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  • Tugas BM 1 Panji Dry Socket

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    Panji Hr
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    Dry socket, also known as alveolar osteitis, is defined as pain in or around the extraction site that increases in severity between the first and third day after tooth extraction accompanied by partial or total disintegration of the blood clot within the alveolar socket. It occurs in 0.5-5% of routine extractions and up to 30% of lower third molar extractions. Risk factors include surgical trauma, lack of operator experience, mandibular third molars, smoking, bacterial infection, and excessive irrigation of the alveolar socket. Prevention methods include systemic or topical antibiotics, chlorhexidine, eugenol-containing dressings, and lavage of the socket.

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    Tugas Bm 1 Panji Dry Socket

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    Dry socket, also known as alveolar osteitis, is defined as pain in or around the extraction site that increases in severity between the first and third day after tooth extraction accompanied by partial or total disintegration of the blood clot within the alveolar socket. It occurs in 0.5-5% of routine extractions and up to 30% of lower third molar extractions. Risk factors include surgical trauma, lack of operator experience, mandibular third molars, smoking, bacterial infection, and excessive irrigation of the alveolar socket. Prevention methods include systemic or topical antibiotics, chlorhexidine, eugenol-containing dressings, and lavage of the socket.

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    67 Ansichten8 Seiten

    Tugas BM 1 Panji Dry Socket

    Hochgeladen von

    Panji Hr
    Dry socket, also known as alveolar osteitis, is defined as pain in or around the extraction site that increases in severity between the first and third day after tooth extraction accompanied by partial or total disintegration of the blood clot within the alveolar socket. It occurs in 0.5-5% of routine extractions and up to 30% of lower third molar extractions. Risk factors include surgical trauma, lack of operator experience, mandibular third molars, smoking, bacterial infection, and excessive irrigation of the alveolar socket. Prevention methods include systemic or topical antibiotics, chlorhexidine, eugenol-containing dressings, and lavage of the socket.

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    von 8

    DRY SOCKET

    drg. Panji Hendar R

    BEDAH MULUT & MAKSILOFASIAL FKG UGM


    2018
    Terminologi

     DRY SOCKET / ALVEOLAR OSTEITIS / ALVEOLITIS / LOCALIZED OSTEITIS / ALVEOLITIS SICCA


    DOLOROSA / LOCALIZED ALVEOLAR OSTEITIS / FIBRINOLYTIC ALVEOLTIS / SEPTIC SOCKET /
    NECROTIC SOCKET / ALVEOLALGIA
    DEFINISI

     Definisi  Blum (2002) : Alveolar Osteitis adalah nyeri post operatif didalam dan sekitar
    area ekstraksi gigi/soket, yang meningkat tingkat keparahannya setiap saat antara hari
    pertama dan ketiga setelah ekstraksi, disertai dengan gumpalan darah yang mengalami
    disintegrasi parsial atau total dalam soket alveolar dengan atau tanpa disertai halitosis.

     “Dry socket” was first described by Crawford in 1896. The name dry socket is used
    because the socket has a dry appearance after the blood clot is lost and debris washed
    away.
    INSIDENSI DRY SOCKET

     Terjadi 0,5 – 5% pada pencabutan gigi rutin dan 25-30% pencabutan impaksi molar tiga
    (Preeta, 2014)
     Dry socket terjadi 1-5% pada semua tindakan ekstraksi, dan mencapai 38% pada
    pencabutan molar tiga bawah (Mamoun, 2018)
    ONSET

     Beberapa literature dry socket terjadi pada 1-3 hari setelah pencabutan gigi
     Semua kasus dry soket terjadi dalam kisaran waktu sampai dengan satu minggu paska
    pencabutan gigi.
    ETIOLOGI

     Birn suggested that the etiology of AO is an increased local fibrinolysis leading to


    disintegration of the clot.
     The fibrinolysis is the result of plasminogen pathway activation, which can be
    accomplished via direct (physiologic) or indirect (nonphysiologic) activator substances.
     Direct activators are released after trauma to the alveolar bone cells. Indirect activators
    are elaborated by bacteria.
    FAKTOR RESIKO

     Surgical Trauma and Difficulty of  Excessive Irrigation or Curettage of Alveolus


    SurgerySurgical Trauma and Difficulty of
    Surgery  Age of the Patient
     Lack of Operator Experience  Single Extraction versus Multiple Extractions
     Mandibular Third Molars  Local Anesthetic with Vasoconstrictor
     Systemic Disease  Saliva
     Oral Contraceptives  Bone/Root Fragments Remaining in the
     Patient’s Gender Wound
     Smoking  Flap Design/Use of Sutures
     Bacterial Infection
    PENCEGAHAN

     Systemic Antibiotics  Eugenol Containing Dressing

     Topical Antibiotics  Lavage

     Chlorhexidine  9-Aminoacrinide

     Para-Hydroxybenzoic Acid  Sterile Gloves

     Tranexamic Acid
     Polylactic Acid
     Steroids

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