What is the recommended therapy for a patient returning with pain 72 hours post-extraction?

In the context of post-extraction pain management, the most appropriate therapy after 72 hours would be irrigation and eugenol-soaked gauze. This approach typically aims to address potential complications such as dry socket, where a blood clot fails to form or is dislodged, leading to pain and inflammation in the area of the extraction.

Eugenol has antiseptic and analgesic properties, which can help soothe the area and reduce pain, making it a suitable choice for treating discomfort that persists following dental extraction. The application of eugenol-soaked gauze also allows for continuous contact with the affected area, promoting healing and comfort.

Pain relievers can indeed help manage discomfort; however, they are generally a first-line approach immediately after the procedure rather than a treatment for ongoing issues after several days. Antibiotics would be prescribed only if there is a clear indication of infection. Cold compresses may provide temporary relief in the immediate aftermath but are less effective for addressing underlying complications that may arise days later.

Therefore, turning to irrigation and eugenol-soaked gauze stands out as a targeted and effective remedy for the type of pain described in the scenario.