Comparison between Ferrum Phosphoricum and Sterile Gauze Pack after Dental Extraction

Abstract

Background: Exodontia is the process of removing a tooth from its socket within the alveolar bone. Pain, bleeding, and non-healing are common complications associated with exodontias.
Objectives: To compare bleeding time, pain, and healing after dental extraction using Ferrum Phosphoricum (FP) and a sterile gauze pack (SGP).
Material and Methods: This randomized controlled trial included 236 patients selected through consecutive sampling. Medically healthy individuals aged 15 to 60 were included while unwilling participants, those with medical complications, substance abuse history, fractures, or pregnancy were excluded. Patient data, including age, gender, and intervention details, were documented. Participants were randomly divided into two groups: FP tablets and pressure pack. Hemostasis achievement time, healing, and pain were recorded for both groups. Chi-square and Student t-tests were employed for comparisons.
Results: The SGP group had a longer bleeding time (6.09±1.41 min) than the FP group (2.37±0.95 min) (p<0.001). Abnormal bleeding was observed in 55.9% of the SGP group but not in the FP group (p<0.001). Regarding pain scores, on Day 3 and Day 7 post-operation, the FP group reported significantly lower pain scores than the SGP group (p<0.001). However, by Day 14, both groups had no reported pain (0.0±0.0). Moderate and severe pain were more prevalent in the SGP group than in the FP group on Day 3 and Day 7, with statistically significant differences (p<0.001). The healing score was significantly lower in the FP compared to the Gauze pack group on Day 3, 7, and 14 (p<0.001).
Conclusion: Ferrum Phosphoricum is superior in controlling post-extraction bleeding, pain management, and wound healing compared to a sterile gauze pack.
Keywords: Bleeding, Dental Extraction, Hemorrhage, Socket, Sterile.