Aveolar Osteitis

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Infected Socket

Description

A post extraction complication due to infection of the clot due to contamination (Infected socket). The condition is painful and if not managed well could lead to osteomyelitis.

Signs and Symptoms

  • Severe painful socket 2–4 days after tooth extraction
  • Fever
  • Necrotic blood clot in the socket
  • Swollen gingiva around the socket
  • Sometimes there may be lymphadenopathy and trismus (inability to open the mouth)

Treatment

  • Amoxicillin 500mg (PO) 8 hourly for 5–7 days

OR

  • Azithromycin 500mg (PO) once a day for 3 - 5days

OR

  • Erythromycin 500mg (PO) 6 hourly for 5- 7 days AND
  • Metronidazole 400mg (PO) 8 hourly for 5 days