what is dry socket wisdom teeth? What are the warning signs of dry socket?

what is dry socket wisdom teeth 2022

What is dry socket wisdom teeth, Dry socket (alveolar Osteitis) is an uncomfortable dental condition which can develop when you have an adult tooth removed. Dry socket occurs caused when the blood clot near the location of the tooth extraction does not develop either, or it dissolves or dissolves prior to the wound is healed.

Normally there is a blood clot near the location of tooth extraction. The blood clot acts as a layer of protection over the bone underneath and nerve nerves that are located in the tooth socket that is empty. The clot also serves as the basis for the growth of bone as well as the growth of soft tissue that is over the clot.

The exposure of the nerves and bone causes severe pain, not just in the socket but around the nerves radiating towards the face’s side.¬†The socket gets damaged and can be filled with food particles, which adds to the discomfort.¬†If you suffer from dry socket, pain typically begins about three days after the tooth has been extracted.

Dry socket is one of the more frequent complications that can occur following tooth extractions like the removal of the third millimeters (wisdom teeth).¬†A few over-the-counter medicines won’t be enough to relieve dry socket discomfort.¬†The dentist you see or the oral surgeon may offer treatment options to ease the discomfort.


The signs and symptoms of a dry sockets could include:

  • A severe pain that lasts for a few days following a tooth extraction
  • Complete or partial loss of blood clots at the site of tooth extraction You may observe as an empty (dry) socket
  • Bone visible in socket
  • Pain radiating outwards from the socket and into your eye, ear, neck, or temple on the same face side like the extraction
  • Bad breath or a foul smell emanating from your mouth
  • The taste of your mouth is not pleasant.

What is dry socket wisdom teeth, When is the best time to visit a doctor?

Some degree of discomfort and pain is common after tooth extraction. But you are able to control regular pain by using the painkillers recommended by your dentist or oral surgeon. The discomfort should diminish with time.

If you notice a discomfort that is new or becomes worse within the first few days following the tooth extraction, call your dental surgeon or dentist right away.


The reason for dry socket is an area of investigation. Researchers believe that certain aspects might be involved with dry socket, for example:

  • Infection with bacteria in the socket
  • A traumatic injury at the site of surgery due to a painful extraction like an impinging wisdom tooth

Risk factors

Factors that could increase your chances of developing dry sockets include:

  • Smoking cigarettes and using tobacco.¬†Chemicals in cigarettes or other tobacco products can hinder or delay healing and may contaminate the site of injury.¬†Inhaling cigarettes can physically break up the blood clot early.
  • oral contraceptives.¬†High estrogen levels in oral contraceptives can interfere with the normal healing process and increase the chance of developing dry socket.
  • Incorrect at-home care.¬†Failure to follow the guidelines for at-home care as well as poor dental hygiene can increase the risk of a dry socket.
  • Dry sockets previously.¬†If you’ve had dry sockets in the past then you’re more likely to be affected by it following another extraction.
  • Teeth or gum infections.¬†Current or previous gum infections that occur around the tooth extracted increase the chance of having a dry socket.


Dry and painful sockets seldom leads to infection or other complications. But, possible complications could include delayed healing of an infection within the socket, or the progression of a osteoporosis (osteomyelitis).


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What are the things you can do prior to surgery

Take these steps to avoid dry sockets:

  • Find a dentist or oral surgeon who has experience with extractions of teeth.
  • If you are able, reduce your smoking habits prior to the extraction, as smoking and other tobacco products can increase the risk of having dry socket.¬†Talk to your dentist or your doctor about a program that can aid you in quitting for good.
  • Consult the dentist you see or your oral surgeon regarding any medications, prescriptions or other over-the-counter ones or supplements you’re taking because they could affect blood the clotting.

How your oral or dental dentist could do

A dentist and oral surgeon can follow several steps to ensure the proper healing of the socket as well as to stop dry socket. This could include recommending some or all the following medicines, which can assist in the prevention of dry socket:

  • Use antibacterial mouthwashes or gels right away prior to and immediately following surgery.
  • Oral antibiotics, in particular when you are suffering from a compromised immune system.
  • Antiseptic solutions are applied to the wound
  • The application of medicated dressings after surgery

What are the options after surgery

You’ll be given instructions on what you can expect in the process of healing following an extraction and also how to take care of the wound.¬†Care at home after an extraction can aid in healing and avoid damage to the wound.¬†These guidelines are likely to be addressing the following issues that could help avoid dry sockets:

