Insights into dry socket prevalence and risk factors following third molar extractions: A prospective observational study

To explore the prevalence of dry sockets while identifying associated risk factors and underlying causes, thereby contributing to a comprehensive understanding of postoperative outcomes in oral surgery.

A total of 50 patients were included in this research, which utilized a prospective observational design. Participants aged between 18 and 50 years who were scheduled for third molar extractions were eligible for inclusion. Those excluded from the study included individuals with coagulopathies, pregnant or lactating women, patients with vitamin deficiencies, and those on medications that could impair healing.Data was collected preoperatively and postoperatively, including demographic information, medical history, and relevant habits (e.g., smoking). Patients were monitored for the occurrence of dry socket and associated symptoms. Ethical considerations were carefully addressed. Details of the surgical procedure and postoperative evaluations were meticulously recorded to identify cases of dry socket. Data analysis was conducted using SPSS software to ensure thorough and accurate results.

A total of 50 patients were included in the study. Out of which 42% were males and58% were females. The majority of the patients were in the 18-30 (46%) age brackets, ensuring diverse representation. The analysis of risk factors associated with dry socket development revealed significant findings. Poor oral hygiene was associated with a higher incidence of dry sockets compared to in those with no dry socket (P < 0.005). Similarly, smoking was identified as a significant risk factor of dry socket compared to in individuals with no dry socket (P = 0.002). Furthermore, a significant difference was found between the simple extraction and surgical extraction techniques (P < 0.003).

The study highlights the crucial role of smoking, poor oral hygiene, and inadequate surgical techniques as primary factors contributing to the development of dry socket after third molar extractions. It emphasizes the necessity for preoperative counseling and targeted interventions to address these issues effectively.