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Chapter 586the surgical wound was sutured using Vicryl Rapide 3/0 (Undyed Vicryl Rapide; Johnson & Johnson, New Brunswick, NJ). The post-extraction socket was not primarily closed in either group. Postoperative instructionsImmediately after surgery patients were given verbal and written postoperative instructions. Patients in both groups were provided with an ice pack for postoperative cooling. Patients in the control group were given additional instructions about how to use the disposable syringe (Monoject) to rinse the wound 3–4 times daily with tap water for the next week, starting 48 hours after surgery. Patients in the tampon group did not receive a disposable syringe. All patients were instructed to bite on a gauze for 30 minutes. They were also instructed not to rinse or spit during the first 24 postoperative hours. Ibuprofen (Brufen; Abbot BV, Hoofddorp, The Netherlands), 600 mg 3 times a day, was prescribed. No postoperative antibiotics were given. The day after surgery, patients began using 0.12% aqueous chlorhexidine mouth rinse twice a day for 1 minute for 7 days. Patients were instructed to complete the daily OHIP-14 questionnaire at the end of the day (before bedtime) and they were recalled for review after 1 week. Follow-upOne week after surgery, patients were seen by another surgeon to assess the wound healing of the surgical site, and check for alveolitis and wound infection. The patient’s experience of sensory disorders was assessed using a 2-point discrimination test and static light touch detection test. At this time, the completed OHIP-14 questionnaires were collected. Outcome measurementsThe primary outcome measurements were OHRQoL measured using the OHIP-14, the presence of pain and the pain intensity, and the presence of postoperative sequelae, such as, trismus, swelling, and chewing problems. The secondary outcome measurements were self-care activities, surgical and anatomical variables, and presence of wound infection and alveolar osteitis (AO) [8].