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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.
In order to obtain permission from patient for extraction of tooth, the dentist should explain that other treatment options are available, what is involved in the dental extraction procedure, the potential risks of the procedure and the benefits of the procedure. [2] The process of gaining consent should be documented in clinical notes. [2]
Typically, a parent may take a sick child to a traditional healer, who will look in the child's mouth and attribute the illness to "tooth worms".The healer will point out the small, white, developing tooth buds as being "tooth worms", and then dig the "worms" out of the gums without local anesthesia and using a non-sterile tool (normally a bicycle spoke). [2]
Potential complications include: [20] Unsuccessful treatment procedure which can lead to recurrent defect; Post-treatment infection; Barrier membrane being worn away, caused by e.g. traumatic toothbrushing; Vitality of tooth being compromised in furcation-involved teeth; Unfavourable gingival adaptation which can be of aesthetic concern
There are risks to forgoing treatment, including pain, infection and the possibility of worsening dental infection such that the tooth will become irreparable (root canal treatment will not be successful, often due to excessive loss of tooth structure). If extensive loss of tooth structure occurs, extraction may be the only option.
A tooth is unsuitable for periradicular surgery if it does not have a good periodontal support or coronal seal. It must have enough structure to support restoration. Filling the root canals of the tooth from the crown (orthograde root canal therapy) should be the first treatment option to resolve inflammation caused by the tooth.
The classical tooth transplant technique involves the extraction of the donor tooth and preparation of the recipient site using the donor tooth as a template. [10] The use of surgical template has been proposed to minimise extra-alveolar time for the donor tooth. [ 10 ]
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