Alvogyl versus zinc oxide eugenol after saline irrigation as a treatment for alveolar osteitis


  • Mosaad Khalifah Kafrelsheikh University Faculty of Dentistry





Alveolar, Osteitis, alvogyl, Zinc oxide eugenol


Background: Alveolar osteitis is one of the most common post-odontectomy complications. An agreement is lacking regarding the relative merits of various treatment methods. Of these treatments were alvogyl and Zinc oxide eugenol after saline irrigation.

Objectives: The aim of the current study therefore was to evaluate the efficacy of both agents.

Methods: A total of 987 patients were categorized into 4 groups (I, II, III, and IV) according to pain severity (mild, moderate, severe, or agonizing, respectively). Each group was randomly divided into two subgroups according treatment method: Alvogyl (Alv) and Zinc oxide eugenol following saline irrigation (I+Z).

Results: Although, Alv was palliative in group. I, I+Z was curative in group, I and palliative in group II. Both agents were ineffective otherwise.

Conclusion: The author recommends I + Z over alv.


[1] Alexander RE (2000) Dental Extraction Wound Management: A Case against Medicating Postextraction Sockets. J Oral Maxillofac Surg 58 (5). 538–551.

[2] Birn H. (1973) Etiology and Pathogenesis of Fibrinolytic Alveolitis (‘dry Socket’). Int J Oral Surg 2, 215–263.

[3] Bloomer CR (2000) Alveolar Osteitis Prevention by Immediate Placement of Medicated Packing. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 90, 282–284.

[4] Blum I R (2002) Contemporary Views on Dry Socket (Alveolar Osteitis): A Clinical Appraisal of Standardization, Aetiopathogenesis and Management: A Critical Review. Int J Oral Maxillofac Surg 31, 309–317.

[5] Faizel S, Thomas S, Yuvaraj V, Prabhu S & Tripathi G (2014) Comparision Between Neocone, Alvogyl and Zinc Oxide Eugenol Packing for the Treatment of Dry Socket: A Double Blind Randomised Control Trial. Journal of Maxillofacial and Oral Surgery 14 (2), 312-320. Springer India.

[6] Fazakerlev M& Field EA (1991) Dry Socket: A Painful Postextraction Complication (a Review). Dent Update 18, 31–35.

[7] Gowda GG, Viswanath D, Kumar M & Umashanker DN (2013) Dry Socket (Alveolar Osteitis): Incidence, Pathogenesis, Prevention and Management. Journal of Indian Academy of Oral Medicine and Radiology 25 (3), 196–99.

[8] Kolokythas A, Eliza O& Miloro M (2010) Alveolar Osteitis: A Comprehensive Review of Concepts and Controversies. International Journal of Dentistry 2010, 1–10.

[9] Noroozi AR & Philbert RF (2009) Modern Concepts in Understanding and Man- Agement of the ‘“dry Socketâ€â€™ Syndrome: Comprehensive Review of the Literature. Oral Surg Oral Med Oral Path Oral Radiol Endod 107, 30–35.

View Full Article:

Additional Files