당신은 주제를 찾고 있습니까 “oxidised cellulose dental dressing – Axiostat Haemostatic Dressing Vs Non Oxidised Cellulose Dressing – Blood Clot Test“? 다음 카테고리의 웹사이트 https://ppa.charoenmotorcycles.com 에서 귀하의 모든 질문에 답변해 드립니다: https://ppa.charoenmotorcycles.com/blog/. 바로 아래에서 답을 찾을 수 있습니다. 작성자 Axio Biosolutions 이(가) 작성한 기사에는 조회수 170회 및 좋아요 6개 개의 좋아요가 있습니다.
Oxidised cellulose dressings work to stop bleeding by accelerating blood platelet aggregation and helping the blood clotting process to start. The fibres are able to absorb up to seven times their own volume in blood. When saturated the oxidised cellulose swells into a gelatinous mass.Oxidized regenerated cellulose gauze (Surgicel™, Johnson & Johnson, Piscataway, New Jersey, USA) is a haemostatic packing agent that accelerates the clotting mechanism [25]. The material, when soaked with blood, swells to form a gelatinous mass that plugs the bleeding site and hence stops bleeding.Oxidized cellulose (OC) is frequently used to stop bleeding in spine surgery and to pack cavities or lytic defects. OC causes necrosis and swells up to form a gelatinous matrix, hastening clot formation [1].
oxidised cellulose dental dressing 주제에 대한 동영상 보기
여기에서 이 주제에 대한 비디오를 시청하십시오. 주의 깊게 살펴보고 읽고 있는 내용에 대한 피드백을 제공하세요!
d여기에서 Axiostat Haemostatic Dressing Vs Non Oxidised Cellulose Dressing – Blood Clot Test – oxidised cellulose dental dressing 주제에 대한 세부정보를 참조하세요
Axiostat – 100% Chitosan Haemostatic Dressing
Axiostat is a sterile, single use, non-absorbable haemostatic dressing intended to be used for temporary control of bleeding wounds.
For more info visit: https://www.axiobio.com/
Follow The Axiostat here:
Facebook: https://www.facebook.com/Axiobio
Twitter: https://twitter.com/axiobio
Linkedin: https://www.linkedin.com/company/axio-biosolutions-private-limited
Instagram: https://www.instagram.com/axiobio/?hl=en
oxidised cellulose dental dressing 주제에 대한 자세한 내용은 여기를 참조하세요.
A retrospective study on the use of a dental dressing to reduce …
The results indicate that an oxized cellulose dental dressing postextraction is a safe and effective method for mitigating dry socket formation among smokers.
Source: pubmed.ncbi.nlm.nih.gov
Date Published: 9/22/2021
View: 4096
Oxidized Cellulose – an overview | ScienceDirect Topics
A good example is oxized cellulose dressing, which, owing to its biodegradable, bacterical … In Mosby’s Dental Drug Reference (Eleventh Edition), 2014 …
Source: www.sciencedirect.com
Date Published: 1/13/2022
View: 5872
BenaCel® Dental Dressing – Unicare Biomedical, Inc.
BenaCel® dental dressing is made of biocompatible oxized cellulose and contains no chemical additives. BenaCel® dental dressing adheres to moist oral …
Source: www.unicarebiomedical.com
Date Published: 5/9/2021
View: 3535
Influence of Surgicel gauze on the incidence of dry socket …
To enhance haemostasis, Surgicel™ (oxized cellulose) gauze was sometimes used in the tooth socket in patients who were operated under general anaesthesia.
Source: www.emro.who.int
Date Published: 10/10/2022
View: 2539
Benacel Dental Dressing, 15…
Benacel Dental Dressing, 15mm x 15mm 12 per pack, oxized regenerated cellulose (B01-0212) … Benecel dental dressing is made from biocompatible regenerated …
Source: www.sabradent.com
Date Published: 9/2/2021
View: 5321
Benacel Dental Dressing – OsseoDent™
Oxized Regenerated Cellulose … With BenaCel® Dental dressing, management of post extraction wound healing becomes as easy as 1, 2, and 3. Great pricing makes …
Source: www.osseodent.com
Date Published: 7/16/2022
View: 9368
Benacel Dental Dressing – 5mm x 7mm Plug – 8 Pack
BenaCel® dental dressing is made of biocompatible oxized cellulose and contains no chemical additives. BenaCel® dental dressing adheres to moist oral …
Source: dowelldentalproducts.com
Date Published: 4/23/2021
View: 9767
Benacel Dental Dressing, Oxidized Regenerated Cellulose …
BenaCel® dental dressing is made of biocompatible oxized cellulose and contains no chemical additives. BenaCel® dental dressing adheres to moist oral …
Source: axiobiologics.com
Date Published: 3/1/2022
View: 9619
주제와 관련된 이미지 oxidised cellulose dental dressing
주제와 관련된 더 많은 사진을 참조하십시오 Axiostat Haemostatic Dressing Vs Non Oxidised Cellulose Dressing – Blood Clot Test. 댓글에서 더 많은 관련 이미지를 보거나 필요한 경우 더 많은 관련 기사를 볼 수 있습니다.
