The effect of locally applied ciprofloxacin on the incidence rate of dry socket

Abstract

Dry socket is a common and unpleasant local complication following the extraction and surgical removal of teeth. This study was constructed to prevent or minimize this post operative complication. Material and Methods: 81 patients were involved in this study, divided into two groups, an experimental group: the extraction socket was irrigated intra and immediate postoperatively with 0.5ml/ socket Ciprofloxacin, and a control group: the extraction site was irrigated in the same manner with normal saline. Results: A total of 5 dry sockets were developed in this study, one case in the experimental group, and four cases in the control group. The incidence rate of dry socket in the experimental group was 2.4% while in the control group was 10%. Conclusion: Although the incidence rate of dry socket was reduced from 10% in the control group to 2.4% in the experimental group, but the statistical analysis showed no significant effect for the Ciprofloxacin in the reduction of dry socket. INTRODUCTION Dry socket is a rather common and very unpleasant local complication of the extraction or the surgical removal of teeth. The clinical picture of the disease is well known and was first described in 1890. Two or three days after the removal of the tooth, disintegration of the normal blood clot occur, the alveolus is empty, with completely or partially denuded, very sensitive bone surfaces, covered by grayish-yello w layer of detritus and necrotic tissue. The surrounding gingiva often shows inflammatory reaction. The patient complains of intense, continuous and often irradiating pain of neuralgic character. Halitosis is pronounced and the patient complains of bad