Curretage after extraction?

[mrjohnson]

Hi,

do you always curettage the bottom of the alveola after a tooth extraction?
or only when there is an apical infection?

and if you do; aren't you afraid to damage either the mandibular nerve or perforate into the sinus?

 

[Dr M]

Good day

Usually the pre-op radiographs will give you an idea of where important anatomical landmarks are situated, so that you can keep this in mind when you are considering curettage.
I usually only consider curettage of the area when there was obvious infection, cystic tissue or granulation tissue that needs removal