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What Is Dental “Dry Socket” and When Should I Be Concerned?

dry socket tooth

Dry socket is a painful condition that sometimes occurs after a tooth is extracted. It happens when the blood clot that forms over your socket is displaced; leaving bone and nerves exposed. If this happens, notify your dentist.

Treatment may include:

  • Cleaning the site of the extraction and placing a medicated dressing in the socket. 
  • Changing the dressing daily until the pain diminishes and the socket begins to heal.
  • Prescribing a nonsteroidal anti-inflammatory drug, such as aspirin or ibuprofen. Avoiding cigarette smoking or other tobacco use, as it can delay healing.

Normally, a blood clot forms at the site of a tooth extraction. This blood clot serves as a protective layer over the underlying bone and nerve endings in the empty tooth socket. The clot also provides the foundation for the growth of new bone and for the development of soft tissue over the clot.

Exposure of the underlying bone and nerves results in intense pain, not only in the socket but also along the nerves radiating to the side of your face. The socket becomes inflamed and may fill with food debris, adding to the pain. If you develop dry socket, the pain usually begins one to three days after your tooth is removed.

Dry socket is the most common complication following tooth extractions, such as the removal of third molars (wisdom teeth). Over-the-counter medications alone won’t be enough to treat dry socket pain. Your dentist or oral surgeon can offer treatments to relieve your pain.

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