Prophylactic application of an intra-alveolar socket medicament to reduce postextraction complications in HIV-seropositive patients.
A prospective, controlled trial was performed to investigate the effect of a prophylactic socket medicament containing chlortetracycline, aspirin, and local anesthetics, in reducing the incidence of postextraction pain and infection in patients who are HIV-seropositive. Fifty patients were in the study; 25 received the experimental dressing and 25 had no dressing. Patients were asked to complete a questionnaire rating the pain at 24 hours and 48 hours after surgery. Seven days after extraction, socket healing was scored, and sockets with delayed healing sampled for culture. Four of 25 (16%) patients who received the experimental dressing and 8 of 25 (32%) controls experienced pain during the 48 hours after extraction (p = not significant). None of the group who received the experimental dressing and 7 of 25 (28%) in the control group had delayed healing, of these 4 had alveolar osteitis and three had infected sockets (p = 0.0096). We conclude that the experimental agent is useful as a prophylactic agent to reduce delayed healing in HIV-positive patients who undergo exodontia.
Kings College School of Medicine and Dentistry, London, England.
C L
CL
Pankhurst
D A
DA
Lewis
D T
DT
Clark
D000163:Acquired Immunodeficiency Syndrome; D000328:Adult; D000779:Anesthetics, Local / Q000627:therapeutic use*; D001241:Aspirin / Q000627:therapeutic use; D002751:Chlortetracycline / Q000627:therapeutic use; D017742:Dental Care for Chronically Ill / Q000379:methods*; D003992:Dibucaine; D004338:Drug Combinations; D004368:Dry Socket / Q000209:etiology / Q000517:prevention & control*; D005260:Female; D015658:HIV Infections; D006679:HIV Seropositivity; D006801:Humans; D008297:Male; D008875:Middle Aged; D009779:Occlusive Dressings; D013530:Surgical Wound Infection / Q000382:microbiology / Q000517:prevention & control; D013748:Tetracaine; D014081:Tooth Extraction / Q000009:adverse effects; D014945:Wound Healing
D000779:Anesthetics, Local; D004338:Drug Combinations; C087986:Trisok; D013748:Tetracaine; D003992:Dibucaine; D001241:Aspirin; D002751:Chlortetracycline