Main Article Content

Abstract

Over the years Dental Surgeons have been taught not to use raw cotton wool as a pressure pack over the site of tooth extraction to achieve haemostasis. This research article presents the findings of a Dental Surgeon’s ‘compassionate use’ of raw cotton wool as a post-exodontia pressure pack and a subsequent clinical survey undertaken to evaluate those findings. In the cross-sectional comparative clinical survey, three Dental Surgeons undertook a total of 488 (four hundred and eighty-eight) simple extractions using alternately cotton gauze and raw cotton wool as pressure packs to achieve post-extraction haemostasis. Data comprising sex and age of the client, tooth extracted, number of cartridges of anaesthetic solution used, diagnosis for extraction, and post-extraction complication following use of the pressure packs were collected and analysed using the SPSS computer programme. Care was taken to eliminate confounding factors. It was further observed that under regular surgical conditions, there is no difference in effectiveness between cotton gauze and raw cotton wool when used as a pressure pack after simple tooth extraction. However, the study recommended that further research be carried out to assess the findings and the conclusions of the survey. Other incidental findings from the analysis of data collected were in consonance with the findings of other researchers.

Keywords

Simple (intra-alveolar) tooth extraction post-exodontia pressure packs - cotton gauze raw cotton wool clinical survey incidental findings

Article Details

How to Cite
Edmund Sackey, J. ., & Sackey, E. . (2023). Cotton Wool as Post-Exodontia Pressure Pack – A Dental Surgeon’s Experience. Convergence Chronicles, 4(2), 1–9. https://doi.org/10.53075/Ijmsirq/78353522

References

  1. Sackey, J. E. (2012). Survey of materials used as pressure pack after simple dental extraction by Dental Surgeons in Ghana. A pilot study. Journal of the Ghana Dental Association, Vol. 9, No. 1: 26 – 27
  2. Howe, G.L. (1974). The Extraction of Teeth. 2nd Edition. Pp 36. Bristol, UK John Wright and Sons Ltd.
  3. Kruger, G. O. ed. (1979). Textbook of Oral and Maxillofacial Surgery. 5th Edition Pp 61. The C. V. Mosby Company, St. Louis, USA.
  4. Borle, R. M. (2014). Textbook of Oral and Maxillofacial Surgery. Pp 209. J. P. Medical Ltd. London, UK.
  5. Statistical Service, Accra, Ghana. Population census of Ghana, 1984.
  6. Petersen, P. E. Priorities for research for oral health in the 21st Century, the approach of the WHO Global Oral Health Programme. Community Dental Health (2005) 22, 71 – 74
  7. Roberts, D. H., Sowray, J. H. (1979). Local Analgesia in Dentistry. 2nd Edition pp 100 and140 – 141 John Wright and Sons Ltd. Bristol, UK.
  8. .Adatia, A K; Gehring, E N; (1972). Bilateral inferior alveolar and lingual nerve blocks. Br. Dent. J. 133(9)377-383
  9. .Scully, C; Cawson. R A. (1998). Medical Problems in Dentistry 4th Edition Chapter 1, Butterwork-Heinemann.
  10. Israel, G. D., University of Florida, Florida Cooperative Extension Service Fact Sheet PEOD – 6. November 1992
  11. www.surveysystems.com/sscale.htm. Sample size calculator - confidence level, confidence interval.
  12. Akaji, E. A., Chukwumeke F. N. , Okeke, U. F. Attendance pattern amongst patients at the Dental Clinic of the University of Nigeria Teaching Hospital, Enugu, Nigeria. Niger J. Med. 2012 Jan – Mar; 21(1):74 – 7
  13. Varenne, B., Msellati, P., Zoungrana, C., et al. Reasons for attending dental care services in Ouagadougou, Burkina Faso. Bulletin of World Health Organization, September 2005, 83 (9). Research Theme Papers.
  14. Ogbebor, O. G., Azodo, C. C. Reasons for seeking dental healthcare services in a Nigerian missionary hospital. Sahel Med. J. 2016,19:38 – 43
  15. Slater, P. J. Patterns of access to public oral health care in Queensland by gender, indigenous status and rurality. Australian Dental Journal 2001; 46: (2) : 122 – 133
  16. Singh, S. K. , Stanslaus, O. S. ,Aroon, H. V. Occurrence of Dental Caries among Adults attending a Regional Referral Hospital in Tanzania. J. Orofac. Res. 2014; 4 (1):30 – 34
  17. Zadik, Y., Sandler, V. , Bechor, R. et al. (2008). Analysis of factors related to extraction of endodontically treated teeth. Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod. 106 (5) : e 31 – 5
  18. Toure, B., Faye, B., Kane, A. W. et al. (2011) Analysis of Reasons for extraction of Endodontically treated teeth: A prospective study. Journal of Endodontics Nov 2011 Vol 37 Issue 11 pp 1572-1575
  19. Wray, D; Stenhouse, D; Lee, D; Clark, AJE (2003). Textbook of General and Oral Surgery, Edinburgh, Churchill Livingstone. Pp 216-217.
  20. Soames JV; Southam JC (1999). Oral Pathology (3.ed.) [Nachdr] ed. Oxford Univ. Press. Pp 296-298.
  21. Daly, B; Shanf, MO; Newton, T; Jones, K; Worthington, HV. (Dec, 12, 2012). ”Local interventions for the management of alveolar osteitis (dry socket)”. Cochrane Database of Systematic Reviews. 12 CD006968.
  22. Richards, W., Ameen, J. , Coll, A. M. et.al. (2005). Reasons for tooth extraction in four general dental practices in South Wales. Br. Dent. J. 2005 Mar 12; 198(5):275-8
  23. Anyanechi, C. Chukwuneke, F. (2012) Survey of the Reasons for Dental Extraction in Eastern Nigeria. Ann Med Health Sci Res.2012 Jul-Dec; 2(2):129-133
  24. Adadevoh, C.H; Dennis-Antwi. J. (2001). A manual on Oral Healthcare pp 88-112. Ministry of Health/Ghana Health Service, Ghana.
  25. Ofori, R.; Dampson, D. G. (2011). Research Methods and Statistics using SPSS. Payless Publication Ltd., Amakom, Kumasi.
  26. Psystat.at.ua/Articles/Table_Pearson.PDF
  27. https://people.richland.edu/james/lecture/m113/correlation.htm
  28. Libguides.library.kent.edu/SPSS/PearsonCorr
  29. https://statistics.laerd.com/statistical-guides/hypothesis-testing-3.php