주제에 대한 기사 평가 oxidised cellulose dental dressing
- Author: Axio Biosolutions
- Views: 조회수 170회
- Likes: 좋아요 6개
- Date Published: 2022. 5. 12.
- Video Url link: https://www.youtube.com/watch?v=KYeE_MlCHEg
What is oxidized cellulose dental dressing?
Oxidized regenerated cellulose gauze (Surgicel™, Johnson & Johnson, Piscataway, New Jersey, USA) is a haemostatic packing agent that accelerates the clotting mechanism [25]. The material, when soaked with blood, swells to form a gelatinous mass that plugs the bleeding site and hence stops bleeding.
What is oxidized cellulose used for?
Oxidized cellulose (OC) is frequently used to stop bleeding in spine surgery and to pack cavities or lytic defects. OC causes necrosis and swells up to form a gelatinous matrix, hastening clot formation [1].
How can we get oxidized cellulose?
It can be produced from cellulose by the action of an oxidizing agent, such as chlorine, hydrogen peroxide, peracetic acid, chlorine dioxide, nitrogen dioxide, persulfates, permanganate, dichromate-sulfuric acid, hypochlorous acid, hypohalites or periodates and a variety of metal catalysts.
Is surgicel oxidized cellulose?
Surgicel is a resorbable oxidized cellulose material in a sterile fabric meshwork. When Surgicel is applied to the bleeding area, it swells into a brownish/black gelatinous mass that aids in the clotting process.
How long should tooth packing stay in?
Do. Keep a gauze pad over the area for at least 30 minutes after surgery. This will help the blood clot start to form in your tooth hole.
What is oxidized regenerated cellulose made of?
Oxidized regenerated cellulose is a chemically altered form of cellulose, which is particularly useful to control diffuse bleeding from broad surfaces. Surgicel has mechanical hemostatic effects as a result of swelling from blood absorption, and it activates coagulation on the collagen surface.
What is M Doc oxidized cellulose?
M. doc is a natural oxidized cellulose powder which rapidly absorbs the blood from minor scrapes and cuts to form a soft gel-like layer over the wound and helps stop bleeding fast. Available for private label packaging.
Does surgicel need to be removed?
If SURGICEL® Absorbable Hemostat is used temporarily to line the cavity of large open wounds, it should be placed so as not to overlap the skin edges. It should also be removed from open wounds by forceps or by irrigation with sterile water or saline solution after bleeding has stopped.
What is bone wax made of?
Bone wax is a mixture of beeswax (70%) and Vaseline (30%). It is a non-absorbable material, becoming soft and malleable in the hand when warmed.
How long does Surgicel take to dissolve?
The dissolution of Surgicel depends on the quantity, site of implantation and the environmental factors, and the process may last for between two and six weeks (8).
Is Surgicel a neurotoxic?
It is frequently used to stop bleeding following newborn circumcision if pressure alone is inadequate. When placed in the mandibular canal with the inferior alveolar nerve exposed there have been reports of neurotoxic effects.
What is Surgicel made of?
Surgicel (Ethicon) is a chemically sterilized material prepared through oxidation of regenerated alpha cellulose (oxycellulose). The basic element of Surgicel is polyanhydroglucuronic acid, which is spun into threads and thenwoven into gauze. Surgicel has a pH of 3.
What is a Floseal?
Floseal is an effective adjunct hemostatic agent proven in a wide-range of bleeding scenarios1 with a proprietary combination of two independent hemostatic agents. 1, 2. As a leader in hemostasis, we are committed to providing innovative solutions for surgeons.
What is bone wax made of?
Bone wax is a mixture of beeswax (70%) and Vaseline (30%). It is a non-absorbable material, becoming soft and malleable in the hand when warmed.
What is hemostatic gauze?
Our hemostatic gauze is a highly absorbent non-woven gauze laminated with our proprietary chitosan granule technology which has been proven effective in controlling difficult to control bleeding on a broad variety of wounds.
How do you use surgicel?
