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The Effect of 0.2% Chlorhexidine Gel versus Clindamycine on Pain and Dry Socket after Surgical Extraction of Mandibular Third Molars

تأثير جل الكورهيكزيدين 0.2 % مقارنة بالكندامايسين على الألم و التهاب السنخ الجاف بعد القلع الجراحي للأرحاء الثالثة السفلية

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 Publication date 2015
  fields Dentistry
and research's language is العربية
 Created by Shamra Editor




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The objective of this study was to compare Chlorhexidine gel 0,2% with Clindamycine phosphate gel 1% when they applied topically to protect of pain and dry socket after surgical extraction.

References used
Crawford JY1896, Dry socket. Dental Cosmos;38:929-931
Stanley F, Malamed - handbook of local anesthesia. Fifth edition, Penny ,Rudolph ,Mosby :255-265: 20
Blum IR 2002, Contemporary views on dry socket (alveolar osteitis): a clinical appraisal of standardization, aetiopathogenesis and management: a critical review. International Journal of Oral and Maxillofacial Surgery; 31(3):309 –17
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The aim of this study was to evaluate the efficacy of dexamethasone, as a single 4-mg dose, which was injected into the masseter muscle upon completion of extraction of impacted lower third molars . this study is A prospective, randomized controll ed study . This study involves 40 healthy patients of both sexes with impacted mandibular third molars in this study . The difficulty of extraction was similar in all cases. The test side received 4 mg of dexamethasone This dose was injected into the masseter muscle via the intrabuccal approach, immediately after suturing of the surgical wound. The control side received 4 mg of dexamethasone injected into the gluteal area.
This study was performed in the faculty of dental medicine –Damascus university. the studied sample contained 30 patients in need for surgical extraction of third inferior molar. A dose of 2 grams of amoxicillin was administered an hour before surg ery to 15 patients. The oral health was assessed using plaque index and gingivitis index. 5ml of venous blood was taken pre and post surgery. Blood was then put in special glass bottles and incubated in 37c for five days, then the blood samples were cultured on blood agar and MacConkey's agar and then searched for any bacterial growth bacterimia percentage was 0% before surgery in all study participants, while it was 71.4% with amoxicillin and 42.9% without amoxicillin.

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