Guidance on the management of acute dental problems from SDCEP

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The Scottish Dental Clinical Effectiveness Programme (SDCEP) has recently launched guidance for the management of patients with acute dental problems. The scope of the guidance is to:- Encourage a consistent approach to the management of acute dental problems to reduce avoidable variation in practice Improve the quality of unscheduled clinical care for patients with acute [read the full story…]

Moderate evidence that chlorhexidine rinse or gel provides a benefit in preventing dry socket

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Teeth are extracted every day in dental surgeries throughout the world because of tooth decay and periodontal (gum) disease. Alveolar osteitis (dry socket) is a complication that can follow an extraction with estimates of its incidence ranging from <1-37.5%.  Typically a blood clot is absent in the socket and the patients have pain in and [read the full story…]

Moderate evidence that prophylactic antibiotics reduce the risk of infection, dry socket and pain following third molar extraction but benefit not enough to recommend routine use

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Tooth extraction is probably the most commonly conducted surgical procedure.  Teeth are normally extracted because of severe dental caries or periodontal (gum) infection, although they are also removed because they are poorly aligned or developed.  To aim of this Cochrane review was to determine the effect of antibiotic prophylaxis on the development of infectious complications [read the full story…]

Some limited evidence to support the use of chlorhexidine to prevent dry socket

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Dry socket (alveolar osteitis) socket is a painful complication of  tooth extraction that occurs in about  5%  of  extractions of permanent tooth. It is more common following the extraction of wisdom teeth. That aim of this review was to assess whether chlorhexidine, when compared to placebo and/or other interventions, reduced the incidence of alveolar osteitis [read the full story…]

Traumatic extraction carries a high risk of a painful dry socket

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Alveolar osteitis or dry socket is a common and painful complication of tooth extraction, occurring following about 5% of all tooth extractions.  The aetiology of this complication is unclear and it has been associated with a wide range of risk factors. the aim of this study was to assess the relation between 8 risk factors [read the full story…]