J Jayaindhraeswaran, Senthil Nathan P, Arun M. Comparing The Effectivenes Of Chlorhexidine Gel And Metronidazole Gel In Management Of Dry Socket. Int J Dentistry Oral Sci. 2021;8(7):3457-
3459.
3457
OPEN ACCESS https://scidoc.org/IJDOS.php
Comparing The Effectivenes Of Chlorhexidine Gel And Metronidazole Gel In Management Of Dry
Socket
Research Article
J Jayaindhraeswaran
1*
, Senthil Nathan P
2
, Arun M
3
1
Department of Oral & Maxillofacial Surgery, Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Saveetha University,
Chennai 600 077, Tamilnadu, India.
2
Professor, Department of Oral & Maxillofacial Surgery, Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Saveetha
University, Chennai 600 077, Tamilnadu, India.
3
Senior lecturer, Department of Oral & Maxillofacial Surgery, Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Saveetha
University, Chennai, India.
International Journal of Dentistry and Oral Science (IJDOS)
ISSN: 2377-8075
*Corresponding Author:
J Jayaindhraeswaran,
Department of Oral & Maxillofacial Surgery, Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai 600 077, Tamilnadu, India.
Tel: 7200500633
E-mail: eshwaran.jjjj@gmail.com
Received: April 25, 2021
Accepted: July 09, 2021
Published: July 21, 2021
Citation: J Jayaindhraeswaran, Senthil Nathan P, Arun M. Comparing The Effectivenes Of Chlorhexidine Gel And Metronidazole Gel In Management Of Dry Socket. Int J Dentistry
Oral Sci. 2021;8(7):3457-3459. doi: http://dx.doi.org/10.19070/2377-8075-21000705
Copyright: J Jayaindhraeswaran
©
2021. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use,
distribution and reproduction in any medium, provided the original author and source are credited.
Introduction
Dry socket or alveolar osteitis is a very painful per se, self limiting
condition which is relatively common complication following the
tooth extraction process. Dry socket was frst described in 1896
by Crawford. According to Blum, Dry socket is defned as pain
near the extraction socket after post operation, which increase in
intensity at any time between the frst and third day after extrac-
tion of third molar. This particular complication which occur due
to partially or totally disrupted blood clot within socket and also
with or without halitosis. This incidence varies between 20% to
30% after extraction of impacted third molar and 1% to 80% for
all dental extraction. The onset of dry socket occur 1 to 3 days
after toothextraction. Etiology of dry socket has not been frmly
known as of now, two main theories have been proposed for the
ethology of dry socket. Current cure resides with antibacterial
agents, antiseptics, antifbrinolytics, anti infammatory agents. An-
tiseptics such as chlorhexidine rinses proved to be highly effcient
in dry socket prevention and its complication.
The study was prospective ,blind study done to assess and com-
pare the effectiveness of chlorhexidine gel and metronidazole gel
placed directly into surgical socket after removal of extraction
third molar.
Previously our team has a rich experience in working on vari-
ous research projects across multiple disciplines (Govindaraju
and Gurunathan 2017; A. Christabel et al. 2016; Soh and Naray-
Abstract
Aim: To compare and analyse the effectiveness of the intra alveolar application of chlorhexidine gel and metronidazole gel
in management of dry socket.
Materials And Method: In vivo, single blind ,randomised control through comparative protective study was conducted in the
Department of oral and maxillofacial surgery. Around 30 patients were included in study irrespective of their gender, race and
they had undergone extraction of third molar successively. Patients were in the age group of 18-40 years. The patients were
divided into two groups of 15 patients each based on study material used. Patient were evaluated for mouth opening, facia size
during pre-operative study, followed by 3rd and 7th day post operatively.
Result: The study clearly shows us a reasonable improvement in the mouth opening and swelling after placement of metroni-
dazole gel.In addition to effectiveness there is decrease in post extraction pain particularly due to usage of metronidazole gel.
Conclusion: This study particularly emphasise upon usage of metronidazole gel because of its effectiveness in reducing post
operative complication like pain, swelling and reduction in mouth opening. This tangible improvement signifes and highlights
the use of metronidazole in the prevention of dry socket after third molar extraction.
Keywords: Chlorhexidine Gel; Dry Socket; Third Molar Extraction; Metronidazole Gel.