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1. DRY SOCKET
Dry Socket
-Dr.Laxmi Pandey

2.  INTRODUCTION
 SYNONYMS
 EPIDEMIOLOGY
 CAUSES
 SIGNS AND SYMPTOMS
 TREATMENT
 WHAT NOT TO DO ?
 PREVENTION OF DRY SOCKET
WHAT IS DRY SOCKET ?

3. DEFINITION
 defined as a post-operative pain in and around the dental alveolus,
which increase in severity at some moment between the first and third
day after dental extraction , accompanied by partial or total
disintegration of the intra-alveolar clot, causing foul smell.
 Term was coined by CRAWFORD in 1896.

4.  Alveolar osteitis (AO)
 Alveolalgia
 Alveolitis sicca dolorosa
 Delayed extraction
 Fibronolytic alveolitis
 Fibrinolytic osteitis
 Localized osteitis
 Localized osteomyelitis
 Localized alveolar osteitis
 Necrotic Alveolar socket
 Postoperative alveolitis
 Septic socket
Synonyms

5. EPIDEMIOLOGY
 25% - 30% impacted wisdom
teeth.
 Mandibular teeth common
than maxillary
 Females have higher rate of incidence 1% - 3% of all tooth extraction
International Journal Of Dentistry 2014,June 2

6. Traumatic
extraction
Age >25 yrs
Smoking
pericoronitis
Oral
contraceptives
Poor oral
hygiene
Surgical
extraction of
wisdom tooth
Rinsing and
spitting a lot or
drinking through
a straw
Pt. with
history of dry
socket
Infection by T.
pallidum
CAUSESOF DRY SOCKET

7. SIGNS
 Inflammation of the soft tissues
around.
 Exposed bone visible and sensitive to
touch.
 Food debris trapped in the socket
 Empty socket that partially or totally
lacks blood clot

8. SYMPTOMS
 Severe pain:-
o Onset:- 2-3 days after extraction.
o Radiation:- Pain radiates to the jaws, ears, eyes and
neck of the affected tooth.
 Regional lymphadenopathy
(Rare).
 Intra oral odour
(Halitosis)
 Bad taste in mouth.

9. TREATMENT
1. Remove any sutures to allow adequate exposure of the extraction site; the socket
should be irrigated with warm sterile isotonic saline solution and all degenerated
blood-clot is removed.
2. If loose bone is present, local anesthesia may be necessary to allow thorough cleaning
of the socket.
3. Sharp bony spurs should be either excised with rongeur forceps or smoothed with a
bone file.
4. Once the socket no longer collects any debris patient should be shown how to irrigate
the area and told to do this regularly.
5. Pt. is given a plastic syringe with a curved tip for home irrigation with chlorhexidine
solution or saline and instructed to keep the socket clean.
6. Analgesics and antibiotic are indicated, but pain may persist for several days.
7. Ice packs can help to relieve swelling and pain.

11. WHAT NOT TO DO ?
 A loose dressing composed of zinc
oxide and oil of cloves or a pack composed
of white head varnish.
 Curettage of the socket is avoided

12. PREVENTION

13.  Maintain Good oral hygiene. Eat cold, soft food but avoid
soft drinks

14. the extraction wound with your
tongue, fingers, etc.
 No smoking before and after
tooth extraction.
 after tooth extraction.