## 4 Discussion
\begin{table}
\begin{tabular}{c c c c c c c c} \hline \hline
**Groups** & **Mean** & **Standard Deviation** & **Standard Error Mean** & \(t\)**-Value** & **df** & \(p\)**-Value** \\ \hline Group 1: Honey and & \multirow{2}{*}{0.13} & \multirow{2}{*}{0.57} & \multirow{2}{*}{0.10} & \multirow{2}{*}{1.23} & \multirow{2}{*}{29} & \multirow{2}{*}{0.229} \\ Zinc Oxide Eugenol & & & & & & \\ Group 1: Honey and & \multirow{2}{*}{-1.00} & \multirow{2}{*}{0.43} & \multirow{2}{*}{0.08} & \multirow{2}{*}{\(-12.58\)} & \multirow{2}{*}{29} & \multirow{2}{*}{0.001} \\ Group 3: Control & & & & & & \\ Group 2: Zinc Oxide Eugenol and & \multirow{2}{*}{-1.12} & \multirow{2}{*}{0.22} & \multirow{2}{*}{0.04} & \multirow{2}{*}{\(-28.41\)} & \multirow{2}{*}{29} & \multirow{2}{*}{0.001} \\ Group 3: Control & & & & & & \\ \hline \hline \end{tabular}
\end{table} 
Table 4: Comparison of VAS scores among the three groups using paired \(t\)-test. placement of honey, as compared to their pre-treatment pain scores. Such results have also been reported in a study by [PERSON] et al., who concluded in their study that the use of honey in patients with dry socket results in a significant increase in the healing of the dry socket along with a reduction in discomfort for the patient [17]. Furthermore, another study also concluded that the use of honey in dry socket patients resulted in a decrease in hyperemia, inflammation, exudation, edema, pain, and discomfort for the patient along with a soothing effect [23]. Honey has been known to keep the wound moist, speeds up the healing process, reduces scarring, and dehydrates the bacteria through its hygroscopic property, thereby rendering the bacteria inactive [24, 25]. Moreover, honey is also responsible for angiogenesis and granulation, which further enhances the speeding up of the healing process [26]. Thus, all of these characteristics make honey a suitable choice as an effective treatment option for patients suffering from dry socket. One of the active ingredients of honey is propolis. Propolis has a wide application in dentistry, including dental caries and oral infections. A study by [PERSON] et al. found that the use of propolis in dental sockets may be beneficial in preventing dry socket after extraction of impacted third molars [27]. Although propolis is known for its analgesic, antibacterial, and anti-inflammatory properties, its use in dry socket is yet to be explored; hence, further studies must be carried out to explore its effect in patients suffering from dry socket. Secondly, in our study we used zinc oxide eugenol as a medicated dressing in patients who were assigned to Group 2. The results obtained from our study show that there was a significant reduction in immediate post-medication pain scores as compared to pre-treatment scores. Such results agree with a study by [PERSON] et al., which concluded that patients reported significant immediate post-medication pain relief after placement of zinc oxide eugenol as an intra-socket medicament [28]. However, one study found Alvogyl to be superior in relieving pain as compared to zinc oxide eugenol [29]. Along with the use of honey, zinc oxide eugenol, and Alvogyl, different methods have been studied in the literature in the management of dry socket. The use of concentrated growth factor (CGF) and low-level laser therapy (LLLT) has been studied and has reported significant pain reduction in patients suffering from dry socket as compared to conventional treatment comprising saline irrigation and socket curettage [30]. Furthermore, the use of platelet rich fibrin (PRF) has been proven to be an established treatment option for dry socket, due to its wound-healing properties and significant reduction of pain in the patients [31]. Experience and tolerance of pain differ among the genders. In our study, there was no significant difference in the pain scores of males and females. Such findings contrast with a previous study where females were found to have higher pain scores as compared to males [32].