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.
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.
This can create negative pressure dislodging the blood clot as well as dissolving due to the heat and chemicals.
Creates negative pressure dislodging the blood clot.
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.
Hards foods can scratch the wound healing site, which can dislodge the blood clot resulting in pain in a few days after the incident.
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.
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.
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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.
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