Thanks for this episode. Did you try surgical-grade hyaluronic acid gel? Helps preserve socket (stabilize blood clot), bacteriostatic, while reducing swelling and pain.
I usually stick a curved end if Mitchell's inside the anaesthetised socket and and agigitate/scrape - usually by the time I have curreted a socket to remove debris, bleeding will be promoted. Hope that helps!
I work just like Jaz has described. I’d use a Mitchell’s, a Lucas curette or even a dental excavator, trying to agitate the side of the sockets to remove any debris and promote some bleeding. I know some implant colleagues who go as far as to use a rose head in a handpiece to promote some bleeding (although I wouldn’t routinely).
Just a quick pharmaceutical tip more the. 400mg ibuprofen is useless for pain you only need 200 or 400 or pain reliever more than that is not needed , and thanks for this great podcast ❤
Thanks for the episode. In patient's who are already on stronger painkillers such as zapain or co-codamol would you still recommend that they follow the ibuprofen + paracetamol regimen?
In 20 years of practice I basically only place Alvogyl gently into the socket and obviously only antibiotics if there is a post op infection which is rare. I have had only one patient get no relief from Alvogyl and they had multiple comorbidities. Otherwise Alvogyl gives relief within 30 minutes. Also let your patient know that they have had a surgical procedure and have an open wound that needs time to heal so some post op pain should be expected.
Best advice i have heard. Thank you so much to Dr gorgeous-but-ugly french bulldog.
@bbyng7316 well for a moment I thought you were being rude to our guesr, Chris, then I remembered there LITERALLY WAS a French bulldog in this ep! 😂
Thanks for this episode. Did you try surgical-grade hyaluronic acid gel? Helps preserve socket (stabilize blood clot), bacteriostatic, while reducing swelling and pain.
Thanks! Will take a look in to this - have not used it before :)
Any tips on how to stimulate bleeding in the socket if it doesn't happen naturally after the extraction?
I usually stick a curved end if Mitchell's inside the anaesthetised socket and and agigitate/scrape - usually by the time I have curreted a socket to remove debris, bleeding will be promoted. Hope that helps!
I work just like Jaz has described. I’d use a Mitchell’s, a Lucas curette or even a dental excavator, trying to agitate the side of the sockets to remove any debris and promote some bleeding. I know some implant colleagues who go as far as to use a rose head in a handpiece to promote some bleeding (although I wouldn’t routinely).
Just a quick pharmaceutical tip more the. 400mg ibuprofen is useless for pain you only need 200 or 400 or pain reliever more than that is not needed , and thanks for this great podcast ❤
thank you!
Thanks for the episode. In patient's who are already on stronger painkillers such as zapain or co-codamol would you still recommend that they follow the ibuprofen + paracetamol regimen?
Jaz u should recive a nobel prize
In 20 years of practice I basically only place Alvogyl gently into the socket and obviously only antibiotics if there is a post op infection which is rare.
I have had only one patient get no relief from Alvogyl and they had multiple comorbidities.
Otherwise Alvogyl gives relief within 30 minutes.
Also let your patient know that they have had a surgical procedure and have an open wound that needs time to heal so some post op pain should be expected.
agreed - unfortunately in the UK (unsure of rest of world) alvogyl no longer exists: www.nature.com/articles/s41415-020-2073-x