Most cases of dry socket develop within 3—5 days after surgery. The risk of this condition decreases over time, so the longer the wound heals, the lower the likelihood. For standard tooth extractions, complete recovery takes a couple of weeks. However, wisdom tooth extractions can take much longer to heal.
Once the wound fully heals, there is no risk of dry socket. After a tooth extraction, the body creates inflammation. This causes mild swelling around the affected area. Platelets in the blood clump together to form a clot, which protects the wound by sealing it.
If this clot disintegrates, becomes dislodged, or does not form, the empty tooth socket is unprotected. This increases the risk of intense pain due to the exposed nerves in the socket.
Treatment for a dry socket focuses on reducing pain. The American Dental Association advise going returning to the dentist to manage symptoms.
A dentist will first flush out the socket with a medicated mouthwash or saline. Then, they will fill in the socket with a medicated dressing to control the pain. Depending on how long the pain lasts, people may need to change this dressing after a couple of days. Adults can also take nonsteroidal anti-inflammatory drugs , such as ibuprofen Advil.
In most cases, the pain of dry socket improves within 24—72 hours , according to the Canadian Dental Association. In some people, the pain may last up to 7 days. However, prompt treatment can reduce the pain faster. If the socket dressing is not effective, or the pain persists for longer than a few days, a dentist may reevaluate to see if another condition is responsible for the pain.
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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. While a study has shown some potential for honey to aid healing, under no circumstances should you put anything in a dry socket without consulting your care team for help.
Your dental care team may recommend an antibiotic rinse to help promote healing. You need to follow all care instructions meticulously to help promote healing and avoid further complications.
Dry socket is nothing to trifle with. If you have to have a tooth removed, be sure to follow care instructions, avoid tobacco, skip the straw, and give yourself time to heal completely.
Dry socket can arise at any point until the gum has healed, so keep all follow-up appointments and reach out for help if you experience any worrisome symptoms.
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