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Diş Çekiminden Sonra Gelişen Alveolit Vakalarının Değerlendirilmesi

Yıl 2023, Cilt: 10 Sayı: 4, 245 - 250, 15.06.2023

Oğulcan Akkurt Olgun Topal

https://doi.org/10.15311/selcukdentj.1239605

Öz

Amaç: Bu çalışmada, diş çekimi sonrası gelişen en sık komplikasyonlardan biri olan alveolar osteitis (alveolit) olgularının farklı parametreler kullanılarak değerlendirilmesi amaçlanmıştır.
Gereç ve Yöntemler: Çalışmaya 2019 ile 2022 tarihleri arasında Afyonkarahisar Sağlık Bilimleri Üniversitesi, Diş Hekimliği Fakültesi, Ağız, Diş ve Çene Cerrahisi Anabilim Dalına başvuran ve diş çekimi yapıldıktan sonra klinikte alveolit teşhisi konan 71 hasta dahil edilmiştir. Yaş, cinsiyet, diş çekimi yapılan bölge, sistemik hastalık varlığı, sigara kullanımı ve mevsim değişkenlerine göre alveolit görülmesi retrospektif olarak değerlendirilmiştir. Çalışmanın istatistiksel analizleri SPSS paket programı ile yapılmıştır.
Bulgular: Alveolit olgusu gelişen hastaların % 62’sinin kadın, % 38’inin erkek olduğu bulunmuş, cinsiyetler arasındaki dağılım anlamlı farklılık göstermiştir. Genç ve orta yaş gruplarında (21-60) alveolitin daha fazla görüldüğü bulunmuştur (p<0.001). Olguların % 62’sinin mandibulada posterior bölgede geliştiği, çene bölgeleri arasındaki dağılımda da anlamlı fark bulunduğu tespit edilmiştir (p<0.001). Mevsimler arasındaki alveolit görülme oranının istatistiksel olarak anlamlı farklılık gösterdiği bulunmuş ve en sık kış aylarında (% 49.3) karşılaşıldığı saptanmıştır (p<0.001).
Sonuçlar: Çekim sonrası gelişen lokal bir semptom olan alveolit görülme oranı, kadınlarda, genç ve orta yaş grubunda, mandibular posterior bölgede ve kış mevsiminde daha yüksek bulunmuştur. Daha geniş popülasyonlarda yapılacak ileri çalışmalara ihtiyaç bulunmaktadır.
Anahtar Kelimeler: diş çekimi, alveolit, alveolar osteitis

