If you think that you may have a dry socket, you will need to call your dentist and schedule an appointment. Your dentist will first need to examine the extraction site for signs of infection, then they will usually clean the empty socket.
Once the socket has been cleaned, your dentist will pack the socket using gauze and a medicated gel or liquid to relieve pain and prevent infection. As they are packing the socket, they will likely explain how to clean and pack the socket so that you can do these things on your own at home. In most cases, a dry socket will heal within a week of the extraction.
Currently, the exact cause of dry sockets is still being researched, so there is no for sure way to avoid them. However, there are a few things you can do to reduce the risk of developing a dry socket. These things are usually mentioned in the postoperative instructions provided to you by your dentist after your extraction.
Basically, you will want to avoid dislodging the clot by avoiding vigorous activity, smoking, and drinking from a straw. Additionally, following guidelines on what to eat and drink, as well as how to keep the extraction site clean are also important ways to prevent a dry socket.
Yet, there are some individuals who may be at an increased risk for developing a dry socket, such as those who have had one before, who smoke or use tobacco, or who are on oral contraceptives. This is because tobacco use causes healing to be delayed, while oral contraceptives contain high levels of estrogen that can affect the healing process. If symptoms do not appear within a few days of the extraction, it is unlikely that a person will develop a dry socket. Over-the-counter OTC or home remedies are not often enough to treat the pain of dry socket.
People with the condition must usually see their dentist for treatment. Sometimes multiple dental visits are necessary. The pain should begin to reduce following treatment and should go away within a few days. If not, a dentist may do further investigations to rule out complications.
The dentist will flush out the socket with a saline solution or other fluid that helps clean wounds. This will remove food particles or germs that may be causing pain or infection. It is essential to manage the pain until the dry socket heals. Many people will require prescription medication to provide enough pain relief. If symptoms are mild, OTC painkillers may work.
Dry socket happens when healing is interrupted. There are a number of possible reasons you might be more likely to develop dry socket. Smoking and tobacco use also inhibit healing and make dry socket more likely. Not following directions about rinsing, cleaning, and brushing can cause serious healing problems, including—but not limited to—dry socket. The risk of developing dry socket is present the entire time the hole is healing up. Usually, the gums close up in days, but people do not all heal at exactly the same rate.
You need to trust your care team and stay in communication with them while you are healing. Keep all appointments for follow-up care, and call your care team right away if you have excessive pain, if you develop a foul taste in the mouth, if you have excessive swelling, or if you begin to run a fever after a tooth extraction.
If you have or suspect you have dry socket, call your dental care team right away. The doctor who performed the extraction will help you treat the complication. Salt water has a mild antibiotic effect and can promote healing of the gums.
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