If SURGICEL® Absorbable Hemostat is used temporarily to line the cavity of large open wounds, it should be placed so as not to overlap the skin edges. It should also be removed from open wounds by forceps or by irrigation with sterile water or saline solution after bleeding has stopped.
Advanced Medical Solutions Group plc
Oxidised Cellulose
What is Oxidised Cellulose?
Oxidised Cellulose is a water-insoluble derivative of cellulose. The cellulose can be sourced from any natural source such as wood or flax, but is most commonly from cotton. It can also be sourced from pre-processed cellulose products, such as viscose or lyocell, in which case a regenerated product is made and it is known as oxidised regenerated cellulose.
Oxidised cellulose is an absorbable haemostat, is antimicrobial and acts as an adhesive barrier.
Our oxidised cellulose is derived from cotton. It contains no chemical additives or accelerants and is broken down and absorbed by the body. It is made using a controlled oxidation process that gives the product the characteristics required to provide an absorbable haemostatic dressing.
How does Oxidised Cellulose work?
Oxidised cellulose dressings work to stop bleeding by accelerating blood platelet aggregation and helping the blood clotting process to start. The fibres are able to absorb up to seven times their own volume in blood. When saturated the oxidised cellulose swells into a gelatinous mass. Oxidised cellulose is naturally acidic and it is this acid that starts to break down the blood cells triggering the clotting process in the body. The oxidised cellulose also lowers the pH within the wound due to its acidity. This creates a hostile environment for most bacteria and also gives it antimicrobial benefits.
What is Oxidised Cellulose used for?
Oxidised cellulose is commonly used to stop bleeding and is used in most areas of surgery. We supply three different formats of oxidised cellulose to meet different requirements.
Standard – used to control minor diffuse bleeding
– used to control minor diffuse bleeding Forte – when greater absorption is needed
– when greater absorption is needed Fibrillar – for use in difficult to apply areas and large surfaces
Our oxidised cellulose is supplied as a sterile absorbable knitted fabric dressing under the brand name RESORBA®CELL.
Our dressings can also be cut to size for use within endoscopic procedures.
Influence of Surgicel gauze on the incidence of dry socket after wisdom tooth extraction
PDF version
A.M. Suleiman1
ABSTRACT At a hospital in Damman, Saudi Arabia, it was noticed that many patients had developed dry socket after surgical removal of wisdom teeth. To enhance haemostasis, Surgicel™ (oxidized cellulose) gauze was sometimes used in the tooth socket in patients who were operated under general anaesthesia. An analysis was made of the records of 104 lower wisdom teeth removed surgically from 86 patients. 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.
Influence du pansement Surgicel® sur l’incidence de l’alvéolite après extraction d’une dent de sagesse
RÉSUMÉ On a constaté dans un hôpital de Damman (Arabie saoudite) que de nombreux patients avaient développé une alvéolite après extraction chirurgicale d’une dent de sagesse. Pour améliorer l’hémostase, le pansement Surgicel® (cellulose oxydée) a parfois été utilisé dans l’alvéole dentaire chez des patients opérés sous anesthésie générale. Une analyse des dossiers de 104 extractions chirurgicales de dents de sagesse inférieures réalisées chez 86 patients a été effectuée. L’incidence de l’alvéolite pour les 20 dents traitées avec des compresses Surgicel® s’élevait à 25,0 % contre 6,0 % pour les 84 dents n’ayant pas été traitées avec ces compresses. L’utilisation de Surgicel® dans l’extraction de dents de sagesse est associée à une augmentation de l’incidence de l’alvéolite.
1Faculty of Dentistry, University of Khartoum, Khartoum, Sudan (Correspondence to A.M. Suleiman: This e-mail address is being protected from spambots. You need JavaScript enabled to view it ).
Received: 28/09/03; accepted: 11/11/04
EMHJ, 2006, 12(3-4): 440-445
Introduction
Dry socket or post-extraction alveolitis is a poorly understood form of inflammation occurring in a socket following removal of a tooth. The condition is more common in the mandible than in the maxilla and in the posterior teeth compared to the anterior [1–4]. There is no definitive cause for this condition but many precipitating factors have been implicated [5–8], including frequent changing of pressure-dressing gauze, frequent mouth rinsing [8], underlying infection [9–11], smoking [12], oral contraceptive use [13], undue surgical trauma, [1–4,14] and excessive amounts of local anaesthesia [17]. In addition, the condition has been reported to occur more frequently in patients aged over 40 years [2,9].
Clinically the patient presents with pain often radiating to the ear on the same side as tooth extraction. Examination reveals an acutely painful tooth socket containing bare bone and some broken-down blood clots. Upon removal of the latter, the socket walls look white and clear of granulation tissue [3,4].