Anahtar Kelimeler

diş çekimi alveolit alveolar osteitis

Kaynakça

  • 1.Crawford JY: Dry socket. Cosmos; 1896. p. 929-931.
  • 2.Field EA, Speechley JA, Rotter E. Dry socket incidence compared after a 12-year interval. Br J Oral Maxillofac Surg 1985;23:419-27.
  • 3.Cardoso CL, Rodrigues MTV, Junior OF, Garlet GP, Carvalho PSP. Clinical concepts of dry socket. J Oral Maxillofac Surg 2010; 68:1922-32.
  • 4.Blum IR. Contemporary views on dry socket (alveolar osteitis): a clinical appraisal of standardization, aetiopathogenesis and management:a critical review. Int J Oral Maxillofac Surg 2002;31:309-17.
  • 5.Neville BW, Damm DD, Ailen CM, Bouquot JE. Oral and Maxillofacial Pathology. W.B. Saunders Company, Philadelphia; 1995. p.119.
  • 6.Nussair YM, Younis MH. Prevalence, clinical picture and risk factors of dry socket in a Jordanian dental teaching centre. J Contemp DentPrac 2007;8:53-63.
  • 7.Oginni FO, Fatusi OA, Alagbe AO. A clinical evaluation of dry socket in a Nigerian teaching hospital. J Oral Maxillofac Surg 2003;61:871-6.
  • 8.Amaratunga NA, Senaratne CM. A clinical study of dry sockets in Sri Lanka. Br J Oral Maxillofac Surg 1988;26:410-8.
  • 9.Hermesch CB, Hilton TJ, Biesbrock AR Cain-Hamlin J, McClanahan SF et al. Perioperative use of 0.12% chlorhexidine gluconate for theprevention of alveolar osteitis: Efficacy and risk factor analysis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1998;85:381-7.
  • 10.Summers A. Gingivitis: diagnosis and treatment. Emerg Nurse 2009;17:18-20.
  • 11.Sweet JB, Butler DP. Predisposing and operative factors: effect on the incidence of localized osteitis in mandibular third molar surgery.Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1978;46:206–15.
  • 12.Sweet JB, Butler DP. The relationship of smoking to localized osteitis. J Oral Surg 1979;37:732-5.
  • 13.Monaco G, Staffolani C, Gatto MR, Checchi L. Antibiotic therapy in impacted third molar surgery. Eur J Oral Sci 1999;107:437–41.
  • 14.Güngörmüş M, Yıldırım G, Gürbüz G, Ertaş Ü. Alveolitisin görülme sıklığı (Klinik bir araştırma). Atatürk Üniv Diş Hek Fak Derg 2000;10:49-52.
  • 15.Tuncay Ü. Alveolitis ve etiolojisi. Ege Üniv Diş Hek Fak Derg 1989;10:65-72.
  • 16.Torres-Lagares D, Infante-Cossio P, Gutierrez-Perez JL, Romero-Ruiz MM, Garcia Calderon M, Serrera-Figallo MA. Intra-alveolarchlorhexidine gel for the prevention of dry socket in mandibular third molar surgery. A pilot study. Med Oral Patol Oral Cir Bucal2006;11:179-84.
  • 17.Öğütcen M, Yılmaz D. Gömülü alt yirmi yaş dişlerinin çıkarılmasında kanama ve lokalize alveolitis oluşumunun değerlendirilmesi. G.Ü.Dişhek Fak Derg 1989;6:147-57.
  • 18.Turner PS. A clinical study of “dry socket.” Int J Oral Surg 1982;11:226-31.
  • 19.Cheung LK, Chow LK, Tsang MH, Tung LK. An evaluation of complications following dental extractions using either sterile or clean gloves.Int J Oral Maxillofac Surg 2001;30:550-4.
  • 20.Asutay F, Acar AH, Alan H, Yolcu Ü. Alveolar Osteitis İnsidansı: 324 Hastanın Geriye Dönük İncelenmesi. Turkiye Klinikleri J Dental Sci2014;20:107-12.
  • 21.Tüzüner-Öncül AM, Güner SD, Üçok C, Ünsal H, Yazıcıoğlu D, Demiralp S. Ekstraksiyon sonrası gözlenen alveolit olgularınındeğerlendirilmesi. A.Ü. Diş Hek. Fak. Derg. 2009;36:1-6
  • 22.Larsen PE. Alveolar osteitis after surgical removal of impacted mandibular third molars: Identification of the patient at risk. Oral Surg OralMed Oral Pathol 1992;73:393–7.
  • 23.Brekke JH, Bresner M, Reitman MJ. Effect of surgical trauma and polylactate cubes and granules on the incidence of alveolar osteitis inmandibular third molar extraction wounds. J Can Dent Assoc. 1986;52:315–20.
  • 24.MacGregor AJ. Aetiology of dry socket: a clinical investigation. Br J Oral Surg 1968;6:49–58.
  • 25.Colby RC. The general practitioner's perspective of the etiology, prevention, and treatment of dry socket. Gen Dent. 1997;5:461–7.
  • 26.Heasman PA, Jacobs DJ. A clinical investigation into the incidence of dry socket. Br J Oral Maxillofac Surg 1984;22:115–22.
  • 27.Swanson AE. Reducing the incidence of dry socket: a clinical appraisal. J Can Dent Assoc 1996;32:25–33.
  • 28.Meyer RA. Effect of anesthesia on the incidence of alveolar osteitis. J Oral Surg. 1971;29:724–6.
  • 29.Meechan JG, Macgregor DM, Rogers SN, Hobson RS, Bate JPC, Dennison M. The effect of smoking on immediate post-extraction socketfilling with blood and on the incidence of painful socket. Br J Oral Maxillofac Surg 1988;26:402–9.
  • 30.Sweet JB, Butler DP. Effect of smoking on the incidence of localized osteitis following mandibular third molar surgery. Quintessence IntDent Dig 1978;9:9–10.
  • 31.Parthasarathi K, Smith A, Chandu A. Factors Affecting Incidence of Dry Socket: A Prospective Community-Based Study. J Oral MaxillofacSurg 2011;69:1880-1884.
  • 32.Noroozi AR, Philbert RF. Modern concepts in understanding and management of the "dry socket" syndrome: comprehensive review of theliterature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009;107:30-5.
  • 33.Ghosh A, Aggarwal VR, Moore R. Aetiology, Prevention and Management of Alveolar Osteitis-A Scoping Review. J Oral Rehabil. 2022;49:103-113.
  • 34.Shafaee H, Bardideh E, Nazari MS, Asadi R, Shahidi B, Rangrazi A. The effects of photobiomodulation therapy for treatment of alveolarosteitis (Dry Socket): Systematic review and meta-analysis. Photodiagnosis and Photodynamic Therapy. 2020;32:1-8.
  • 35.Yüce E, Kömerik N. Potential effects of advanced platelet rich fibrin as a wound-healing accelerator in the management of alveolar osteitis: A randomized clinical trial. Niger J Clin Pract. 2019;22:1189-1195.

