Acute alveolar osteitis: Difference between revisions
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==Background== | ==Background== | ||
* | *Post-op pain secondary to the premature loss of healing clot in the alveolar socket after tooth extraction <ref>Kolokythas A, Olech E, Miloro M. Alveolar Osteitis: A Comprehensive Review of Concepts and Controversies. International Journal of Dentistry. 2010; 2010: 249073. doi:10.1155/2010/249073 </ref> | ||
==Clinical Features== | ==Clinical Features== | ||
Revision as of 20:57, 8 February 2017
Background
- Post-op pain secondary to the premature loss of healing clot in the alveolar socket after tooth extraction [1]
Clinical Features
- Exposed bone with no clot in extraction site
Differential Diagnosis
Dentoalveolar Injuries
Odontogenic Infections
- Acute alveolar osteitis (dry socket)
- Acute necrotizing ulcerative gingivitis (trench mouth)
- Dental abscess
- Periapical abscess
- Periodontal abscess
- Ludwig's angina
- Pulpitis (dental caries)
- Pericoronitis
- Peritonsillar abscess (PTA)
- Retropharyngeal abscess
- Vincent's angina - tonsillitis and pharyngitis
Other
Evaluation
- Occurs 2-4d after tooth extraction
- Initial post-extraction pain subsides followed by sudden/severe pain at extraction site
- Physical exam often unremarkable
Management
- Analgesia (often requires dental block)
- Irrigate and suction
- Pack with iodoform ribbon gauze soaked with eugenol (oil of cloves) or local anesthetic
- Penicillin VK 500mg PO QID OR clindamycin 300mg PO QID
Disposition
- Discharge with dental follow-up within 24 hours
See Also
References
- ↑ Kolokythas A, Olech E, Miloro M. Alveolar Osteitis: A Comprehensive Review of Concepts and Controversies. International Journal of Dentistry. 2010; 2010: 249073. doi:10.1155/2010/249073