Title: A Comparison of Placement of Different Drug Regimen in Socket after lower third Molar Surgery: A Prospective Study
Authors: Dr Rajesh Tak, Dr Ruchika Tiwari, Dr Bindu Bhardwaj, Dr Vikas Singh, Dr Aditya Harsh, Dr Vidhi Verma
DOI: https://dx.doi.org/10.18535/jmscr/v6i5.36
Abstract
Background: Prevention of alveolar osteitis can be either pharmacological or non pharmacological. The aim of this study was to compare the effects of different regimens for the prevention of alveolar osteitis following mandibular third molar extractions.
Material & Methods: This study was carried out on a total of 90 patients who have 17-30 years of age. To be eligible, patients had to be in good general health and have at least one mandibular third molar to be extracted. The patients of group I (N=45) was placed powder of 500 mg of amoxicillin capsule in socket after lower third molar extraction immediately. The second group (mixture of powder of 500 mg of amoxicillin+ 500mg metronidazole, n = 45) was treated similarly to group 1.
Results: Our study showed that the mean age was 23.70 yrs in group I & 24.5 yrs in group II. Male to female ratio and smoking habits was almost same in both groups. The pain, swelling was higher in group I as compare to group II, which was statistical significant (P=0.0374* & p=0.0496* respectively). Overall incidence of dry socket was 20%. There was a significant reduction in the incidence of AO in the second group (p = 0.0386*).
Conclusion: The results of this study suggest that placement of mixture of antibiotics in socket immediately after lower third molar extraction decreases the alveolar osteitis rate.
Keywords: Dry socket, extraction, impacted third molar, antibiotics.
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