Several methods are reported to reduce the incidence of dry socket [16,19–22]. These include the use of chlorohexidine mouthwashes [20,22], the placement of medicated packing into the extraction sockets [22,23] and the prophylactic use of metronidazole and lenampicillin [24,25].
Oxidized regenerated cellulose gauze (Surgicel™, Johnson & Johnson, Piscataway, New Jersey, USA) is a haemostatic packing agent that accelerates the clotting mechanism [25]. The material, when soaked with blood, swells to form a gelatinous mass that plugs the bleeding site and hence stops bleeding. Surgicel is one of the most commonly used bioabsorbable topical haemostatic agents used in general surgery. In periodontal surgery it was found to enhance healing [26], while in bone surgery it was reported to slightly retard healing [27,28].
Surgicel is not frequently used in oral surgery practice and the only indication of use is when there is bleeding that cannot be controlled by simple packing measures and suturing.
In the Department of Oral and Maxillofacial Surgery of Al-Mouwasat Hospital, Dammam, Saudi Arabia, it was noticed that a number of patients developed dry socket after wisdom tooth removal under general anaesthesia. The records of these patients showed that in many cases Surgicel was placed in the tooth socket following tooth removal to enhance haemostasis. It was therefore decided to investigate the relationship between the occurrence of dry socket among these patients who had their wisdom teeth removed surgically and the use of the product Surgicel.
Methods
The records were studied for all patients who had their wisdom teeth removed surgically during the period November 1996 to June 1998 at the Department of Oral and Maxillofacial Surgery, Al-Mouwasat Hospital. Patients operated outside this period as well as patients treated by general dentists in the department were not included. Wisdom teeth with periapical pathosis or existing pericoronitis were excluded from this study. Carious wisdom teeth with no periapical pathology as well as wisdom teeth with treated pericoronitis were included in the study.
One person (an oral and maxillofacial surgeon) performed all the surgical procedures. A class 1 envelope flap with a distal relieving incision was raised. The bone around the tooth was removed using an electrical drill. Of the lower wisdom teeth removed under general anaesthesia, some sockets had Surgicel placed into them to achieve haemostasis. Black silk (3/0) suture was used to close the wound edges. All patients had an antibiotic cover of clindamycin 150 mg every 8 hours, for 6–7 days post-operatively, together with chorhexidine mouth rinse to be used every 8 hours, beginning the next day following the operation. Sutures were removed after 6 days.
The results were analysed using the chi-squared test.
Results
The study included 86 patients (48 males, 38 females); 42 of these patients had their wisdom teeth (60 teeth) removed under general anaesthesia, while the remaining 44 patients had their wisdom teeth (44 teeth) removed under local anaesthesia. Mesio-angular impaction was the commonest type of impaction removed, followed by distoangular and horizontal impaction (56%, 37% and 8% of the patients respectively). The age of the patients ranged from 20 to 50 years.
Of the 60 lower wisdom teeth removed under general anaesthesia, 20 sockets had Surgicel placed into them to achieve haemostasis.
Overall 10 patients reported to the oral surgery clinic after 2–3 days complaining of severe pain at the site of surgery. Clinical examination revealed that all these patients had developed dry socket. Of the 10 patients, 7 were males and the remaining 3 were females. None of the females who developed this complication were taking oral contraceptives. The rest of the patients had an uneventful recovery.
The overall incidence of dry socket was 9.6% (10/104 teeth removed) (Table 1). Of the teeth removed and treated with Surgicel, 25.0% (5/20 teeth) showed dry socket (Table 1). Two patients developed a short-lived numbness of the lower lip, probably due to surgical trauma. In patients who had both lower wisdom teeth removed, bilateral dry socket was not seen. In the teeth removed and treated without Surgicel, only 6.0% (5/84 teeth) developed dry socket, an incidence whish is significantly lower that the Surgicel-treated group (chi-squared test, P < 0.02). In the non-Surgicel group, 3/40 (7.5%) teeth were removed under general anaesthesia and 2/44 (4.5%) under local anaesthesia (P > 0.05, not significant)
Discussion
Dry socket results from a disruption of the normal healing mechanism. The incidence rate of this event is variable, ranging from 4.1% to 30%, and associated with a number of predisposing factors as well as the type of prophylaxis used [1,5,8].
In this study the overall incidence of dry socket after wisdom tooth removal was 9.6%, which is similar to other findings previously reported [1–4,7]. A higher rate of dry socket was found among patients having their wisdom teeth removed under general anaesthesia (7.5%) than under local anaesthesia (4.5%). This finding, although not significant, may be due to the severity of surgical trauma rendered, as many of these wisdom teeth were buried deep in the mandible. The incidence of dry socket among the Surgicel-treated teeth was significantly higher (25.0%) than in the non-Surgicel-treated teeth (6.0%), under local and general anaesthesia.
