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?
Thanks for this episode. Did you try surgical-grade hyaluronic acid gel? Helps preserve socket (stabilize blood clot), bacteriostatic, while reducing swelling and pain.
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 ❤
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).
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.
