tooth). Since alveolar osteitis is not primarily an infection, there is not usually any pyrexia (fever) or cervical lymphadenitis (swollen glands in the neck), and only minimal edema (swelling) and erythema (redness) is present in the soft tissues surrounding the socket.
A dry-socket is not an infection, and is not directly associated with swelling because it occurs entirely within bone – it is a phenomenon of inflammation, within the bony lining, of an empty tooth socket. Because dry-socket is not an infection, the use of antibiotics has no effect on its rate of occurrence.
Pre-disposing factors to dry socket include smoking, traumatic extraction, history of radiotherapy and bisphosphonate medication. A dry socket can be managed by irrigating the socket with chlorhexidine or warmed saline to remove debris followed by dressing of the socket with bismuth iodoform paraffin paste and lidocaine gel on ribbon gauze to ...
Acute OM of the jaws may give a similar appearance to a typical odontogenic infection or dry socket, but cellulitis does not tend to spread from the periosteal envelope of the involved bone. If the infection is not controlled, the process becomes chronic and visible signs may be present, including draining fistulas, loosening of teeth and ...
After extraction of a tooth, the clot in the alveolus fills in with immature bone, which later is remodeled into mature secondary bone. Disturbance of the blood clot can cause alveolar osteitis, commonly referred to as "dry socket". With the partial or total loss of teeth, the alveolar process undergoes resorption.
There is a relationship between smoking tobacco and periodontal disease, wound healing and oral cancers. [15] Nicotine, the major pharmacologically active ingredient in tobacco smoke, lessens a host's ability to defend against bacterial invasion induced by plaque. [citation needed] It is also the ingredient responsible for addiction. [16]
alveolar bone, or the bony sockets into which the teeth are anchored, and; periodontal ligaments (PDLs), which are the connective tissue fibers that run between the cementum and the alveolar bone. This X-ray film displays two lone-standing mandibular teeth, the lower left first premolar and canine, exhibiting severe bone loss of 30–50%.
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