OUTCOME OF RE-ESTABLISHMENT OF BLOOD CLOT AND ZINC OXIDE EUGENOL DRESSING FOR MANAGEMENT OF DRY SOCKET IN TERMS OF PAIN

Abstract

Objectives: To compare the outcome of Re-establishment of blood clot and Zinc oxide eugenol dressing for management of dry socket in terms of pain. Materials and Methods: This cross sectional study was conducted in the department of Oral and Maxillofacial surgery Khyber College of dentistry Peshawar. Sample size was calculated by WHO calculator taking 5% occurrence of dry socket. Data of 72 patients’ data was collected. All outpatients visited to department of minor oral surgery at Khyber College of dentistry Peshawar with post extraction pain fulfi lling the inclusion criteria were included in the study after detailed history and clinical examination of extraction socket area. Once dry socket diagnosed after history, clinical examination and periapical radiograph lottery method was used to choose the treatment option (Dressing of Zinc oxide eugenol/Re-establishment of blood clot after irrigation with normal saline and debridement). All patients were medicated with non-steroid anti inflammatory drug (Ibuprofen 400mg after every 8 hours) and were recalled after 48 hours. Pain was recorded on visual analog scale (scale used for measuring intensity of pain) before treatment and after 48hours. For data analysis SPSS 22 was used. Percentages and Frequencies were calculatedfor variables like gender, Age and common tooth with dry socket. Pain control for two groups oftreatment was compared and chi square test applied. Results: Total patients included in the study were 72. Female male ratio was 1:1.6. Mandibular second molar was the most commonly presenting tooth with dry socket. Mean age was 24±10.P value for pain control in both treatment group was0.000 which is less than 0.05 and is significant. gender, Age and common tooth with dry socket. Pain control for two groups was compared and chi square test applied. Conclusion: Both of these treatment methods (Dressing of Zinc oxide eugenol/Re-establishment of blood clot) are reliable and predictable but the new method used (reestablishment of clot) was better treatment option in terms of Pain control, less number of visits to the dentist, psychological satisfaction of patients and more economical.