Doctor insights on:
Do Dry Sockets Heal On Their Own
Dental question I have a question don't know if u know the answer but i got my wisdom teeth out 1 week ago from yesturday..... It's been causing me pain... I was told I have dry sockets and that they would heal.... Today my gum near my socket started to b
Dry : Dry socket is an extremely painful condition (usually "off the pain scale") that is characterized as a sharp stabbing sensation that is unrelenting and typically occurs 72 hours post extraction due to the loss of the blood clot from the extraction site resulting in the exposure of the alveolar bone. Individuals who smoke, are on oral contraceptives, or disturb the extraction site are at a higher risk for developing this condition. There is usually no abnormal swelling accompanying the dry socket other than what would be normally expected. Dry sockets are treated by irrigating out the extraction site and placing a sedative dressing which is changed out every 24 to 48 hours. Healing is significantly delayed and the area may remain tender. Unfortunately many patients will develop post-extraction pain in the same time frame due to accumulation of food debris in the extraction site. This pain is usually a 5 or 6 on a 10 pain scale, can be relieved by Ibuprofen and typically peaks early in the morning upon awakening or late in the afternoon. Is is more of a dull ache and, like dry sockets, may radiate to the ear or forward to the front teeth. Treatment usually involves gentle irrigation of the site to remove food debris and to determine the presence of a blood clot in the extraction site. If too forceful irrigation is use an dry socket may be created. This condition usually resolves in one or two days after the site is irrigated. A third possibility is that you have an infection. This usually occurs several days after the infection (unless you had a significant infection at the time of extraction) and is accompanied by increased swelling, tenderness to touch of the affected area, and increasing limitation in mouth opening. It is difficult to diagnosis your condition without an examination. It sounds like a local irritation and may be the result of food debris in the socket, retained packing material that your surgeon may have placed to treat the dry socket (you did not state whether he provided treatment for the dry socket) or the beginning of an infection. No matter the cause you need to be reexamined. If you are uncomfortable with your current surgeon you may want to ask him to refer you to another local surgeon outside his practice for a second opinion. ...Read moreSee 2 more doctor answers
Losing a clot: After the extraction, the clot must be established in the extraction socket to cover the bone in order for the granulation tissue to fill in. However, in the event of an infection, the clot is lost, the underlying bone is exposed, and thus termed dry socket. Dry socket is treated with antibiotic, usually clindamycin, and placed dressing (dry socket paste) in the socket. Keep clean... ...Read moreSee 2 more doctor answers
YES: From what I have experienced with my patients over 20 years of pulling teeth; the ones who get dry sockets say it is the worst pain ever and it never goes away, even with pain meds, until i treat the dry socket. I've heard men say it hurts like a broken bone and many women say they would rather have another natural child birth. ...Read more
Unpredictable: Preventing dry sockets is not possible as it can randomly occur. However, there are things that can decrease the risk. Pre and post-operative Chlorhexidine rinses, avoiding activities that can dislodge the blood clots after surgery (smoking, drinking through a straw, overzealous rinsing, and spitting) will not prevent a dry socket, but can help decrease the risks. ...Read moreSee 1 more doctor answer
Have heard that i shouldn't smoke because i could get dry sockets. Will i definitely get them if i do?
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