88 patients undergoing intra-alveolar extraction of non-restorable carious teeth with radiographic evidence of periapical abscess receiving postoperative Amoxicillin 500 mg thrice daily after food for 5 days along with standard analgesics. Wound healing is assessed on the 5th postoperative day using a modified Landry Wound Healing Index.

88 patients undergoing intra-alveolar extraction of non-restorable carious teeth with radiographic evidence of periapical abscess receiving only standard analgesics postoperatively with no antibiotic prescription. Wound healing is assessed on the 5th postoperative day using a modified Landry Wound Healing Index.

A single operator performs intra-alveolar extraction under local anaesthesia using 2 per cent Lignocaine with Adrenaline 1 in 200000. The procedure involves detachment of gingival mucoperiosteum without incisions, forceps or elevator extraction without ostectomy, saline irrigation, manual compression of socket and placement of moist gauze pack for pressure. Postoperatively, Amoxicillin 500 mg is administered to patients in Group A, thrice daily after food for 5 days. Standard postoperative instructions are provided and patient is reviewed on the 5th postoperative day

On postoperative day 5, a blinded investigator assesses the socket using a modified Landry's Wound Healing Index. The primary outcomes include:

• Gingival Tissue Colour: Rated from "more than 50% red" to "all pink".
• Response to Palpation: Presence or absence of bleeding.
• Granulation Tissue: Presence or absence.
• Suppuration: Presence or absence.

Scores are assigned from 1 (Very Poor) to 5 (Excellent) based on these criteria. If a patient experiences pain before the follow-up, they are examined for dry socket and managed accordingly