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Medical Forum / General / Dentistry / March 2007

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Poll: to curette or not curette a dry socket ?

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mrt1travel@yahoo.com - 14 Mar 2007 02:36 GMT
There are different views in the literature, whether one should
reinitiate bleeding
via curettage or just pack down every 3 days. Please residents,
dentists/oral surgeons only.
Thanks
Oh, in absentia sequestrii
Amatus Cremona - 14 Mar 2007 12:43 GMT
Pack dressing

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Amatus

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> There are different views in the literature, whether one should
> reinitiate bleeding
> via curettage or just pack down every 3 days. Please residents,
> dentists/oral surgeons only.
> Thanks
> Oh, in absentia sequestrii
Dartos - 14 Mar 2007 14:23 GMT
> Pack dressing

Let's see.....it didn't develop a good blood clot the first time.
Do I want to numb it up and see if it will form a good clot the
second time.....?

I agree with AC.  Pack dressing.

;-)
D
Newbie - 14 Mar 2007 21:35 GMT
Yep, curetting a socket is contraindicated.

IOW it doesn't help.

>Pack dressing
>
[quoted text clipped - 4 lines]
>> Thanks
>> Oh, in absentia sequestrii
Steven Bornfeld - 14 Mar 2007 14:04 GMT
> There are different views in the literature, whether one should
> reinitiate bleeding
> via curettage or just pack down every 3 days. Please residents,
> dentists/oral surgeons only.
> Thanks
> Oh, in absentia sequestrii

    The old-timers liked to curet, esp. fresh extraction sockets.  To the
best of my knowledge, no dentists or surgeons advocate curetting the
socket after the initial clot is lost.  Certainly not in a dry
socket--cruel and unusual punishment.
    You are giving this too much mental energy.  If a dry socket is
forming, your dentist can pack it and get you pretty good relief.  Dry
socket in healthy patients is self-limiting, and won't lead to anything
more ominous.  Just let the dentist try to keep you comfortable, it will
pass.
    Glad there are no sequestrae--yet.  They may occur later, but don't
worry about them and don't poke around there.

Steve
 
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