Post-extraction complications seen at a referral dental clinic in Dar Es Salaam, Tanzania
✍ Scribed by Elison Simon; Dr. Mecky Matee
- Publisher
- FDI World Dental Federation
- Year
- 2001
- Tongue
- English
- Weight
- 333 KB
- Volume
- 51
- Category
- Article
- ISSN
- 0020-6539
No coin nor oath required. For personal study only.
✦ Synopsis
Aim:
To investigate the types and magnitude of post extraction complications.
Setting:
A referral hospital in dar es salaam, tanzania.
Subjects:
All dental patients who had their teeth extracted at the muhimbili medical centre dental outpatient clinic during the study period (may september 1999). a total of 3,818 extractions were performed under local anaesthetic in 3,732 patients.
Method:
Oral examination of all patients who reported back with post-extraction problems.
Results:
The frequency of post extraction complications was low (1.1 per cent), and was mainly due to; infected sockets (48.7 per cent), followed by bleeding sockets (41.0 per cent) and retained roots (10.3 per cent). there were eight 'other' complications suffered by 11 patients: necrotising fasciitis (n=l), herpes zoster (n=l), ludwig's angina (n=l), infections of the submandibular (n=l), parapharyngeal (n=2), masticator (n=2) and submasseteric spaces (n =2), and reaction to local anaesthesia (2ml of 2 per cent lignocaine hydrochloride) (n=1).
Conclusion:
The results of this study indicate that post-extraction complications are few, mostly minor, self-limiting and easily treatable. the study does not support routine antibiotic prophylaxis or special pre-extraction procedures, even in this patient population with poor oral hygiene and high hiv seroprevalence.