Surgicel is one of the most common biodegradable materials used to facilitate haemostasis and control bleeding. The material causes haemostasis by a physical mechanism rather than a chemical reaction, i.e. by compressing the bleeding vessels rather than influencing the clotting factors per se [25]. The phenomenon of dry sockets in patients in whom Surgicel was used is probably precipitated by the continued chemical effect of the material, which has been found to degrade and to resorb slowly at surgery sites [29,30]. According to the manufacturer’s instructions, users should be cautious when using Surgicel in solid bony cavities [25]. This may be the reason for our findings. However, this was a simple observational study and a properly designed experimental study is needed to take account of the many confounding factors, such as the type of impaction of the tooth, the degree of impaction of the tooth, the amount of surgical trauma rendered, and the amount of debridement and socket washing performed.
In summary, Surgicel is a potent haemostatic agent, the application of which in extraction sockets was associated with an increase in the incidence of dry socket after wisdom tooth extraction. If is to be applied it should be removed once haemostasis is achieved.
References
WWW Error Blocked Diagnostic
Access Denied
Your access to the NCBI website at www.ncbi.nlm.nih.gov has been temporarily blocked due to a possible misuse/abuse situation involving your site. This is not an indication of a security issue such as a virus or attack. It could be something as simple as a run away script or learning how to better use E-utilities, http://www.ncbi.nlm.nih.gov/books/NBK25497/, for more efficient work such that your work does not impact the ability of other researchers to also use our site. To restore access and understand how to better interact with our site to avoid this in the future, please have your system administrator contact [email protected].
Oxidized cellulose
Oxidized cellulose is a water-insoluble derivative of cellulose. It can be produced from cellulose by the action of an oxidizing agent, such as chlorine, hydrogen peroxide, peracetic acid, chlorine dioxide, nitrogen dioxide, persulfates, permanganate, dichromate-sulfuric acid, hypochlorous acid, hypohalites or periodates and a variety of metal catalysts.[1] Oxidized cellulose may contain carboxylic acid, aldehyde, and/or ketone groups, in addition to the original hydroxyl groups of the starting material, cellulose, depending on the nature of the oxidant and reaction conditions.[2]
It is an antihemorrhagic.[3] It works both by absorbing the blood (similar to a cotton ball)[4] and by triggering the contact activation system. It is poorly absorbed and may cause healing complications postoperatively.[5]
See also [ edit ]
References [ edit ]
WWW Error Blocked Diagnostic
Access Denied
Your access to the NCBI website at www.ncbi.nlm.nih.gov has been temporarily blocked due to a possible misuse/abuse situation involving your site. This is not an indication of a security issue such as a virus or attack. It could be something as simple as a run away script or learning how to better use E-utilities, http://www.ncbi.nlm.nih.gov/books/NBK25497/, for more efficient work such that your work does not impact the ability of other researchers to also use our site. To restore access and understand how to better interact with our site to avoid this in the future, please have your system administrator contact [email protected].
BENACEL® DENTAL DRESSING
BENACEL® DENTAL DRESSING
I was introduced to Benacel at a Dental Hands On Extraction course in Guatemala with Dr. Tommy Murph and Dr. Gayle Fletcher. I was amazed at the ease to place…Benacel has removed almost all dry sockets that I was encountering and the healing time has been reduced.– Dr. Patrick Liedl, DDS, 2,700+ Benacel plugs/sheets
BenaCel® dental dressing is made of biocompatible oxidized cellulose and contains no chemical additives. BenaCel® dental dressing adheres to moist oral mucosa and forms a temporary barrier protecting the wound from further irritation and pain. When placed in the extraction socket, BenaCel® dental dressing forms a gelatinous scaffold in the blood extrude, facilitating the development of a stable blood clot to prevent dry socket formation.
BenaCel® dental dressing is designed for use in the extraction site and the management of bleeding and alveolar osteitis (dry socket). It may also be used as a wound dressing for the temporary management of oral surgical wounds, such as operative, postoperative, donor sites and traumatic injuries.
