Dry Socket Overview (cont.)
William C. Shiel Jr., MD, FACP, FACR
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
In this Article
- What is a dry socket?
- What causes a dry socket?
- Who is at risk for getting a dry socket?
- What are the signs and symptoms of a dry socket?
- How is a dry socket diagnosed?
- What is the treatment for a dry socket?
- What is the average healing time for a dry socket?
- What is the prognosis for a dry socket?
- Can a dry socket be prevented?
- Find a local Doctor in your town
What is the average healing time for a dry socket?
Average healing time is 7 days.
What is the prognosis for a dry socket?
Prognosis is good as there usually are no long-term consequences. Once the tissue is able to cover the bone, the healing will progress normally.
Can a dry socket be prevented?
The prevention of developing a dry socket may be influenced by the methods used by the dentist or surgeon performing the tooth extraction. Such methods include: (1) placement of a packing at surgery with or without antibiotic (for example, tetracycline) and/or (2) placement of sutures to protect the blood clot. These details can be discussed with the dentist or surgeon prior to the procedure to determine if these preventive methods would be recommended.
After extraction, there are a few day-to-day activities that should be avoided: smoking, drinking with a straw, and vigorous spitting or rinsing. It is important to follow any special instructions given by the dentist or surgeon in caring for the extraction site at home.
Lastly, recent studies have shown that the incidence of dry socket with women is significantly decreased when tooth extractions are performed during their menstrual period (menses). When teeth extractions can be electively planned, the recommendation is to perform this procedure during the menstrual period. In this way, the risk of dry socket due to cycle-related hormonal changes can be eliminated.
Congiusta, M. A. and A. Veitz-Keenan. "Study confirms certain risk factors for development of alveolar osteitis." Evidence-Based Dentistry 14.3 (2013): 86.
Daly, B., et al. "Local interventions for the management of alveolar osteitis (dry socket)." The Cochrane Database of Systematic Reviews 12.12 (2012).
Mary A. Delsol, DDS; Dana Point, CA.
Eshghpour, M., et al. "Effect of menstrual cycle on frequency of alveolar osteitis in women undergoing surgical removal of mandibular third molar: a single-blind randomized clinical trial." Journal of Oral and Maxillofacial Surgery 71.9 (2013): 1484-1489.
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