ABSTRACT:Background: Bleeding is an incessantly encountered complication after extraction.
Objective: The objective of this study was to determine the efficacy of Ferrum phosphoricum tablets as a local hemostatic agent against other conventional methods. It also aims to find out the ability of Ferrum phosphoricum to reduce postoperative complications in comparison to other methods.
Materials & Methods: The study included 30 patients with an indication for tooth extraction, divided into three groups (GROUPS I, II and III) and hemostasis was achieved viz., Ferrum phosphoricum tablets, Suturing and Pressure packs, respectively. Extractions were done both traumatically & atraumatically under Local Anesthesia with 2% lidocaine. In Group I patients, Ferrum phosphoricum tablets were placed in the extraction sockets. Evaluation was done after every 2 minutes for 20 minutes. The parameters like Time of extraction, Tablet placement, Time of hemostasis achievement & Duration taken for tablet to dissolve were noted. In Group II patients, sutures were placed immediately after extractions. In Group III patients, pressure packs (sterile gauze) were placed at the site of extractions. Patients were asked to report back on the 7th day from the day of extraction and the parameters like, healing and pain were documented. The data were then tabulated & sent for statistical analyses.
Results: Extraction sockets treated with Ferrum phosphoricum tablets achieved hemostasis earlier (3.92 minutes) when compared with pressure packs (9.05 minutes) and suturing (5.28 minutes). Ferrum phosphoricum treated patients showed significantly better healing and reduced pain.
Conclusion: Ferrum phosphoricum demonstrated to minimize the bleeding time. In addition, postoperative complications were seen to be reduced in comparison to other groups.