Patients may experience dry sockets after getting a tooth extracted, but it is relatively uncommon. Only 2-5% of patients experience dry sockets. Dry socket, or alveolar osteitis, occurs when the blood clot in the tooth socket is lost too early after an extraction, leaving exposed bone and the underlying bone and nerves unprotected. This can cause significant pain. In some cases, patients also feel symptoms on the same side as the extraction site. If you are experiencing dry sockets, then it is important to follow-up with your oral surgeon immediately.
Unfortunately, dry sockets are one of the most painful complications of tooth extractions after wisdom teeth removal, but they can be easily treated. Your oral surgeon will thoroughly clean the area and may place a medicated dressing for pain relief to promote healing and ease discomfort. They may also recommend over-the-counter pain relievers or prescribe some if needed to manage pain, and prompt treatment is important if you suspect dry socket or experience severe pain. An empty-looking socket or visible bone can also be signs of this problem. The symptoms of dry socket will go away within 24 hours of treatment, but some patients may need another follow-up.
Some patients are at higher risk for dry socket than others, especially when extractions are not performed by a specialist; choosing an oral surgeon to perform extractions can help reduce complications. You are at a higher risk of dry socket if you:
- Smoke
- Have a traumatic extraction due to an accident or infection
- Have a wisdom tooth extracted
- History of poor dental hygiene
- Take birth control
- Take any medication that inhibits blood clotting
- Have a history of dry socket
Patients who are even at high risk for dry socket can still prevent it by following the recommended post-op instructions given by your oral surgeon, especially important after upper jaw extractions that require specific sinus precaution postoperative instructions. You should use oral antibiotics or antiseptic solutions, if they are given to you, after surgery, and follow guidance on how to stop bleeding after getting a tooth pulled to protect the forming blood clot. Things patients should not do after surgery include:
- No rinsing or spitting for 24 hours
- No drinking from straws
- No smoking for 72 hours
- Avoid hot foods and beverages
- Avoid crunchy foods (popcorn, chips, nuts, etc.)
- Avoid alcohol consumption
- Limit physical activity for 5-7 days
If you are in need of tooth extraction and you are worried about the possible complications or feeling anxious about the procedure, we can answer any questions or concerns you may have and help you prepare for a tooth extraction and deal with anxiety. Call us today to set up a consultation at (435) 238-7083.