Restorative & Materials · single question

Alveolar osteitis (dry socket) is best managed by which treatment? Which statement about it is INCORRECT?

  1. Characterized by intense throbbing pain within 3–5 days of extraction
  2. Irrigation and local symptomatic pain relief (correct treatment)
  3. Treatment with antibiotic prescription (INCORRECT — treatment is NOT antibiotics)
  4. More common in the mandible
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Correct answer: C. Treatment with antibiotic prescription (INCORRECT — treatment is NOT antibiotics)

  • A. Intense throbbing pain within 3–5 days post-extraction IS the classic presentation — this statement is TRUE.
  • B. Irrigation and symptomatic pain relief IS the correct treatment — not antibiotics.
  • C. Correct — this is the EXCEPTION. Antibiotic prescription is NOT the treatment of choice for alveolar osteitis (dry socket). Dry socket is NOT an infection — it is loss of the blood clot. The correct management is: gentle irrigation, placement of medicated dressings (e.g., Alvogyl, eugenol-containing), and systemic analgesics (NSAIDs/opioids if needed).
  • D. Dry socket IS more common in the mandible (especially lower third molar sites) — this statement is TRUE.

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