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DRY SOCKET
Dr. Ebei Eliud
BDS
University of Nairobi.
OBJECTIV
ES:
 Definition of Dry socket
 Pathophysiology
 Signs and Symptoms
 Aetiology
 Treatment
 Prevention
DEFINITIO
N:
Dry socket is also called Alveolar
Ostitis.
It refers to the inflammation of the
alveolar bone which common...
EPIDEMIOLOGY
 A dry socket will occur in only 1% to 3% of
all tooth extraction.
 But its more common in the extraction o...
PATHOPHYSIOLOGY:
 After tooth extraction, a blood clot forms on the
socket of the extracted tooth, mainly to reduce
blood...
SIGNS AND
SYMPTOMS:
 Symptoms
 Severe pain.
 Onset : 2 – 3 days after extraction.
 Radiation: Pain radiates to the jaw...
SIGNS:
 Empty socket:-That partially or totally lacks
blood clot.
 Exposed bone:- Visible and sensitive to touch
 Infla...
AETIOLOGY
:
 Smoking.
 Traumatic extraction.
 Poor oral hygiene.
 Patients with history of dry sockets.
 Surgical ext...
TREATMENT:
 Cleaning socket by removing food debris-
use saline irrigation for better cleaning.
 Using medicated dressin...
PREVENTION:
 No smoking before and after tooth
extraction.
 No spitting, eating, washing or using
straw for drinks .
 G...

THANK YOU.
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Dry socket[1], alveolar ostitis (2),

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Dry socket[1], alveolar ostitis (2),

  1. 1. DRY SOCKET Dr. Ebei Eliud BDS University of Nairobi.
  2. 2. OBJECTIV ES:  Definition of Dry socket  Pathophysiology  Signs and Symptoms  Aetiology  Treatment  Prevention
  3. 3. DEFINITIO N: Dry socket is also called Alveolar Ostitis. It refers to the inflammation of the alveolar bone which commonly occurs as a complication of tooth extraction.
  4. 4. EPIDEMIOLOGY  A dry socket will occur in only 1% to 3% of all tooth extraction.  But its more common in the extraction of Mandibular Wisdom teeth.  In lower impacted wisdom teeth, as many as 25% to 30% of cases will result dry socket.
  5. 5. PATHOPHYSIOLOGY:  After tooth extraction, a blood clot forms on the socket of the extracted tooth, mainly to reduce blood loss due to the extraction and also to prevent the alveolar bone from getting exposed to the oral environment.  When this blood clot fails to form or is physically lost from the socket, the alveolar bone gets exposed to the oral saliva, bacteria and food debris.  This results in localized inflammation of the alveolar bone, leading to a severe throbbing pain that radiates to the jaws, ears and eyes of the affected side.
  6. 6. SIGNS AND SYMPTOMS:  Symptoms  Severe pain.  Onset : 2 – 3 days after extraction.  Radiation: Pain radiates to the jaws, ears ,eyes and neck of the affected tooth.  Intra-oral Odor (Halitosis)  Bad taste in the mouth.  Regional Lymphadenopathy (Rare).
  7. 7. SIGNS:  Empty socket:-That partially or totally lacks blood clot.  Exposed bone:- Visible and sensitive to touch  Inflammation of the soft tissue around.  Food debris trapped in the socket.
  8. 8. AETIOLOGY :  Smoking.  Traumatic extraction.  Poor oral hygiene.  Patients with history of dry sockets.  Surgical extraction of wisdom teeth.  Oral contraceptives.  Pre-existing infection: (pericoronitis)
  9. 9. TREATMENT:  Cleaning socket by removing food debris- use saline irrigation for better cleaning.  Using medicated dressings e.g Alvogil  Analgesics for pain relief.  Antibiotics.
  10. 10. PREVENTION:  No smoking before and after tooth extraction.  No spitting, eating, washing or using straw for drinks .  Good oral hygiene.  Do not touch the extraction wound with your tongue, fingers e.t.c  Eat cold soft food to avoid irritating the wound.
  11. 11.  THANK YOU.

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