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Dry SocketDry Socket

By By Dr.Neveen FuadDr.Neveen FuadSurgery 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 SocketAlveolar 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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SymptomsSymptomsSevereSevere 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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TreatmentTreatmentCleaningCleaning 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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AlvogylAlvogylA 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 Anaesthetic2-Iodoform:2-Iodoform:  Antimicrobial Antimicrobial

3-Eugenol3-Eugenol ::  Analgesic Analgesic

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PreventionPreventionNo Smoking before & after tooth No Smoking before & after tooth extractionextractionNo spitting,eating,washing or using a No spitting,eating,washing or using a straw for drinkingstraw for drinkingGood oral hygiene and gently brushing Good oral hygiene and gently brushing the teeth near the woundthe teeth near the woundUsing 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