Evaluation of Alveolitis Cases Developing After Tooth Extraction

Yıl 2023, Cilt: 10 Sayı: 4, 245 - 250, 15.06.2023

Oğulcan Akkurt Olgun Topal

https://doi.org/10.15311/selcukdentj.1239605

Öz

Background: In this study, it was aimed to evaluate the cases of alveolar osteitis (alveolitis), which is one of the most common complications after tooth extraction, using different parameters.
Methods: 71 patients who applied to Afyonkarahisar Health Sciences University, Faculty of Dentistry, Department of Oral and Maxillofacial Surgery between 2019 and 2022 and were diagnosed with alveolitis in the clinic after tooth extraction were included in the study. The occurrence of alveolitis was evaluated retrospectively according to age, gender, area of tooth extraction, presence of systemic disease, smoking and seasonal variables. Statistical analyzes of the study were made with the SPSS package program.
Results: It was found that 62% of the patients with alveolitis were female and 38% were male, and the distribution between genders showed a significant difference. It was found that alveolitis was more common in young and middle age groups (21-60) (p<0.001). It was determined that 62% of the cases developed in the posterior region of the mandible, and there was a significant difference in the distribution between the jaw regions (p<0.001). It was found that the incidence of alveolitis between the seasons showed a statistically significant difference and it was found that it was most common in winter months (49.3 %) (p<0.001).
Conclusion: The incidence of alveolitis, a local symptom that develops after extraction, was found to be higher in women, young and middle-aged groups, in the mandibular posterior region and in winter. Further studies in larger populations are needed.
Keywords: tooth extraction, alveolitis, alveolar osteitis

