title: Clinical evaluation of post-extraction site wound healing.
abstract: OBJECTIVE
  The aim of this prospective study was to evaluate the clinical pattern of post-extraction wound healing with a view to identify the types, incidence, and pattern of healing complications following non-surgical tooth extraction.
  
  
  METHODS
  A total of 311 patients, who were referred for non-surgical (intra-alveolar) extractions, were included in the study. The relevant pre-operative information recorded for each patient included age and gender of the patient, indications for extraction, and tooth/teeth removed. Extractions were performed under local anesthesia with dental forceps, elevators, or both. Patients were evaluated on the third and seventh postoperative days for alveolus healing assessment. Data recorded were: biodata, day of presentation for alveolus healing assessment, day of onset of any symptoms, body temperature (degrees C) in cases of alveolus infection, and presence or absence of pain.
  
  
  RESULTS
  Two hundred eighty-two patients (282) with 318 extraction sites were evaluated for alveolus healing. Healing was uneventful in 283 alveoli (89%), while 35 alveoli (11%) developed healing complications. These complications were: localized osteitis 26 (8.2%); acutely infected alveolus 5 (1.6%); and an acutely inflamed alveolus 4 (1.2%). Females developed more complications than males (p=0.003). Most complications were found in molars (60%) and premolars (37.1%). Localized osteitis caused severe pain in all cases, while infected and inflamed alveolus caused mild or no pain. Thirty patients (12%) among those without healing complications experienced mild pain.
  
  
  CONCLUSIONS
  Most of the post-extraction alveoli healed uneventfully. Apart from alveolar osteitis (AO), post-extraction alveolus healing was also complicated by acutely infected alveoli and acutely inflamed alveoli. This study also demonstrated a painful alveolus is not necessarily a disturbance of post-extraction site wound healing; a thorough clinical examination must, therefore, be made to exclude any of the complications.
authors.affiliation: Medical College of Dental Surgery in Oral and Maxillofacial Surgery. lanreadeyemo@yahoo.com
authors.forename: Wasiu Lanre
authors.initials: WL
authors.lastname: Adeyemo
authors.forename: Akinola Ladipo
authors.initials: AL
authors.lastname: Ladeinde
authors.forename: Mobolanle Olugbemiga
authors.initials: MO
authors.lastname: Ogunlewe
mesh_terms: D000293:Adolescent; D000328:Adult; D001850:Bone Diseases, Infectious / Q000209:etiology*; D016009:Chi-Square Distribution; D004368:Dry Socket / Q000209:etiology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010149:Postoperative Pain / Q000209:etiology; D011183:Postoperative Complications; D011446:Prospective Studies; D014081:Tooth Extraction; D020390:Tooth Socket / Q000502:physiology*; D014945:Wound Healing