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Comparison of alvogyl, SaliCept patch, and low-level laser therapy in the management of alveolar osteitis.

AbstractPURPOSE:
The aim of the present randomized prospective clinical trial was to compare the effects of alvogyl, the SaliCept patch, and low-level laser therapy in the management of alveolar osteitis.
PATIENTS AND METHODS:
The study population included 104 patients who had been referred to our clinic with a complaint of alveolar osteitis. The patients were randomly assigned to 1 of 4 groups: group 1, curettage and irrigation alone; group 2, curettage and irrigation followed by alvogyl applied directly to the socket; group 3, curettage and irrigation followed by a SaliCept patch applied directly to the socket; and group 4, curettage and irrigation followed by continuous-mode diode laser irradiation (808 nm, 100 mW, 60 seconds, 7.64 J/cm(2)). The treatment procedures were repeated after 3 days. The clinical signs and symptoms for each patient were recorded at diagnosis, at 3 days after the diagnosis, and at 7 days after the diagnosis. In addition, the pain intensity levels for each patient were recorded at diagnosis and daily for 7 days after the initial treatment.
RESULTS:
No statistically significant differences in the management of alveolar osteitis were observed between groups 2 and 3. However, the management of alveolar osteitis was significantly better in group 4 than in the other 3 groups.
CONCLUSION:
Within the limitations of the present study, it can be concluded that acemannan in the form of the SaliCept patch is an acceptable alternative to alvogyl as a dressing for the management of alveolar osteitis. However, low-level laser therapy treatment at 7.64 J/cm(2) (0.1 W × 60 seconds = 6 J) performed superiorly to both SaliCept and alvogyl in managing alveolar osteitis in our study population.
AuthorsGöksel Şimşek Kaya, Günay Yapici, Zeynep Savaş, Metin Güngörmüş
JournalJournal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons (J Oral Maxillofac Surg) Vol. 69 Issue 6 Pg. 1571-7 (Jun 2011) ISSN: 1531-5053 [Electronic] United States
PMID21398006 (Publication Type: Comparative Study, Journal Article, Randomized Controlled Trial)
CopyrightCopyright © 2011 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.
Chemical References
  • Aminobenzoates
  • Drug Combinations
  • Hydrocarbons, Iodinated
  • Mannans
  • Oils, Volatile
  • Plant Extracts
  • butyl aminobenzoate, eugenol, iodoform, spearmint oil drug combinations
  • para-Aminobenzoates
  • Eugenol
  • acemannan
Topics
  • Adult
  • Agricultural Irrigation
  • Aminobenzoates (therapeutic use)
  • Bandages
  • Curettage
  • Drug Combinations
  • Dry Socket (therapy)
  • Eugenol (therapeutic use)
  • Female
  • Humans
  • Hydrocarbons, Iodinated (therapeutic use)
  • Low-Level Light Therapy
  • Male
  • Mannans (therapeutic use)
  • Oils, Volatile (therapeutic use)
  • Pain Measurement
  • Phytotherapy
  • Plant Extracts (therapeutic use)
  • para-Aminobenzoates

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