Dry socket" a nightmare"
Dry socket or alveolar osteitis is a painful dental condition that sometimes occurs after permanent tooth extraction.
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| " dry socket"+ |
It appears mostly after 3 to 4 days of tooth extraction. After tooth extraction blood clot is formed which protect underline bone and nerves and heals socket but some time clot does not form or icreased fibrinolytic activity dissolves clot earlier,or dislogment of blood clot from dental socket render it open and unprotected, healing becomes slow . Although its exact cause is not known but there are few predisposing factors are as follows described under eteology heading
Eteology
1: smoking
2: tobacco/beetle nuts chewing
3: contraceptive pills
4: not following post extraction care instructions
5: use of drinking straw after extraction
6: poor oral hygiene
7: localized infection present around extraction site
8: use of non sterilized instruments or infected needles
9: traumatic extraction
10: low immunity of patient or medically compromised patient
Symptoms
1: Worsening throbbing pain
2: fetid odor
3: bad taste
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| # unhealed extraction socket |
4: poorly healed extraction site
5: pain radiating to ear and neck
Treatment
1: irrigation with normal saline
2: sedative dressing like ugenol,alvogel etc
3: pain killer tablets or injections
4: warm saline or antiseptic gargles
