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Part 4 > Chapter 48 Dental Pain, Postextraction Alveolar Osteitis(Dry Socket, Septic Socket, Necrotic Socket, Localized Osteitis)

著者:Daniel Wolfson and Nathaniel Moore
 
Abstract
This chapter discusses dry socket which results from a pathologic process combining loss of the healing blood clot with a localized inflammation (alveolar osteitis). The primary aim of dry socket management is pain control until commencement of normal healing. Antibiotics should not be routinely prescribed.
 
Keywords
alveolar osteitis
dental extraction
Dental pain
Dry socket
extraction blood clot
halitosis
localized osteitis
necrotic socket
postextraction
septic socket
tooth extraction

Presentation  
    Patients present with severe, dull, throbbing pain 2 to 4 days after a tooth extraction, usually a wisdom tooth in the lower jaw. The pain is often excruciating and continuous; may radiate to the ear, temple, or neck; and is not relieved by oral analgesics. There may be associated foul taste and odor (halitosis). There may also be localized swelling and lymph node involvement. The extraction blood clot is absent from the tooth socket, the bony walls of which are denuded and exquisitely sensitive to even gentle probing.
     
    If untreated, the pain may last weeks to more than 1 month.
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