Effect of Topically Applied Vancomycin Powder in the Occurrence of Dry Socket after Surgical Removal of Impacted Mandibular Third Molar.
Author(s): Hamid Ibrahim Mohammed* and Rsul Natq Al-Khafaji
The major complication that follows tooth extraction is dry socket which is also referred to as fibrinolytic or alveolar osteitis, which is an acute inflammation of the alveolar bone that characterized by severe throbbing pain, empty socket with exposed wall due to absence or break down of blood clot with gingival swelling and tenderness. Many methods had been employed in the treatment of alveolar osteitis; one of them was topical use of antimicrobial agent such as topical antibiotic which is used in the prevention and treatment such as metronidazole, clindamycin and tetracycline. The aim of this study is to identify the effect topically applied Vancomycin powder in the occurrence of dry socket after surgical removal of impacted third molar, 80 patients was involved in this study was divided in tow groups (control and study), dry socket occurred in both group (9 in control and 11 in study) with no significant difference (P value=0.12), the study found high significant relation between the occurrence of dry socket with severity of impaction and increasing age (P value=0.000).