Product availability
Cat. ID. Products Package B01-0108 BENACEL C-001 5mm x 7mm plug, 8 / pk B01-0212 BENACEL C-002 15mm x 15mm sheet, 12 / pk B01-0308 BENACEL C-003 6mm x 8mm plug, 8 / pk B01-0510 BENACEL C-005 50mm x 50mm sheet, 10 / pk
Product Benefits
Completely resorbable within days
Prevents dry socket formation
Non-allergenic, non-pyrogenic and non-immunogenic
Economical and easy to use
Benacel® Clinical Studies
Q & A WITH AN EXPERIENCED BENACEL® USER
Influence of Surgicel gauze on the incidence of dry socket after wisdom tooth extraction
PDF version
A.M. Suleiman1
ABSTRACT At a hospital in Damman, Saudi Arabia, it was noticed that many patients had developed dry socket after surgical removal of wisdom teeth. To enhance haemostasis, Surgicel™ (oxidized cellulose) gauze was sometimes used in the tooth socket in patients who were operated under general anaesthesia. An analysis was made of the records of 104 lower wisdom teeth removed surgically from 86 patients. 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.
Influence du pansement Surgicel® sur l’incidence de l’alvéolite après extraction d’une dent de sagesse
RÉSUMÉ On a constaté dans un hôpital de Damman (Arabie saoudite) que de nombreux patients avaient développé une alvéolite après extraction chirurgicale d’une dent de sagesse. Pour améliorer l’hémostase, le pansement Surgicel® (cellulose oxydée) a parfois été utilisé dans l’alvéole dentaire chez des patients opérés sous anesthésie générale. Une analyse des dossiers de 104 extractions chirurgicales de dents de sagesse inférieures réalisées chez 86 patients a été effectuée. L’incidence de l’alvéolite pour les 20 dents traitées avec des compresses Surgicel® s’élevait à 25,0 % contre 6,0 % pour les 84 dents n’ayant pas été traitées avec ces compresses. L’utilisation de Surgicel® dans l’extraction de dents de sagesse est associée à une augmentation de l’incidence de l’alvéolite.
1Faculty of Dentistry, University of Khartoum, Khartoum, Sudan (Correspondence to A.M. Suleiman: This e-mail address is being protected from spambots. You need JavaScript enabled to view it ).
Received: 28/09/03; accepted: 11/11/04
EMHJ, 2006, 12(3-4): 440-445
Introduction
Dry socket or post-extraction alveolitis is a poorly understood form of inflammation occurring in a socket following removal of a tooth. The condition is more common in the mandible than in the maxilla and in the posterior teeth compared to the anterior [1–4]. There is no definitive cause for this condition but many precipitating factors have been implicated [5–8], including frequent changing of pressure-dressing gauze, frequent mouth rinsing [8], underlying infection [9–11], smoking [12], oral contraceptive use [13], undue surgical trauma, [1–4,14] and excessive amounts of local anaesthesia [17]. In addition, the condition has been reported to occur more frequently in patients aged over 40 years [2,9].
Clinically the patient presents with pain often radiating to the ear on the same side as tooth extraction. Examination reveals an acutely painful tooth socket containing bare bone and some broken-down blood clots. Upon removal of the latter, the socket walls look white and clear of granulation tissue [3,4].
Several methods are reported to reduce the incidence of dry socket [16,19–22]. These include the use of chlorohexidine mouthwashes [20,22], the placement of medicated packing into the extraction sockets [22,23] and the prophylactic use of metronidazole and lenampicillin [24,25].
Oxidized regenerated cellulose gauze (Surgicel™, Johnson & Johnson, Piscataway, New Jersey, USA) is a haemostatic packing agent that accelerates the clotting mechanism [25]. The material, when soaked with blood, swells to form a gelatinous mass that plugs the bleeding site and hence stops bleeding. Surgicel is one of the most commonly used bioabsorbable topical haemostatic agents used in general surgery. In periodontal surgery it was found to enhance healing [26], while in bone surgery it was reported to slightly retard healing [27,28].
Surgicel is not frequently used in oral surgery practice and the only indication of use is when there is bleeding that cannot be controlled by simple packing measures and suturing.
In the Department of Oral and Maxillofacial Surgery of Al-Mouwasat Hospital, Dammam, Saudi Arabia, it was noticed that a number of patients developed dry socket after wisdom tooth removal under general anaesthesia. The records of these patients showed that in many cases Surgicel was placed in the tooth socket following tooth removal to enhance haemostasis. It was therefore decided to investigate the relationship between the occurrence of dry socket among these patients who had their wisdom teeth removed surgically and the use of the product Surgicel.
Methods
The records were studied for all patients who had their wisdom teeth removed surgically during the period November 1996 to June 1998 at the Department of Oral and Maxillofacial Surgery, Al-Mouwasat Hospital. Patients operated outside this period as well as patients treated by general dentists in the department were not included. Wisdom teeth with periapical pathosis or existing pericoronitis were excluded from this study. Carious wisdom teeth with no periapical pathology as well as wisdom teeth with treated pericoronitis were included in the study.
