Dry socket – Reason and treatment

After removal of tooth, blood clot formation is an essential element for the healing to take place. When the blood clot is dislodged from the socket, healing becomes extremely slow or nil and the condition is called as dry socket.

Reasons for dry socket :

  • Dislodgement of blood clot from the socket
  • Difficulty in tooth removal due to its anatomical hinderance
  • Person underwent radiotherapy recently
  • Use of oral contraceptives

signs and symptoms of dry socket :

  • It usually occur couple of days after tooth removal, sometimes may appear after five to ten days as well.
  • The tooth removed region becomes very painful with necrotic bone, foul smelling and without pus formation.
  • The pain may get radiate to neck and ear region
  • Some patients may encounter mild fever and lymph node enlargement

Treatment and instructions :

  • Do warm saline gargle and immediately report to the dental surgeon
  • Complete debridement with ample of irrigation and ZOE + iodoform dressing will be given
  • The dressing should be changed every day
  • Usually the pain will be subsided in a day or two after debridement and dressing process.

 

Reference:

Textbook of oral pathology by shafers

 

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