Alveolitis of the Jaw in Dentistry

Watch Dental Video about Alveolitis of the Jaw

The term alveolitis refers to an inflammation of the bone socket, e.g., after a tooth extraction.

This complication, after the removal of a tooth, occurs primarily in the area of the posterior teeth in the lower jaw, i.e., in smokers. However, improper handling of the wound by the dentist can also cause alveolitis (e.g., the placement of an iodine strip during a normal tooth extraction). The pain typically appears two to four days after the extraction, and is caused by a disintegration and/or the lack of a blood clot.

Grafik einer Zahnfachentzündung im Oberkiefer

Alveolitis of the Jaw

 

 

In order to prevent this complication, it is important that the dentist pays attention to the bone socket completely filling with blood. In order to prevent this complication, it’s important that the dentist ensures that the bone socket fills up completely with blood. In the video "Dental Alveolitis" you see two teeth being pulled; the tooth sockets don’t fill up with blood right away. Therefore, the tooth sockets (the alveoli), are cleaned and refreshed with a sharp spoon. Now the bone socket fills with blood. The blood clot that forms protects the alveolus from the intrusion of germs from the oral cavity until the surface of the wound is overgrown with a mucous membrane. If the patient is educated regarding appropriate handling of the situation, an alveolitis can very easily be avoided. Basically, an alveolitis is a bone infection, i.e., an osteomyelitis, and should thus be treated as one. Risky treatment methods, such as placing tamponades soaked in medication, are obsolete.

Treatment consists of surgically refreshing the wound under local anesthesia, i.e., removing the infected bone, and subsequently tightly closing the wound. As a rule, systemic administration of antibiotics is not appropriate.

Click here to see the video: Dental Alveolitis

 

This post is also available in: German

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