One person (an oral and maxillofacial surgeon) performed all the surgical procedures. A class 1 envelope flap with a distal relieving incision was raised. The bone around the tooth was removed using an electrical drill. Of the lower wisdom teeth removed under general anaesthesia, some sockets had Surgicel placed into them to achieve haemostasis. Black silk (3/0) suture was used to close the wound edges. All patients had an antibiotic cover of clindamycin 150 mg every 8 hours, for 6–7 days post-operatively, together with chorhexidine mouth rinse to be used every 8 hours, beginning the next day following the operation. Sutures were removed after 6 days.
The results were analysed using the chi-squared test.
Results
The study included 86 patients (48 males, 38 females); 42 of these patients had their wisdom teeth (60 teeth) removed under general anaesthesia, while the remaining 44 patients had their wisdom teeth (44 teeth) removed under local anaesthesia. Mesio-angular impaction was the commonest type of impaction removed, followed by distoangular and horizontal impaction (56%, 37% and 8% of the patients respectively). The age of the patients ranged from 20 to 50 years.
Of the 60 lower wisdom teeth removed under general anaesthesia, 20 sockets had Surgicel placed into them to achieve haemostasis.
Overall 10 patients reported to the oral surgery clinic after 2–3 days complaining of severe pain at the site of surgery. Clinical examination revealed that all these patients had developed dry socket. Of the 10 patients, 7 were males and the remaining 3 were females. None of the females who developed this complication were taking oral contraceptives. The rest of the patients had an uneventful recovery.
The overall incidence of dry socket was 9.6% (10/104 teeth removed) (Table 1). Of the teeth removed and treated with Surgicel, 25.0% (5/20 teeth) showed dry socket (Table 1). Two patients developed a short-lived numbness of the lower lip, probably due to surgical trauma. In patients who had both lower wisdom teeth removed, bilateral dry socket was not seen. In the teeth removed and treated without Surgicel, only 6.0% (5/84 teeth) developed dry socket, an incidence whish is significantly lower that the Surgicel-treated group (chi-squared test, P < 0.02). In the non-Surgicel group, 3/40 (7.5%) teeth were removed under general anaesthesia and 2/44 (4.5%) under local anaesthesia (P > 0.05, not significant)
Discussion
Dry socket results from a disruption of the normal healing mechanism. The incidence rate of this event is variable, ranging from 4.1% to 30%, and associated with a number of predisposing factors as well as the type of prophylaxis used [1,5,8].
In this study the overall incidence of dry socket after wisdom tooth removal was 9.6%, which is similar to other findings previously reported [1–4,7]. A higher rate of dry socket was found among patients having their wisdom teeth removed under general anaesthesia (7.5%) than under local anaesthesia (4.5%). This finding, although not significant, may be due to the severity of surgical trauma rendered, as many of these wisdom teeth were buried deep in the mandible. The incidence of dry socket among the Surgicel-treated teeth was significantly higher (25.0%) than in the non-Surgicel-treated teeth (6.0%), under local and general anaesthesia.
Surgicel is one of the most common biodegradable materials used to facilitate haemostasis and control bleeding. The material causes haemostasis by a physical mechanism rather than a chemical reaction, i.e. by compressing the bleeding vessels rather than influencing the clotting factors per se [25]. The phenomenon of dry sockets in patients in whom Surgicel was used is probably precipitated by the continued chemical effect of the material, which has been found to degrade and to resorb slowly at surgery sites [29,30]. According to the manufacturer’s instructions, users should be cautious when using Surgicel in solid bony cavities [25]. This may be the reason for our findings. However, this was a simple observational study and a properly designed experimental study is needed to take account of the many confounding factors, such as the type of impaction of the tooth, the degree of impaction of the tooth, the amount of surgical trauma rendered, and the amount of debridement and socket washing performed.
In summary, Surgicel is a potent haemostatic agent, the application of which in extraction sockets was associated with an increase in the incidence of dry socket after wisdom tooth extraction. If is to be applied it should be removed once haemostasis is achieved.
References
Benacel Dental Dressing, 15…
We’ve redesigned our website completely from top to bottom to make your shopping and learning experience smoother, easier and Simple – Sabra Simple !
Please feel free to browse around and see the many new categories and items available at sabradent.com – If you don’t see what you need- shoot us a message and ask, as there are many more items available that have not made it up to the new site yet. Please check back often to see all the great new products we will be loading into the site daily- and check for specials too.
