CURATIVE MANAGEMENT OF ALVEOLAR OSTEITIS AFTER TOOTH EXTRACTION 46 IN PATIENTS WITH SMOKING HABITS

Abstract

Background: Alveolar osteitis is a common post-extraction complication. Many contributing factors can contribute to alveolar osteitis, one of which is smoking. Smoking after extraction can delay the socket healing process and lead to alveolar osteitis. The carbon monoxide content in cigarettes will cause a decrease in oxygen in the blood, thus slowing wound healing. Case report: A 26-year-old man came to the clinic complaining of severe pain in the gums after extraction 5 days ago. The patient admitted to having a habit of smoking 1 pack per day and smoking after the extraction. Intraoral examination showed a grayish area of ​​the socket that had not closed in the area of ​​tooth 46 with pain on palpation accompanied by halitosis. On subjective examination, the pain scale using a numeric rating scale showed a scale of 8. Case Management: Asepsis and infiltration anesthesia were performed on the buccal and lingual areas of the tooth socket 46. Curettage was performed on the post-extraction socket that had alveolar osteitis. Manipulation of eugenol and fletcher powder in the socket as medication in the socket. The severe pain that was complained of gradually subsided after 1 week showed a scale of 1 with a numerical ranking scale after curettage, NaCl irrigation, and manipulation of dressings in the form of fletcher powder and eugenol. Conclusion: Smoking after extraction is one of the etiological factors of alveolar osteitis. Curative management with curettage showed good results in alveolar osteitis. Providing communication, information, and education to patients is very important to reduce the risk of alveolar osteitis.

Keywords: Alveolar Osteitis, Extraction, Curretage, Smoking, Pain, Wound Healing