Postoperative care of the surgical wound. Healing process of the extraction wound

Question 1

Post op care of tooth socket

Answer 1

• Socket curetted with periapical curette to remove any periapical lesion
• Thorough inspection
• Sharp bone edges smoothed with bone file or rongeurs forceps
• Lingual and buccal plate compression w/ fingers→ restores expansion of socket and control haemorrhage
• Patient applies pressure on gauze→ 30-45 mins

Question 2

Post op instructions

Answer 2

Rest

Analgesia

Edema

Bleeding

Antibiotics

Diet

Oral hygiene

Removal of sutures:

Question 3

Rest

Answer 3

Stay home w/ no work for 1-2 days

Question 4

Analgesia

Answer 4

Pain killers(salicylates and aspirin) every 4h as long as persists

Question 5

Edema

Answer 5

• Cold compression extra orally for 10-15 mins every half and hour
• For 4-6 hours

Question 6

Bleeding

Answer 6

• Bite on gauze over wound for 30-45 mins
• Further hour if bleeding persists

Question 7

Antibiotics

Answer 7

If patient prone to infection

Question 8

Diet

Answer 8

-Cold, liquid foods(pudding, yogurt, milk)

Question 9

Oral hygiene

Answer 9

• No rinsing for 24 hours
• After→ rinsed with warm chamomile or salt water 3 times a day for 3-4 days
• Brushing and flossing avoiding area of surgery

Question 10

When are sutures removed?

Answer 10

A week later

Question 11

Dry socket

Answer 11

🔸Complication of extraction resulting from disruption of blood clot
🔸Severe throbbing radiating pain w/ malodor
🔸3-5 days following extraction

Question 12

Dry socket clinical presentation

Answer 12

🔸Crypt like socket w/exposed bone
🔸Erythematous soft tissue margins
🔸Food and other debris
🔸Extreme tenderness to palpation

Question 13

Risk factors of dry socket

Answer 13

🔸Infection
🔸Age
🔸Oral contraceptive use
🔸Smoking
🔸Poor oral hygiene

Question 14

Prevention of dry socket

Answer 14

🔸Follow post op instructions
🔸Keeping site clean
🔸Use or topical medicaments and antibiotics
🔸Clot stabilisers (gelofoam)

Question 15

Treatment of dry socket

Answer 15

🔸Irrigation w/ warm saline
🔸Medicated package/dressing into area- euginol
🔸Oral analgesics(ibuprofen, tylenol, hydrogel dressing)

Question 16

Antibiotics used for tooth infection

Answer 16

🔸Amoxicillin (500mg every 8 hours/1000mg every 12 hours)
🔸Clindamycin (300/600 mg every 8 hours)
🔸Azithromycin (500 mg every 24 hours for 3 days)
🔸Metronidazole (500mg-750mg every 8 hours)