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Research Article Open access CC BY 4.0

New Paradigm in Explaining Dry Socket: Case Studies

Wael Khalil

Journal of Advances in Medicine and Medical Research · pp. 276–281 · Published 23 Jul 2022

10.9734/jammr/2022/v34i2031495

Abstract

Dry socket is considered as the most common complication following tooth extraction. It is mainly manifested by severe irradiating pain that starts 2 to 4 days after dental extraction with a denuded socket. Although many risk factors are associated with it, no clear and direct cause has been described to explain its etiopathogenesis. Here, we suggest a new pathogenesis and a new management of  dry Socket based on new microbiological findings from 3 clinical cases. We present a series of 3 Dry Socket cases from which alveolar swabs have been taken for microbial exploration. Materials from the 3 cases were subjected to bacterial culture and susceptibility testing. Microbiological results showed the presence of Pseudomonas aeroginosa in all samples. Furthermore, the antibiogram showed sensitivity to Ciprofloxacin. These results suggest a new approach in preventing and treating Dry Socket based on an infectious process.

Dry socket localized alveolitis alveolar osteitis Pseudomonas aeruginosa bacterial biofilm

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