Painful, dry socket rarely results in infection or serious complications. However, potential complications may include delayed healing of or infection in the socket or progression to chronic bone infection (osteomyelitis).
Dry socket usually occurs within 3-5 days of an extraction and more commonly in the lower jaw. Symptoms include severe pain, a throbbing sensation, an unpleasant taste, a fever, or swollen glands. It can last for up to 7 days. By following your dentist's instructions carefully, dry socket can usually be prevented.
Will a dry socket heal on its own? Yes, in most cases a dry socket will heal on its own. However, because most people experience moderate to severe dry socket pain, seeing your dentist for prompt treatment can help ease discomfort sooner.
Delayed healing or continual dry sockets can pose a high risk of infection and pain. In some cases, it may be necessary to place medication or a bone graft down into the opening to facilitate appropriate healing.
A dry socket is a painful complication after a routine treatment like an extraction, but it can be avoided if you're careful, and it definitely won't kill you. Read more below from Midland dentist, Dr. Bell, on what a dry socket is, how to avoid it, and how to treat it if it happens to you.
dry socket – where a blood clot fails to develop in the tooth socket, or if the blood clot becomes dislodged. nerve injury – this can cause temporary or permanent problems, such as tingling or numbness.
Your dentist or oral surgeon may pack the socket with medicated gel or paste and medicated dressings. These can provide relatively fast pain relief. The severity of your pain and other symptoms will determine whether you need dressing changes and how often or if you need other treatment.
The blood hardens or clots and protects the tooth socket while the gums grow over the top of the hole. In most cases the gums completely grow over and close the tooth extraction socket within one to two weeks.
Another common symptom of a dry socket is a bad or sour taste in your mouth. This can be one of the first signs of infection, so don't let that smell linger without taking swift action. Swish warm salt water or a dentist-recommended rinse in your mouth gently before getting on the books at your local dental office.
Dry Socket Healing Time
Dry socket typically heals within 7-10 days. After this time, new tissue has been able to cover the visible bone and the wound has begun to heal. For patients with thin alveolar bone, such as those with periodontal disease, healing may take longer.
One of the best things you can do is rinse your mouth with warm saltwater. This will help to remove any food particles that could be irritating your dry socket and promote blood clotting. You want to make sure that you're using warm water and not hot because hot water could further irritate your wound.
Prevention methods include avoiding smoking before and after surgery and a traumatic surgery, the use of antibiotics, such as, azithromycin, can be considered, chlorohexidine rinse or gel can be effective in the reduction of dry socket incidence.
The Mayo Clinic recommends dissolving ½ teaspoon of salt into 8 ounces of warm water. Swish this around in your mouth for a minute, or use it to flush out the dry socket with a syringe your surgeon gives you. Do this at least three times per day or after meals.
Dry socket typically lasts 7 days. Pain can be noticeable as early as day 3 after extraction. After tooth extraction, a blood clot usually forms at the site to heal and protect it. With dry socket, that clot either dislodges, dissolves too early, or it never formed in the first place.
Call your dentist if you think you have: Symptoms of dry socket. Increased pain or pain that does not respond to pain relievers. Worse breath or taste in your mouth (could be a sign of infection)
Signs and symptoms of dry socket may include: Severe pain within a few days after a tooth extraction. Partial or total loss of the blood clot at the tooth extraction site, which you may notice as an empty-looking (dry) socket. Visible bone in the socket.
What does a dry socket feel like with your tongue? You'll be able to feel that the tooth's socket seems empty and open. (Due to the loss of its blood clot.) You're likely to feel the sharpness of the socket's exposed bone surfaces.
You probably have a dry socket if you experience sharp pain after the extraction procedure. The best way to receive confirmation is to visit your oral surgery specialists. They are going to ask you about your symptoms and look at your mouth to see if your tooth socket contains a blood clot.
Dry socket with stitches
Unfortunately dry socket is still possible with stitches. Dry socket can happen when the stitches fall out too early, which means the wound doesn't have time to heal. Most dentists use dissolvable stitches to close the wound after a tooth removal.
A bone infection after tooth extraction is a dangerous ailment. If not treated, a patient can go into sepsis. Sepsis is an infection caused by anything (virus, bacterial, fungal) that enters the bloodstream and can impair flow to the vital organs in your system.
The most common antibiotic used to prevent dry socket is amoxicillin, but dentists may also prescribe azithromycin before a tooth extraction or apply topical clindamycin or lincomycin to the socket after a tooth extraction.
Pressure on the wound: Chewing or biting down on the empty socket can dislodge the blood clot. Similarly, using straws, sucking on foods, and blowing the nose can create negative pressure inside the mouth, increasing the risk of the blood clot detaching.