Sometimes the blood clot does not form in the first day or two after the extraction, or it forms but breaks down due to some reason. This condition is called osteitis or dry socket.

Who Gets Dry Socket?

The exact causes of this puzzling condition are not completely known. The following patients may be more prone to get dry socket than the others:

• Those who needed extra local anesthetic to achieve numbness before extraction.
• Those who have had teeth extracted from there lower jaw, especially back teeth.
• Those whose extractions included bone removal.
• Those who have gum disease.
• Users of tobacco products ( i.e. because nicotine and tar constricts blood vessels)

There is no way to steer clear of dry socket. If you happen to develop dry socket, see your dentist and take good care of yourself.

• Limit strenuous activity. This will reduce the bleeding and help clot formation.
• Avoid hot liquids, tobacco products, alcohol or drinking anything trough a straw as this may dislodge the clot.
• Do not brush or floss next to the socket. However brush other teeth thoroughly, gently rinse your mouth with warm water. ( you can also add salt if your dentist recommends it)
• Remember to rinse your mouth gently, avoid mouthwash unless your dentist recommends you to use it.

• Stay well nourished. Drink lots of fluids, eat soft nutritious food. Try to chew from the other side of your extraction site.
• If you feel pain, apply ice or cold compresses to the face 20-30 minutes at a time. Use an ice bag or cold moist cloth.

Symptoms and Treatment:-

The symptoms include unpleasant taste, a foul smell and pain. The dentist can carefully irrigate the wound (wash) and may do so several times. A gauze dressing soaked in antibiotics or other medications maybe placed in the socket to protect it till it heals. Sometimes antibiotics will be required in a prolonged duration along with pain killers. If you have severe pain call your dentist immediately.