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Current recommendations are for a 2-month drug holiday prior to dental surgery for those who are at risk (intravenous drug therapy, greater than 4 years of by-mouth drug therapy, other factors that increase risk such as steroid therapy). [7] It usually develops after dental treatments involving exposure of bone or trauma, but may arise ...
Pain, inflammation of the surrounding soft tissue, secondary infection or drainage may or may not be present. The development of lesions is most frequent after invasive dental procedures, such as extractions, and is also known to occur spontaneously. There may be no symptoms for weeks or months, until lesions with exposed bone appear. [5]
Indications of alveoloplasty should nevertheless include recontouring or reshaping alveolar bone during tooth extraction surgery. For instance, if alveolar bone has sharp edges after tooth removal, it is necessary to smoothen the bone surfaces to facilitate tooth socket healing process and to avoid any procedural complications such as pain or ...
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.
Socket preservation or alveolar ridge preservation is a procedure to reduce bone loss after tooth extraction. [1] [2] After tooth extraction, the jaw bone has a natural tendency to become narrow, and lose its original shape because the bone quickly resorbs, resulting in 30–60% loss in bone volume in the first six months. [3]
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Also called Ratner's bone cavity, a neuralgia-inducing cavitational osteonecrosis was first described in dental literature by G V Black in 1920. [5] Several decades later, oral pathologist Jerry E Bouquot took especial interest in NICO. [5] The diagnostic criteria for NICO are imprecise, and the research offered to support it is flawed. [6]