Reduction of Post Extraction Side Effects

1
Reduction of Post Extraction Side Effects with a
Natural Innovative Dressing
by Dr Maxime Vézina under the direction of Dr
Milli Harel-Raviv Faculty of Dentistry, McGill
University

INTRODUCTION
MATERIAL METHODS
RESULTS
Dental extraction is a very common procedure in
dentistry. Although dentist use meticulous
precautions when performing exodontia, post
operative complications occur. Studies from the
past have concentrated their efforts in reducing
the incidence of alveolar osteitis and other
complications throughout many methods. They have
demonstrated that the normal incidence of
alveolar osteitis vary from 0,5 to 5 for all
dental extractions and from 5 to 10 for third
molars1. This situation results in an incomfort
for the patient and time losing for the
practitioner. Although etiology remains unknown,
causes have been suggested and are believed to be
multifactorial2. This has led to multiple
prophylaxis approaches. Management is presently
taken care with analgesic, antibiotic,
anti-inflammatory, clot stabilizer, antibacterial
rinse or a combination of one of these methods3.
The purpose of this study is to introduce and
prove a new treatment that enhance healing with
no side effects and reduces medication intake by
using a device that belongs to a new era of
treatment and that will reduce the incidence of
post extraction complications. The purpose of
a good dressing in the treatment of
post-extraction complications is to Close the
opening of the alveolar socket so that food
debris is kept out. Provide local pain relief
so that the use of narcotics medication can be
avoided. Keep alveolus clean so that excessive
inflammation does not slow healing. Promote
healing and allow it to progress at the fastest
possible rate. Suppress the bad odor often
emanating from the empty alveolus3. The
antimicrobial activity of plant oils and extracts
has been recognized for many years6. Oreganum
Vulgare wich 70 is composed of three main
constituents thymol (33), gamma-terpinene
(26), and p-cymene (11)4, has shown many
benefit such as an effective anti-bacterial and
potent anti-oxidant activity throughout
studies456. Additional research tested the
effects of Oreganum Vulgare on the common
bacteria Staphylococcus, which is becoming more
drug-resistant and is the culprit in many
infections7. We think that this essential oil
extract as part of a base to a sedative dressing
is an innovative product that can be used in the
oral cavity for wound healing such as dental
extraction. In the present study, we compared
the use of Oreganum Vulgare based dressing in
extraction sites with saline-treated control
group for the prevention of post-operative
complications following tooth extraction.
2 groups of 10 persons were compared the first
group consisted of irrigating with saline water
after each extraction and represented the control
group while the second group consisted of placing
an oregano based dressing into the alveolar
socket after extraction and represented the study
group. Out of the 20 patients randomly
chosen 40 are male and 60 are female. Ages
vary from 15 to 80 years old. 75 are caucasian
and 25 are afro-americans. 5 wisdom teeth, 6
molars, 9 premolars and 1 incisor were extracted.

VS.
The dressings were made by cutting gel foam in a
1cm2 with a 15 blade The dressing were then
impregnated with 2 drops (60mg) of pure oregano
oil After the extraction, curettage and
irrigation were completed, the dressing was
placed into the alveolar socket. One 4.0 plain
gut resorbable suture was then made to maintain
the dressing into the socket
O. Vulgare based dressing group
Control group
CONCLUSION
Reduction in post extraction side effects in
patients treated with O. Vulgare based dressing
compared to control group was observed. Patients
from the control group consumed 12
more analgesics and 58 more antibiotics than
patients treated with O. Vulgare based dressing.
A post extraction management and healing survey
was then completed with the patient as part of a
7 day follow-up. Objective and subjective side
effects were mesured and the medication intake
was accounted
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