Post-extraction complications
More dental presentations!
analgesia
- NSAIDs are 1st line over opioids
post-extraction bleeding
- Impending bleeding doom if applicable - unlikely tho anticoag may need reversal
- think about nosebleeds → swallowed blood is emetogenic
- Direct pressure - bite down on gauze +/- TXA
- Horizontal mattress suture with lidocaine+adrenaline
dry socket
| Etiology | Total or partial displacement of the clot from the socket, resulting in alveolar bone exposure - Risk factors: smoking, pre-existing periodontal disease, traumatic extraction, prior episodes |
| Clinical presentation | severe pain day 2-3 post-extraction, halitosis |
| Management | Complication - osteomyelitis (!!!!) |