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6 Symptoms, Causes, and Prevention for Dry Socket

Having dental work done is painful enough, but if you must have a tooth extracted, you may be in for a world of pain better known as alveolar osteitis, or dry sockets.

According to WebMD.com only 5-percent of individuals develop dry socket after having a tooth pulled. Thankfully (you can stop holding your mouth now), this uncomfortable condition can be treated…

1. What Causes Dry Socket?

When a tooth is removed a blood clot will naturally form in the hole in the bone left behind in the days following extraction. The blood clot forms as a means of protection to the nerves and bone underneath, and allow for healing to take place.

However, if the blood clot disappears (or becomes dislodged), dry socket can occur when the the nerves and bone are suddenly exposed to all sorts of painful irritants, including food, fluids, and even air. Unfortunately, dry socket also leaves the area of extraction prone to awful pain and infection.


2. Dry Socket Symptoms

To say that dry socket is painful is an understatement for anyone who’s experienced this condition. And while discomfort and tenderness after a dental procedure can be common, dry socket is intense pain that doesn’t dissipate within a few days to a week.

Additional symptoms of dry socket include a foul taste in the mouth, bad breath, and a distinctive pain that radiates into your ear. You can also visibly see a dry socket if you look inside the hole left behind by an extracted tooth. You will likely see exposed white bone at the base of the hole, not a dark blood clot that should be present as protection.

tooth ache dry socket

3. Smoking Causes Dry Socket

If you suspected that smoking is a huge risk factor for dry socket development, you’re correct! According to MedicineNet.com, smoking, or more specifically, nicotine, zaps hydration and blood supply within the mouth. This can interfere with normal blood clot formation in the extraction area as part of the natural healing process.

If you smoke a pipe, cigars, or cigarettes try to stop smoking a few days prior to your dental extraction to prevent dry socket. Also, check with your dentist to see if any medications you’re taking make you prone to developing dry sockets.


4. Other Causes of Dry Socket

In addition to smoking, dry socket is often caused by the medications you take. For instance, oral contraception (i.e., birth control pills) can interfere with your body’s ability to clot following a dental procedure. If you take estrogen, ask you dentist to schedule your surgery during a time when you’re getting the lowest levels of the hormone and during the first 22 days of the menstrual cycle (when estrogen is most likely most inactive).

Blood clot formation can also be hindered in individuals with a dense jawbone, a pre-existing infection (i.e., periodontal disease), or the presence of excess oral bacteria in the mouth. Certain habits (i.e., smoking, rinsing, or using a straw) can lead to the ousting of a blood cloth as well.


5. Post-Surgical Precautions

Following a dental extraction, you can do your part to prevent dry socket by following precise after care instructions. The Mayo Clinic recommends avoiding any dehydrating beverages for at least 24-hours (i.e., coffee, caffeine, and alcohol) and also avoiding use of a straw. Choose soft foods such as smoothies, yogurt, applesauce instead of hard or spicy foods that can cause irritation.

Avoid smoking for the 48-hours following surgery, and cleanse your mouth by gently brushing and rinsing with lukewarm salt rinse after meals and throughout the day, while avoiding the extraction wound as much as possible. Any pain or suspect infection should be brought to your dentist’s attention immediately.

mouthwash rinse

6. Dry Socket Treatment

If pain persists, you should see your dentist right away. If dry socket is diagnosed, your dentist may schedule follow up appointments to clean and pack your socket every few days with a special dressing to help the healing process and relieve pain.

Your dental professional may also prescribe a non-steroidal anti-inflammatory medication (i.e., ibuprofen or stronger) to relieve pain and anesthetize the extraction site. If infection is suspected, your dentist may also prescribe a mouthwash or oral antibiotics.



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