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. 2022 Jul 1;10(7):121. doi: 10.3390/dj10070121

Table 3.

Detailed characteristics of included studies considering prevalence of dry socket.

Study Prevalence of Dry Socket in All Patients [%] Prevalence of Dry Socket in Smokers [%] Tooth Extracted Extraction Technique Symptoms Recognised as the Onset of Dry Socket Provided Prophylaxis or Treatment
Al-Belasy, 2004 [21] 11.5 16.0 100% impacted mandibular third molars 100% atraumatic extractions constant radiating pain not relieved by the analgesic, accompanied by a denuded socket or necrotic clot and a fetid smell postoperative medications given orally for analgesia were naproxen or diflunisal at a dose of 500 mg twice daily; if dry socket was diagnosed, sockets were irrigated with saline and packed with a eugenol-iodoform dressing
Alsaleh et al., 2018 [22] 7.0 9.4 all teeth except retained third molars single tooth extractions severe pain at the extraction site within 3 days, no blood clot at the extraction site, visible bone at the extraction site, bad breath, bad taste in mouth patients were given post-extraction instructions verbally after the extraction
Bortoluzzi et al., 2012 [23] 1.3 2.7 all kinds of fully erupted teeth 12% traumatic extractions, 88% simple extractions NR NR
Eshghpour & Nejat, 2013 [24] 25.9 35.1 100% impacted mandibular third molars 100% traumatic extractions 1 to 3 days after extraction with severe pain, halitosis, foul taste, and regional lymphadenitis; no blood clot in the socket and the bone is exposed flap sutured using 3-0 silk suture; regimen of amoxicillin (500 mg) and Gelofen (400 mg cap, TID, for maximum 3 days) was prescribed
Halabí et al., 2012 [25] 6.1 57.9 93.6% maxillary, 6.4% mandibular 4.9% traumatic extractions, 95.1% simple extractions increasing postoperative pain intensity for 4 days within and around the socket and/or total or partial breakdown of the blood clot in the socket with or without bone exposure reported measures for alleviating alveolar osteitis in high-risk patients include local treatment with tetracycline or preoperative and 7-day postoperative rinsing with 0.12% chlorhexidine
Heng et al., 2007 [26] 5.0 6.7 83.1% maxillary, 16.9% mandibular 27.9% traumatic extractions, 72.1% simple extractions alveolar osteitis, pain, swelling, bleeding patients received a verbal and written postoperative recommendation, usually ibuprofen as an analgesic; for postoperative complaints, patients had open access to the clinic
López-Carriches et al., 2006 [27] 3.1 6.5 100% lower third molar NR wound appearance and condition were assessed in terms of colour, marginal swelling, ulceration, the presence of plaque no antibiotic treatment was prescribed postoperatively, and the patients received only metamizole as analgesic treatment, diclofenac was also prescribed as antiinflammatory treatment
Momeni et al., 2011 [28] 0.6 0.6 36.3% maxillary, 63.7% mandibular NR throbbing pain, oral malodour, and unpleasant taste; onset of symptoms 42–72 h after tooth extraction and there is no redness or purulent discharge at the affected sites palliative intervention with prescribing anti-inflammatory drugs
Parthasarathi et al., 2011 [29] 4.2 4.6 38.8% maxillary, 61.2% mandibular 17% traumatic extractions, 83% simple extractions the patient’s history of pain and the presence of exposed bone, intraorally NR
Schwartz-Arad et al., 2018 [30] 11.7 33.3 100% third molar extraction NR NR all patients were prescribed oral antibiotics (amoxicillin 1.5 g for 5 days) or clindamycin (1.2 mg for 4 days), and dexamethasone (4 mg for 2 days); rinsing with 0.25% chlorohexidine continued twice a day for 10 days after extraction; naproxen was provided as a nonsteroidal anti-inflammatory drug twice a day
Vettori et al., 2019 [31] 3.2 5.5 51% maxillary, 49% mandibular 15.7% traumatic extractions, 84.3% simple extractions NR almost all surgical sites had been sutured, in 10.47% of cases the patient had started an antibiotic therapy before the intervention; after the intervention, the surgeon prescribed antibiotic therapy to 9.23% of patients, steroids to 0.24% of patients, NSAIDs to 3% of patients

Legend: NR, not reported; TID, three times a day; NSAIDs, non-steroidal anti-inflammatory drugs.