Dry socket is occasionally known to occur after a tooth pulling or extraction dental procedure. Generally after a tooth is removed blood tends to fill the socket that leads to clot formation in that area which is slowly covered by gum as healing advances.Looking closely into the socket, blood clot slowly transforms into granulation tissue and ultimately bone. If unfortunately the socket is disturbed then the clot which develops much alike a scab on a cut actually breaks down.
Disintegration paves way to a bare apparent hole where there’s no tissue covering it which is usually coagulated or hardened blood. The socket rather than healing from across it would actually heal from the base.
The innate bacterial forms present in the mouth then pour into the hole once the clot displaces and infect the bone from where the tooth has been extracted. Bone reformation following tooth extraction is often delayed in case of dry socket.
However, prompt action will help the blood clot to fill back in and the area will start healing normally once again.
Tips To Heal Dry Socket
When extraction has gone well then there’s hardly much discomfort or pains after 12 hours. In case of dry socket the pain often appears to get increasingly more agonizing and unbearable particularly 48 hours following tooth removal. At this stage the remedy would be visiting the dentist who can spot yellowish, pus-filled distinct hole.
The dental practitioner would often irrigate out the hole to remove all traces of debris collected in it. Gently rinsing the socket with a medicated solution is also performed.
When tooth loosens on its own, normally the gum instantly heals over. However, when dental extraction is done on the tooth, particularly in a difficult case then the practitioner would either stitch over the hole or place a shielding plug over it. One would wear the plug in the mouth or bite on it for an hour after the extraction. After localized cleaning the dental practitioner would be meticulously sealing or packing the area with bactericidal and fungicidal dressing.
A material would be placed at the socket base for effectually sealing the gap over the nerve ending. This helps in preventing foods or other residues from accumulating in the socket while healing occurs. At times, the dentist may even pack the site with a gauze dressing that contains a soothing anesthetic like Eugenol U.S.P. Thereafter, a medical absorbent gauze or cotton is used for easily packing the socket.
Resist the temptation to take out the cotton or gauze piece protective material sooner than advised as it could disturb the clot which forms over the hole in the tooth and increase likelihood of developing a dry socket. The individual may probably have to visit the dental clinic several times over the subsequent week or two so that the dressing can be changed and for monitoring the effectiveness of the prescribed pain medications.
Post-procedure instructions abound and chiefly center around maintaining optimal oral hygiene by the usage of recommended antiseptic mouthwashes or saline water & gently swish it in the mouth whilst avoiding the bare socket. Rinsing it out or drinking on it or eating till at least the subsequent day is strongly advised. Moreover, teeth brushing, sucking on any substance with straws or extensive chewing with the extracted area shouldn’t be done.
For ensuring that the socket is totally cleansed one could try slowly squeezing out tepid water from a dropper into the gap and then gently wiping off any residue.
Measures For Pain Recurrence
On several occasions the packing wouldn’t be lasting for lengthy spans of time. Once victual residues are removed then one could try direct topical application of oil extracted from cloves which has an innate numbing effect and could aid in soothing the pains.
Nonprescription medicines like Benzocaine Topical can lessen pains or discomfort since it blocks nerve signals in the body. Ice or frozen gel packs too can be placed against the sore cheek or jaw.
They are also called as Non-steroidal anti-inflammatory medicines (like Motrin, Tylenol, Alleve) and are recommended for treating inflammation as well as accompanying mild to moderate-ranging pains. When non-prescription medicines fail to provide respite from pains then medicines with greater strength or nerve block drugs are medically prescribed.
Oftentimes, a course of antibiotics may be prescribed to stop the jawbone from getting infected around it or treating an existent infection. These could include prophylactic antibiotic medicines like Metronidazole or erythromycin, penicillin may be advised.