Knowledge, Awareness, and Clinical Practices Regarding Dry Socket Among Dentists: A Cross-Sectional Study

Abstract

This cross-sectional study investigates the knowledge, awareness, and clinical practices related to dry socket (alveolar osteitis) among dentists in Libya. Dry socket is a common and painful complication following tooth extractions, especially mandibular third molars. The study aims to assess the level of understanding of dry socket, identify gaps in knowledge, and examine factors such as clinical experience and specialization that influence the management of this condition. A total of 162 dentists participated in the study, completing a structured questionnaire. The study utilized a structured, 17-question, self-administered electronic questionnaire distributed via social media and email. Most participating operators were male (53%), aged 25-35 (62%), held a BDS degree (70%), and had 3-5 years of practice (53%). The results reported by the dentists showed that most extractions were performed in the lower jaw (71%) and involved molars (84%). Smoking (45%) was the most common patient habit reported, which is a major dry socket risk factor. A significant proportion of patients did not follow post-extraction instructions (45%), and 36% had a previous history of dry socket. The majority of extractions were categorized as simple (55%), followed by traumatic (27%) and surgical (18%). In conclusion, continuous education is essential, particularly for less-experienced dentists, to standardize care and enhance patient outcomes. The high prevalence of critical risk factors, such as smoking, poor patient compliance, and a history of dry socket, underscores the need for thorough patient education and counseling. Addressing these factors through targeted interventions can significantly reduce the incidence of dry socket and improve overall clinical management.