The Journal
Discussion and Literature Conclusion
Despite of so many researches the literature of
dry socket is inconsistent and more conflicting.
Many researches and studies are conducted to
depict the exact etiopathogenesis of dry socket.
One of the study was conducted by Butler et al
in which 211 patients were observed , one side
of patients were irrigated with 175ml of saline
and the other with 25ml. they found that there
were 12 cases of dry socket occurred in
increase volume lavage group and 23 patients
in low lavage group, but exact evidences are not
known to confirm the above allegations. One
more controversy arised regarding curetting the
socket. Although many authors now do not
recommend curetting as this procedure is
painful and causes more bleeding. Betts et al
used 2% lidocaine jelly in 30 patients diagnosed
with dry socket and found that pain was reduced
immediately for 60 mins after irrigation.
Therefore, occurrence of dry socket and its
physiology are dependent upon vast spectrum
factors. Researches done to prevent this
complication yields no single universally
accepted method. The management to this
complication should begin with patient
education and patients with identifiable risk
factors must be informed in detail about thus
anticipated complication. Despite of so many studies and researches
carried out the literature regarding dry socket
has not been established yet. The exact
etiology is still unknown. There are lots and lots
of controversies regarding the data provided.
Even though complications or severe reactions
from preparations placed in socket are rare,
almost all have reported some negative
reactions. Further investigations and studies
are still required to draw an universally
accepted method.
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Vol. 14 No. 2
May-August 2018