Ver el código de «Acute alveolar osteitis»

==Background==
*Osteomyelitis of exposed bone. Also known as "Dry socket"
*Caused by premature loss of healing clot in the alveolar socket after tooth extraction<ref>Kolokythas A, Olech E, Miloro M. Alveolar Osteitis: A Comprehensive Review of Concepts and Controversies. International Journal of Dentistry. 2010; 2010: 249073. doi:10.1155/2010/249073 </ref>
*Occurs 2-4d after tooth extraction
*Initial post-extraction pain subsides followed by sudden/severe pain at extraction site


==Clinical Features==
[[File:DrySocket.jpg|thumb|Acute alveolar osteitis of a socket after tooth extraction of all maxillary teeth; note lack of blood clot in socket and exposed alveolar bone.]]
[[File:Alveolar osteitis labeled dry socket.jpg|thumb|The most common location of acute alveolar osteitis: in the socket of an extracted mandibular third molar (wisdom tooth).]]
[[File:drysocket.jpg|thumb|Dry socket]]
*Postoperative pain at site of recent tooth extraction

==Differential Diagnosis==
{{Dental Problems DDX}}

==Evaluation==
*Clinical diagnosis
*Exposed bone with no clot in extraction site

==Management==
*[[Analgesia]] (often requires dental block)
*Irrigate but socket should not be curetted and any residual clot should not be removed
*Pack with iodoform ribbon gauze soaked with eugenol (oil of cloves) or local anesthetic
*If available, may use commercially available "dry socket paste"
*[[Penicillin VK]] 500mg PO QID '''OR''' [[clindamycin]] 300mg PO QID

==Disposition==
*Discharge with dental follow-up within 24 hours

==See Also==
*[[Dental problems]]
*[[Dental numbers]]

==References==
<References/>

[[Category:ENT]]
[[Category:ID]]