Socket debridement under local anesthesia with lignocaine 2% and irrigate with hydrogen peroxide 3% followed with copious amounts of normal saline. The procedure of irrigation is repeated the 2nd and 3rd day and where necessary can be extended to the 4th day if pain persists.
Patient is instructed to rinse with 3% hydrogen peroxide or 2% povidone iodine 3–4 times a day.
Amoxicillin (PO) 500mg 8hourly for 5–7days OR
Azithromycin (PO) 500mg 24hourly for 3days AND
Metronidazole (PO) 400mg 8hourly for 5days