Dry socket

post operative dry socket after extraction in dentistry surgery clinic

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Dry SocketDry Socket
By By Dr.Neveen FuadDr.Neveen Fuad
Surgery ClinicSurgery Clinic

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OutlineOutline
What is What is Dry SocketDry Socket??
Signs & SymptomsSigns & Symptoms
CausesCauses
TreatmentTreatment
Prevention of Prevention of dry dry
socketsocket

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Dry SocketDry Socket
Alveolar Osteitis Alveolar Osteitis it’s it’s inflammationinflammation of of
thethe
alveolar bone and it’s a common alveolar bone and it’s a common
complication after tooth extraction.complication after tooth extraction.
Usually occurs when the Usually occurs when the blood clotblood clot fails  fails
to form or it’s lost from the socket. to form or it’s lost from the socket.
This leaves an empty socket where the This leaves an empty socket where the
bone is exposed to the bone is exposed to the oral cavityoral cavity, ,
causing a causing a localized dry socket.localized dry socket.
and it’sand it’s associated withassociated with increased pain increased pain
and delayed healing timeand delayed healing time

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SignsSigns
AnAn empty socket,empty socket, which is which is
partially or totally devoid of partially or totally devoid of
blood clot. blood clot.
Exposed boneExposed bone may be visible may be visible
which is extremely painful andwhich is extremely painful and
sensitive to touch .sensitive to touch .
Remaining foodRemaining food debris inside debris inside
the socket that may hide the the socket that may hide the
exposed boneexposed bone
InflammationInflammation of the soft of the soft
tissuestissues around the socket. around the socket.
Delayed HealingDelayed Healing of the socket. of the socket.

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SymptomsSymptoms
SevereSevere pain and discomfortpain and discomfort
from the extraction site that from the extraction site that
starts on the starts on the second or third second or third
dayday after the extraction. after the extraction.
The pain may radiate to The pain may radiate to
other parts of the head such other parts of the head such
as the as the ear,eye,andear,eye,and neckneck..
Intraoral Intraoral halitosis.halitosis.
Bad taste in the Bad taste in the mouth.mouth.

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Causes of Dry Causes of Dry
SocketSocket
Smoking.Smoking.
TraumaticTraumatic Extraction. Extraction.
PoorPoor oral hygiene. oral hygiene.
Patients with historyPatients with history of dry of dry
sockets.sockets.
Surgical extractionSurgical extraction of wisdom of wisdom
teeth.teeth.
Rinsing and spittingRinsing and spitting alot or alot or
drinking through drinking through a straw.a straw.

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Causes of DryCauses of Dry
SocketSocket
 pre-existing pre-existing infectioninfection in the in the
mouth such asmouth such as necrotizing necrotizing
ulcerativeulcerative gingivitisgingivitis oror chronic chronic
periodontitisperiodontitis..
Teeth withTeeth with pericoronitispericoronitis are are
moremore likely to cause a dry socket likely to cause a dry socket
after extraction.after extraction.

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TreatmentTreatment

CleaningCleaning the socket bythe socket by removing the food removing the food
debris from the hole.debris from the hole.
Using Using saline irrigationsaline irrigation for better cleaning. for better cleaning.
Forming the Forming the blood clotblood clot again inside the again inside the
socket.socket.
Using of Using of medicated dressingsmedicated dressings such as such as
AlvogylAlvogyl for rapid pain relief. for rapid pain relief.
AnalgesicAnalgesic medications for the pain. medications for the pain.

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AlvogylAlvogyl
A A dry socket treatmentdry socket treatment which, when which, when
placed provides rapid pain relief. It is placed provides rapid pain relief. It is
self eliminating and self eliminating and has three activehas three active
ingredients:ingredients:
1-Butamben1-Butamben:: Anaesthetic Anaesthetic
2-Iodoform:2-Iodoform: Antimicrobial Antimicrobial
3-Eugenol3-Eugenol:: Analgesic Analgesic

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PreventionPrevention
No Smoking before & after tooth No Smoking before & after tooth
extractionextraction
No spitting,eating,washing or using a No spitting,eating,washing or using a
straw for drinkingstraw for drinking
Good oral hygiene and gently brushing Good oral hygiene and gently brushing
the teeth near the woundthe teeth near the wound
Using a warm saltwater rinse to keep Using a warm saltwater rinse to keep
the area clean the area clean

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PreventionPrevention
Don't touch the wound with your Don't touch the wound with your
fingers or other objects fingers or other objects
Eat soft foods and avoid foods that Eat soft foods and avoid foods that
could lodge in the wound, such as could lodge in the wound, such as
popcorn, peanuts,rice or pasta popcorn, peanuts,rice or pasta
Good instructions by the dentist after Good instructions by the dentist after
the tooth extraction.the tooth extraction.

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Thank you for Thank you for
your attentionyour attention