ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM
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Title Surgicel Is Associated With Increased Incidence Of Dry Sockets
Clinical Question In an otherwise healthy patient, does Surgicel reduce the incidence of dry sockets more than using no packing material?
Clinical Bottom Line Surgicel does not reduce the incidence of dry sockets. (See Comments on the CAT below)
Best Evidence (you may view more info by clicking on the PubMed ID link)
PubMed ID Author / Year Patient Group Study type
(level of evidence)
#1) 17037715Suleiman/2006104 patients, 20 treated with Surgicel, 84 without a packing materialRetrospective Chart Review
Key results“The incidence of dry socket in the 20 Surgicel-treated teeth was 25.0%, compared with 6.0% among the 84 non-Surgicel-treated teeth. The use of Surgicel in wisdom tooth extraction seems to be associated with an increased incidence of dry socket.” Author conclusion
Evidence Search Search "Surgicel "[Substance Name] Search "Dry Socket"[Mesh]
Comments on
The Evidence
This was a retrospective chart review study evaluating cases treated with or without Surgicel. This appears to be a convenience sample, but the potential for selection bias is unclear in this study as complete methodology is lacking. There did not seem to be competing interest. As a retrospective study with no specific study design dictating treatment, it is hard to be sure whether the cases where Surgicel was used were different or more difficult cases than those selected for treatment without Surgicel. However, the 3-fold increased incidence of dry sockets reported with the use of Surgicel supports further consideration of this product in clinical applications.
Applicability The subjects are representative of the patients that could possibly be affected by this treatment. Treatment is feasible in any branch of dentistry that deals with extractions.
Specialty/Discipline (General Dentistry) (Oral Surgery) (Periodontics) (Prosthodontics)
Keywords Tooth socket, Surgicel, dry socket
ID# 838
Date of submission: 03/24/2011spacer
E-mail parsley@livemail.uthscsa.edu
Author Courtney Parsley
Co-author(s)
Co-author(s) e-mail
Faculty mentor/Co-author Thomas Oates, DMD, PhD
Faculty mentor/Co-author e-mail OATES@uthscsa.edu
Basic Science Rationale
(Mechanisms that may account for and/or explain the clinical question, i.e. is the answer to the clinical question consistent with basic biological, physical and/or behavioral science principles, laws and research?)
post a rationale
None available
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Comments on the CAT
(FOR PRACTICING DENTISTS' and/or FACULTY COMMENTS ON PUBLISHED CATs)
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by Luke Tibbitts & Mohamad Alhadlaq (Victoria, TX & Riyadh) on 06/25/2014
A PubMed search was conducted on June 25, 2014, and no new studies were found to be associated with this topic. Evidence used in this CAT is up to date and could be applied in daily practice.
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