Anahtar Kelimeler

tooth extraction alveolitis alveolar osteitis

Kaynakça

  • 1.Crawford JY: Dry socket. Cosmos; 1896. p. 929-931.
  • 2.Field EA, Speechley JA, Rotter E. Dry socket incidence compared after a 12-year interval. Br J Oral Maxillofac Surg 1985;23:419-27.
  • 3.Cardoso CL, Rodrigues MTV, Junior OF, Garlet GP, Carvalho PSP. Clinical concepts of dry socket. J Oral Maxillofac Surg 2010; 68:1922-32.
  • 4.Blum IR. Contemporary views on dry socket (alveolar osteitis): a clinical appraisal of standardization, aetiopathogenesis and management:a critical review. Int J Oral Maxillofac Surg 2002;31:309-17.
  • 5.Neville BW, Damm DD, Ailen CM, Bouquot JE. Oral and Maxillofacial Pathology. W.B. Saunders Company, Philadelphia; 1995. p.119.
  • 6.Nussair YM, Younis MH. Prevalence, clinical picture and risk factors of dry socket in a Jordanian dental teaching centre. J Contemp DentPrac 2007;8:53-63.
  • 7.Oginni FO, Fatusi OA, Alagbe AO. A clinical evaluation of dry socket in a Nigerian teaching hospital. J Oral Maxillofac Surg 2003;61:871-6.
  • 8.Amaratunga NA, Senaratne CM. A clinical study of dry sockets in Sri Lanka. Br J Oral Maxillofac Surg 1988;26:410-8.
  • 9.Hermesch CB, Hilton TJ, Biesbrock AR Cain-Hamlin J, McClanahan SF et al. Perioperative use of 0.12% chlorhexidine gluconate for theprevention of alveolar osteitis: Efficacy and risk factor analysis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1998;85:381-7.
  • 10.Summers A. Gingivitis: diagnosis and treatment. Emerg Nurse 2009;17:18-20.
  • 11.Sweet JB, Butler DP. Predisposing and operative factors: effect on the incidence of localized osteitis in mandibular third molar surgery.Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1978;46:206–15.
  • 12.Sweet JB, Butler DP. The relationship of smoking to localized osteitis. J Oral Surg 1979;37:732-5.
  • 13.Monaco G, Staffolani C, Gatto MR, Checchi L. Antibiotic therapy in impacted third molar surgery. Eur J Oral Sci 1999;107:437–41.
  • 14.Güngörmüş M, Yıldırım G, Gürbüz G, Ertaş Ü. Alveolitisin görülme sıklığı (Klinik bir araştırma). Atatürk Üniv Diş Hek Fak Derg 2000;10:49-52.
  • 15.Tuncay Ü. Alveolitis ve etiolojisi. Ege Üniv Diş Hek Fak Derg 1989;10:65-72.
  • 16.Torres-Lagares D, Infante-Cossio P, Gutierrez-Perez JL, Romero-Ruiz MM, Garcia Calderon M, Serrera-Figallo MA. Intra-alveolarchlorhexidine gel for the prevention of dry socket in mandibular third molar surgery. A pilot study. Med Oral Patol Oral Cir Bucal2006;11:179-84.
  • 17.Öğütcen M, Yılmaz D. Gömülü alt yirmi yaş dişlerinin çıkarılmasında kanama ve lokalize alveolitis oluşumunun değerlendirilmesi. G.Ü.Dişhek Fak Derg 1989;6:147-57.
  • 18.Turner PS. A clinical study of “dry socket.” Int J Oral Surg 1982;11:226-31.
  • 19.Cheung LK, Chow LK, Tsang MH, Tung LK. An evaluation of complications following dental extractions using either sterile or clean gloves.Int J Oral Maxillofac Surg 2001;30:550-4.
  • 20.Asutay F, Acar AH, Alan H, Yolcu Ü. Alveolar Osteitis İnsidansı: 324 Hastanın Geriye Dönük İncelenmesi. Turkiye Klinikleri J Dental Sci2014;20:107-12.
  • 21.Tüzüner-Öncül AM, Güner SD, Üçok C, Ünsal H, Yazıcıoğlu D, Demiralp S. Ekstraksiyon sonrası gözlenen alveolit olgularınındeğerlendirilmesi. A.Ü. Diş Hek. Fak. Derg. 2009;36:1-6
  • 22.Larsen PE. Alveolar osteitis after surgical removal of impacted mandibular third molars: Identification of the patient at risk. Oral Surg OralMed Oral Pathol 1992;73:393–7.
  • 23.Brekke JH, Bresner M, Reitman MJ. Effect of surgical trauma and polylactate cubes and granules on the incidence of alveolar osteitis inmandibular third molar extraction wounds. J Can Dent Assoc. 1986;52:315–20.
  • 24.MacGregor AJ. Aetiology of dry socket: a clinical investigation. Br J Oral Surg 1968;6:49–58.
  • 25.Colby RC. The general practitioner's perspective of the etiology, prevention, and treatment of dry socket. Gen Dent. 1997;5:461–7.
  • 26.Heasman PA, Jacobs DJ. A clinical investigation into the incidence of dry socket. Br J Oral Maxillofac Surg 1984;22:115–22.
  • 27.Swanson AE. Reducing the incidence of dry socket: a clinical appraisal. J Can Dent Assoc 1996;32:25–33.
  • 28.Meyer RA. Effect of anesthesia on the incidence of alveolar osteitis. J Oral Surg. 1971;29:724–6.
  • 29.Meechan JG, Macgregor DM, Rogers SN, Hobson RS, Bate JPC, Dennison M. The effect of smoking on immediate post-extraction socketfilling with blood and on the incidence of painful socket. Br J Oral Maxillofac Surg 1988;26:402–9.
  • 30.Sweet JB, Butler DP. Effect of smoking on the incidence of localized osteitis following mandibular third molar surgery. Quintessence IntDent Dig 1978;9:9–10.
  • 31.Parthasarathi K, Smith A, Chandu A. Factors Affecting Incidence of Dry Socket: A Prospective Community-Based Study. J Oral MaxillofacSurg 2011;69:1880-1884.
  • 32.Noroozi AR, Philbert RF. Modern concepts in understanding and management of the "dry socket" syndrome: comprehensive review of theliterature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009;107:30-5.
  • 33.Ghosh A, Aggarwal VR, Moore R. Aetiology, Prevention and Management of Alveolar Osteitis-A Scoping Review. J Oral Rehabil. 2022;49:103-113.
  • 34.Shafaee H, Bardideh E, Nazari MS, Asadi R, Shahidi B, Rangrazi A. The effects of photobiomodulation therapy for treatment of alveolarosteitis (Dry Socket): Systematic review and meta-analysis. Photodiagnosis and Photodynamic Therapy. 2020;32:1-8.
  • 35.Yüce E, Kömerik N. Potential effects of advanced platelet rich fibrin as a wound-healing accelerator in the management of alveolar osteitis: A randomized clinical trial. Niger J Clin Pract. 2019;22:1189-1195.
Toplam 35 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Diş Hekimliği
Bölüm Araştırma
Yazarlar

Oğulcan Akkurt 0000-0002-4464-0697

Olgun Topal 0000-0003-3550-8739

Yayımlanma Tarihi 15 Haziran 2023
Gönderilme Tarihi 20 Ocak 2023
Yayımlandığı Sayı Yıl 2023 Cilt: 10 Sayı: 4

Kaynak Göster

Vancouver Akkurt O, Topal O. Diş Çekiminden Sonra Gelişen Alveolit Vakalarının Değerlendirilmesi. Selcuk Dent J. 2023;10(4):245-50.

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