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لا يجب اعطاء مضادات حيوية عند حدوث dry socket الا في حالتين فقط
1) pus is oozing from the socket.
2) signs of systemic involvement like Lymph nodes enlargement.
Dry socket is not an infection .. antibiotics will not reach the socket due to decreased blood supply to that are .. so no justification for antiobiotics.
Treatment of dry socket is only : irrigation with placement of alveogel or whatever other material is available . NO ANTIBIOTICS .. NO CURETTAGE ..
خلاصة الموضوع لا تعطي مضادات حيوية ابدا الا اذا كان في صديد من مكان الجرح او انتقاخ العقد الليمفاوية.
وهو ليس " انفيكشن لعدم تكون الخثرة " ..
Healing of the Extraction Site :
1. Day 1 – Clot formation
2. Day 2-7 – Granulation tissue fills socket
3. Day 4-20 – Connective tissue replaces granulation tissue; spindle cells, collagen fibers, and early vascularity is seen
4. Day 7 – Bone formation begins with uncalcified spicules and osteoid at the socket base and periphery
5. Day 20 – Mineralization begins
6. Day 40 – two-thirds socket filled with immature bone, lamina dura becomes lost
7. Day 50-90 – Bone matures into trabecular pattern resembling alveolus
8. Day 100 – Socket density comparable to surrounding bone, minimal residual osteogenic activity .
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Manual of minor oral surgery for general dentist.pdf72.64 MB
Handbook of clinical oral and maxillofatial surger.pdf21.86 MB
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