Incidence and risk factors affecting fibrinolytic alveolitis after permanent tooth extractions.

IF 3.1 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE
Anwar B Anwar Bataineh, Saleh T Alkadi
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Abstract

Objectives: As a result of the blood clot breaking down or vanishing, a condition can occasionally arise following tooth extraction, especially after traumatic extraction, that leaves the exposed bone in the socket looking dry. The aim of this study was to investigate the incidence and risk factors associated with fibrinolytic alveolitis following extraction of permanent teeth in Jordan.

Materials and methods: Data were collected over a period of 6 months from the Dental Management System for every patient who had permanent teeth extraction at the Oral Surgery Clinic, Faculty of Dentistry/ Jordan University of Science and Technology. Data were age, sex, systemic status of patients, smoking habits, indication of extraction, anatomical location of the extracted teeth was divided into: Upper teeth and lower teeth, number of tooth/teeth extracted, procedure involved in teeth extraction, complications during extraction, compliance to post extraction instructions, fibrinolytic alveolitis present.

Results: During six-month period from October 2022 to March 2023 a total of 480 permanent teeth extractions of 316 patients, of which 204(64.56%) male patients and 112(35.44%) female patients, the ratio of male: female was1.8:1. Out of all 480 extractions the incidence of fibrinolytic alveolitis was 22(4.58%) of all extractions and 6.96% of affected patients.

Conclusions: The overall incidence of fibrinolytic alveolitis was comparable to that of previous research. The findings also suggest that the method and location of extraction are important factors in the development of fibrinolytic alveolitis.

Clinical relevance: Even though general dental offices often treat patients with fibrinolytic alveolitis, oral and maxillofacial surgeons play a critical role in treatment and achieving better results. The current theories around the prevention and treatment of fibrinolytic alveolitis, as well as the complexity and numerous natures of the etiology of fibrinolytic alveolitis, should be known to clinicians.

恒牙拔牙后纤溶性牙槽炎的发生率及影响因素。
目的:由于血凝块破裂或消失,拔牙后偶尔会出现一种情况,特别是在创伤性拔牙后,使窝内暴露的骨头看起来干燥。本研究的目的是调查约旦恒牙拔牙后纤维蛋白溶解性牙槽炎的发生率和相关危险因素。材料和方法:在6个月的时间里,从牙科管理系统中收集约旦科技大学牙科学院口腔外科诊所所有拔恒牙患者的数据。资料包括患者的年龄、性别、全身状况、吸烟习惯、拔牙指征、拔牙解剖位置分为:上牙和下牙、拔牙数量、拔牙程序、拔牙过程中的并发症、对拔牙后指示的依从性、是否存在纤溶性牙槽炎。结果:2022年10月至2023年3月6个月期间,共拔恒牙316例480例,其中男性204例(64.56%),女性112例(35.44%),男女比例为1.8:1。在所有480例拔牙中,纤溶性肺泡炎的发生率为22例(4.58%),占受影响患者的6.96%。结论:纤溶性肺泡炎的总发病率与以往的研究相当。结果还表明,拔牙的方法和位置是纤溶性肺泡炎发生的重要因素。临床相关性:尽管普通牙科诊所经常治疗纤维蛋白溶解性牙槽炎患者,但口腔颌面外科医生在治疗中发挥了关键作用,并取得了更好的效果。目前关于纤溶性肺泡炎预防和治疗的理论,以及纤溶性肺泡炎病因的复杂性和众多性质,都应该让临床医生了解。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Clinical Oral Investigations
Clinical Oral Investigations 医学-牙科与口腔外科
CiteScore
6.30
自引率
5.90%
发文量
484
审稿时长
3 months
期刊介绍: The journal Clinical Oral Investigations is a multidisciplinary, international forum for publication of research from all fields of oral medicine. The journal publishes original scientific articles and invited reviews which provide up-to-date results of basic and clinical studies in oral and maxillofacial science and medicine. The aim is to clarify the relevance of new results to modern practice, for an international readership. Coverage includes maxillofacial and oral surgery, prosthetics and restorative dentistry, operative dentistry, endodontics, periodontology, orthodontics, dental materials science, clinical trials, epidemiology, pedodontics, oral implant, preventive dentistiry, oral pathology, oral basic sciences and more.
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