Dry sockets (alveolar osteitis) occur when a blood clot fails to form or is dislodged after a tooth extraction. Without this clot, the bone and nerves are exposed, leading to intense pain and delayed healing.
Common Symptoms
- Severe pain starting a few days after extraction
- Pain radiating to your ear, eye, temple, or neck
- Visible bone in the socket
- An unpleasant taste in your mouth and bad breath
Risk Factors
- Smoking and Tobacco Use — Chemicals delay healing and reduce blood flow; inhaling can dislodge the clot.
- Oral Contraceptives — Estrogen can interfere with the blood clotting process.
- Poor Oral Hygiene — Bacteria can enter the extraction site.
- Traumatic Extractions — More complex extractions (e.g., impacted wisdom teeth) increase risk.
- Previous History of Dry Sockets — Inform your dentist so they can take additional precautions.
Prevention
Follow post-extraction care instructions, avoid straws, refrain from vigorous rinsing or spitting. If you smoke, quit at least a week before extraction and refrain for several days after. If you suspect a dry socket, seek immediate dental care.