title: Repercussions of intraalveolar placement of combination of 0.2% chlorhexidine & 10 Mg metronidazole gel on the occurrence of dry sockets- A randomized control trial.
abstract: BACKGROUND
  To evaluate the effects of intraalveolar placement of gel containing 0.2% chlorhexidine and 10gm of metronidazole on the incidence of alveolar osteitis.
  
  
  METHODS
  A total of 300 impacted third molars were extracted in 150 patients enrolled in this trial. In each subject a socket was randomly selected and packed to the crest of alveolar ridge with the gel. The contralateral socket was packed with placebo dressing. The occurrence of dry socket was assessed during 3rd and 5th postoperative days .The data was analysed using a meta analytical program.
  
  
  METHODS
  Double blind, prospective, placebo controlled trial.
  
  
  RESULTS
  The combination of metronidazole + chlorhexidine gel significantly reduced dry socket incidence from 22.6% to 6.6% (P≤ 0.001) [McNemar and chi-square tests].
  
  
  CONCLUSIONS
  The decrease in incidence of adverse reactions and complications related to local application of metronidazole and chlorhexidine gel explains its clinical use, specifically in mandibular molar extractions where the chances of dry sockets are high.Key words:Chlorhexidine, dry socket, intra-alveolar, metronidazole, placebo.
authors.affiliation: Postgraduate student, Dept of Oral and maxillofacial surgery, Maharaja Ganga Singh Dental College and Research Centre, 11, LNP, Hanumangarhroad, Near RICCO, Sri Ganganagar, Rajasthan, India.
authors.forename: Jasleen
authors.initials: J
authors.lastname: Kaur
authors.affiliation: Postgraduate student, Dept of Oral and maxillofacial surgery, Maharaja Ganga Singh Dental College and Research Centre, 11, LNP, Hanumangarhroad, Near RICCO, Sri Ganganagar, Rajasthan, India.
authors.forename: Rushik
authors.initials: R
authors.lastname: Raval
authors.affiliation: Assistant Professor, department of oral and maxillofacial surgery, Darshan Dental college, Udaipur.
authors.forename: Anupam
authors.initials: A
authors.lastname: Bansal
authors.affiliation: Postgraduate student, Dept of Oral and maxillofacial surgery, Maharaja Ganga Singh Dental College and Research Centre, 11, LNP, Hanumangarhroad, Near RICCO, Sri Ganganagar, Rajasthan, India.
authors.forename: Vinod
authors.initials: V
authors.lastname: Kumawat