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In most cases, this pathology starts after a tooth extraction (or dental avulsion). Alveolitis is a rather rare complication (it occurs in about 1-2% of cases) and is found above all when the removal involves a tooth severely compromised by pathological processes, as can happen in the presence of deep caries, pulpits or granulomas .
The exact causes of dental alveolitis are still unknown, but some factors have been identified that could favor its onset, including: smoking, infections, increased intralveolar clot fibrinolysis, surgical trauma and ongoing drug therapies.
After 3-4 days from the operation, the inflammation of the dental alveolus manifests itself with intense pain, halitosis and swelling of the lymph nodes.
Alveolitis involves local anti-infective treatment, possibly associated with antibiotics, anti-inflammatories and specific oral hygiene maneuvers (eg not too vigorous rinsing with chlorhexidine-based mouthwashes, intralveolar positioning of a sterile gauze soaked in analgesic substances, etc.).
which develops mainly in correspondence of the alveolus of an extracted tooth, especially if the normal coagulation of the blood, in the cavity that remains from the avulsion, is dysfunctional.
The alveolar bone supports and surrounds the dental root (or the roots, if the tooth is multi-rooted), with the interposition of the periodontal ligament. After tooth extraction, the alveolus communicates directly with the oral cavity.