What is a Dry Socket?

Also known as alveolar osteitis.
Picture having a cut on your arm
That cut will begin to heal, with a scab forming soon after. If you decided to pick that scab, it would begin to bleed again. It may become painful and you would end up delaying the healing of the site. A dry socket is very similar to this but occurs in your mouth. It is when the primary blood clot after a tooth extraction dissolves or is dislodged. It occurs a couple of days after tooth removal and is extremely painful, often worse than the pain from the tooth before it was extracted. Unfortunately, in your mouth we cannot place a band aid over the site to protect it from you picking at it like with your arm. Instead, we should aim to avoid risk factors that can increase the chances of the clot being lost in the first place. This includes smoking, alcohol, spitting, rinsing, poor oral hygiene and eating hard foods. In the unfortunate event that a dry socket does occur, contact your local oral health practitioner as they can assist in limiting the pain using certain medications.
Important Points In This Section
  • What Is A Dry Socket?
  • Decreasing The Chances Of A Dry Socket
  • How To Reduce The Pain From A Dry Socket
What Is A Dry Socket?

    A Dry Socket often referred to as alveolar osteitis is when the blood clot is dislodged or dissolved prematurely before the wound has healed. Resulting in exposing underlying bone and nerves. This can occur three to four days after a tooth is removed.

    Decreasing The Chances Of A Dry Socket

      It is very important you listen and read the post operative instructions that the oral health practitioner gave you after the extraction. The following are some of the key risk factors to avoid in order to decrease your chances of getting a dry socket.

    • Smoking or Alcohol
    • This can create negative pressure dislodging the blood clot as well as dissolving due to the heat and chemicals.

    • Sucking through straws
    • Creates negative pressure dislodging the blood clot.

    • Poor Oral Hygiene
    • Results in the accumulation of plaque which can result in dissolving of the blood clot. However, there is a fine line to this as vigorous brushing can also result in a dry socket. Therefore be careful, usually start brushing gentle 24 hours after extraction and away from the extraction site.

    • Eating Hard foods
    • Hards foods can scratch the wound healing site, which can dislodge the blood clot resulting in pain in a few days after the incident.

    • Spitting or Rinsing
    • The pressure created from spitting or rinsing may result in dissolving or dislodgement of the blood clot. As a result it is best to avoid this for the first few days after the extraction.

    How To Reduce The Pain From A Dry Socket

      Contact and schedule an appointment with your local oral health practitioner. They can review the socket and confirm that it is a dry socket. If it is they can help by providing some transient pain relief. They do this by using alveogyl or substances like this. These brown fibrous paste that contains a few different ingredients. The main active ones to note is butamben, iodoform and eugenol. The Butamben helps as a local anesthetic for numbing the spot, the iodoform is an antiseptic stopping or slowing down the growth of microorganisms and finally the eugenol which contains anti-inflammatory and antibacterial properties. These help to lower the pain however it doesn't eliminate all the pain. Unfortunately, that only occurs after a new blood clot has had chance to develop, form and heal properly which can take days.

    Well Done!

    If you have finished reading all the information on this page, get a certificate for your hard work.

    Still have concerns?

    This page provides general information about dental topics. It does not contain all the known facts of this subject and is not intended to replace personal advice from your dentist. If your not sure about anything on this site, contact us or speak to your local oral health practitioner. Make sure you give your local oral health practitioner your complete medical history and dental history.

    What is Decay?

    What starts it all

    read more
    What is irreversible pulpitis?

    The reason we do root canal is because of this condition

    read more
    Tooth Brushing

    Prevention is the best method. Learn the common mistakes and how to improve your own brushing.

    read more

    A selection of the references used:
    Tarakji, B., Saleh, L. A., Umair, A., Azzeghaiby, S. N., & Hanouneh, S. (2015). Systemic review of dry socket: aetiology, treatment, and prevention. Journal of clinical and diagnostic research: JCDR, 9(4), ZE10.
    Ahmad-Reza Noroozi; Rawle F. Philbert (2009). Modern concepts in understanding and management of the “dry socket” syndrome: comprehensive review of the literature. , 107(1), 30–35. doi:10.1016/j.tripleo.2008.05.043