PDF: Recent advances in the management of Dry Socket - A review


Alveolar osteitis is a well-known post-extraction complication. It is commonly known as “dry socket,” a common postoperative problem that results in severe pain.


The prevention methods include avoiding smoking before and after surgery, atraumatic surgery, the use of antibiotics, such as, azithromycin, chlorhexidine rinse or gel, use of sutures and local hemostatic, low level laser, Alvogyl and the Salicept patch, eugenol on a gauze strip, and a thermosetting gel containing 2.5% prilocaine and 2.5% lidocaine.


Plasma rich in growth factors can also be effective in the reduction of dry socket incidence. 

This article reviews about the new advances, drugs, and materials used for dry socket management.

The incidence of dry socket ranges from 0.5 to 5% for all routine extractions but can reach up to 38% for extractions of impacted mandibular third molars.


The pathogenesis and cause for dry socket are not clear; however, several theories have been proposed on the etiology of dry socket. 

They are trauma during extraction, bacterial infection, biochemical agents, and fibrinolysis. 



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