We will run specials on our regular products often, and will also have occasional super specials on products on overstock clearance or low expiry specials too – Take advantage of these savings !!
As courtesy for logging in and creating a new account at our improved SabraDent.com – please take 5% off any order, and any orders over $100 get free shipping.
Benacel Dental Dressing
Description
BenaCel® dental dressing is made of biocompatible oxidized cellulose and contains no chemical additives. BenaCel® dental dressing adheres to moist oral mucosa and forms a temporary barrier protecting the wound from
further irritation and pain. When placed in the extraction socket, BenaCel® dental
dressing forms a gelatinous scaffold in the blood extrude, facilitating the development of a stable blood clot to prevent dry socket formation.
BenaCel® dental dressing is designed for use in the extraction site and the management of bleeding and alveolar osteitis (dry socket). It may also be used as a wound dressing for the temporary management of oral surgical wounds, such as operative, postoperative, donor sites and traumatic injuries.
Sizes and Applications
5mm X 7mm plug: Anterior site. For anterior conical extraction sites
6mm X 8mm plug: For posterior conical extraction sites and sinus perforations
15mm X 15mm sheet: For mandibular molars and buccal roots of maxillary molars, 3rd molar after trimming. For small oral lesions, including sores, ulcers, cuts, lacerations, and abrasions of the oral mucosa.
Key Features and Benefits
Designed for the management of bleeding and dry socket prevention.
Completely resorbable within days (3 – 7 days)
Non-allergenic, non-pyrogenic and non-immunogenic
Especially suitable for problematic patients who may be prone to increased bleeding due to blood thinning medications or at high risk for dry socket due to smoking tobacco.
Simple and easy to use. Just remove from the blister pack and place one of the plugs or sheets into the extraction or wound site and see how quickly the Benacel creates sticky matrices to clot blood fast, calming the wound site, and preventing infection.
Benefits over collagen generated products is that in conical shape sockets there is no need to suture Benacel in place – this saves time for the doctor and reduces any additional pain inflicted on the patient.
The great value and usability of Benacel make it ideal for routine usage on extractions.
Benacel is made of proprietary regenerated oxidized cellulose.
Post-Extraction Wound Healing as Easy as 1,2,3
1. After extraction remove granulation tissue, 2. Pack 1 or 2 pieces of BenaCel dental dressing into the wound, and then 3. have the patient bite down on a sterile gauze pack until the bleeding stops.
Clinically Proven Proven Results
Benacel Dental Dressing – 5mm x 7mm Plug – 8 Pack
BenaCel® dental dressing is made of biocompatible oxidized cellulose and contains no chemical additives. BenaCel® dental dressing adheres to moist oral mucosa and forms a temporary barrier protecting the wound from further irritation and pain. When placed in the extraction socket, BenaCel® dental dressing forms a gelatinous scaffold in the blood extrude, facilitating the development of a stable blood clot to prevent dry socket formation.
BenaCel® dental dressing is designed for use in the extraction site and the management of bleeding and alveolar osteitis (dry socket). It may also be used as a wound dressing for the temporary management of oral surgical wounds, such as operative, postoperative, donor sites and traumatic injuries.
FEATURES
• 5mm x 7mm Plug
• 8 per pack
• Completely resorbable within days
• Prevents dry socket formation
• Non-allergenic, non-pyrogenic and non-immunogenic
• Economical and easy to use
키워드에 대한 정보 oxidised cellulose dental dressing
다음은 Bing에서 oxidised cellulose dental dressing 주제에 대한 검색 결과입니다. 필요한 경우 더 읽을 수 있습니다.
이 기사는 인터넷의 다양한 출처에서 편집되었습니다. 이 기사가 유용했기를 바랍니다. 이 기사가 유용하다고 생각되면 공유하십시오. 매우 감사합니다!
사람들이 주제에 대해 자주 검색하는 키워드 Axiostat Haemostatic Dressing Vs Non Oxidised Cellulose Dressing – Blood Clot Test
- 동영상
- 공유
- 카메라폰
- 동영상폰
- 무료
- 올리기
Axiostat #Haemostatic #Dressing #Vs #Non #Oxidised #Cellulose #Dressing #- #Blood #Clot #Test
YouTube에서 oxidised cellulose dental dressing 주제의 다른 동영상 보기
주제에 대한 기사를 시청해 주셔서 감사합니다 Axiostat Haemostatic Dressing Vs Non Oxidised Cellulose Dressing – Blood Clot Test | oxidised cellulose dental dressing, 이 기사가 유용하다고 생각되면 공유하십시오, 매우 감사합니다.