  • Activities.¬†After your surgery take a break throughout the day.¬†Follow your oral surgeon or dentist’s guidelines on when you can resume normal activities and for how you should avoid intense training and sports that may result in the removal of the blood clot that is in the socket.
  • Treatment for pain.¬†Put cold packs on your outside face the day following the extraction and warm ones following thatto ease swelling and pain.¬†Follow the instructions of your dentist or oral surgeon’s instructions for applying heat or cold onto your face.¬†Use pain medication as directed by your dentist.
  • Drinks.¬†Drink lots of water following the procedure.¬†Avoid caffeinated, alcoholic hot, carbonated or caffeinated drinks for the time that the dentist suggests.¬†Avoid drinking with straws for at least a week as the sucking action could cause the blood clot to be removed from the socket.
  • Food.¬†Eat only soft foodslike applesauce or yogurt, in the beginning.¬†Beware of cold and hot liquids, or licking your cheeks until the pain subsides.¬†Begin eating semi-soft foods as soon as you’re able to handle these.¬†Do not chew on the surgery side of your mouth.
  • Cleansing the teeth.¬†After surgery, you are able to gently rinse your mouth and clean the teeth but be careful not to touch the site of the extraction within the initial 24-hour period.¬†After 24 hours, you can gently wash the area with salt at least once every day for the first week following your procedure.¬†Mix 1 teaspoon (2.5 milliliters) of table salt into eight inches (237 milliliters) of water.¬†Follow the directions from your dental surgeon or dentist.
  • Smoking tobacco.¬†If you smoke or consume tobacco, do not smoke for at minimum 48 hours following the surgery and for as much as you can following the procedure.¬†Smoking tobacco following surgery on the mouth can slow recovery and raise the likelihood of complications.
It is likely that having a¬†tooth¬†removed isn’t an pleasant experience.¬†You’re likely to experience some discomfort afterwards.¬†However, that’s okay you tell yourself.¬†It’s okay to endure it if you’re required to.¬†However, if the¬†discomfort¬†is intense and could even worsens over a couple of days, it could be the result of a condition known as¬†dry socket¬†or alveolar osteosteitis.Very few -around 2 to five percent of peoplesuffer from¬†dry socket¬†following the¬†dental extraction.¬†For those with dry sockets can be uncomfortable.¬†It’s a good thing that it’s treatable.It is the opening in the bone that is created after it is located after the¬†tooth¬†is removed.¬†When the¬†tooth¬†is removed and loosened, it is when a¬†blood clot¬†develops inside the socket, protecting the nerves beneath the bone as well as the bone.¬†Sometimes, that clot will be dislodged or dissolve within just a few days after the extraction.¬†This leaves the bone and nerve open to food, air liquid, or any other substances that come into the mouth.¬†This could lead to an painful and infected areas that lasts for up to 6 days.

Who Is Likely to Get Dry Socket?

Some people might be more likely to suffer from dry sockets following having the tooth removed. This includes those who:

  • smoke
  • Have poor oral hygiene
  • are having¬†Wisdom teeth¬†removed
  • are more traumatic than usual during extraction of teeth.
  • Use¬†the birth control¬†pills
  • There is a long-standing past of dry sockets after having teeth pulled
Spitting and cleaning your mouth regularly or drinking from straws after having your tooth extracted could increase the risk of developing dry socket.

What Are the Symptoms of Dry Socket?

If you examine the area in which the tooth was removed and you’ll likely find a dry-looking gap.¬†Instead of a blood clot that is dark there’ll be white bone.¬†The pain is usually felt around two days following the time that your tooth is pulled.¬†In time, the pain becomes more painful and may spread towards the¬†ears..

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Other signs of dry sockets are unpleasant breath and a sour flavor and smell that you get from the tongue.

How Is Dry Socket Treated?

You may make use of a nonsteroidal anti-inflammatory drug (NSAID) like¬†aspirin¬†or¬†Ibuprofen¬†to help ease the pain.¬†Sometimes, these over-the-counter¬†drugs¬†do not suffice to alleviate the discomfort.¬†If that’s an issue, the physician might recommend a stronger medicine or even anesthetics to the region.

The dentist will cleanse the socket of your tooth, taking all debris that has accumulated in the tooth socket before filling the tooth socket using the medicated dressing or special paste that helps in healing.¬†It’s likely you’ll need to go to your dentist’s office on a regular basis to get a new dressing before the socket begins to heal and pain is lessens.

Your dentist could recommend antibiotics to stop the socket from getting infected. To take care of your dry socket home, your dentist might suggest you rinse it in salty water, or use a specific mouthwash each throughout the day.

What Can I Do to Prevent Dry Socket?

Since smoking cigarettes is a significant risk cause of dry sockets so, stay away from smoking cigarettes smoking cigars, as well as similar cigarettes, cigars or other tobacco products for the first day or two after procedure.

If you’re taking¬†birth control medications¬†or other birth control pills, talk to your dentist about having the extraction at a time when you’re receiving the lowest amount of¬†estrogen.¬†The hormone can alter the capacity of¬†blood¬†to make clots.¬†Also, talk to your dentist about any other¬†medicines¬†you’re taking that may hinder the normal process of¬†blood¬†clotting.

After the procedure, you should avoid drinking via straws and drinking a lot of water for the first few days.¬†Also , don’t rinse the¬†mouth¬†more than your dentist suggests.¬†If you do rinse, do so gently.¬†Make sure you visit your dentist regularly for scheduled follow-up appointments.

Though it is true that only about 2 to 5 percent patients suffer from dry sockets following wisdom teeth extraction It is an uncomfortable experience that takes longer the healing process.

It’s only normal to prefer to avoid it.¬†Learning how to avoid dry sockets can alleviate your worries and aid heal to allow you to return to normal life in the shortest time possible.

Find out the definition of a dry socket and how to prevent dry sockets when you have your wisdom teeth extracted.

What Is Dry Socket

What is a dry socket? The socket can be described as a small hole within your bone that was created when the wisdom tooth was extracted. The blood clots usually form and heals in the socket. Dry socket, also known as alveolar osteoporosis, happens when that blood clot becomes broken and exposes your canal and the nerves food, air and bacterial.

Dry socket causes slow healing after surgery, and it’s more likely when wisdom teeth are extracted lower than for upper ones.

Dry socket symptoms are bad breath, unpleasant taste in your mouth, dryness of the opening where the blood clot ought to be, and, most significantly extreme pain. This type of pain has been described as radiating or throbbing and could extend beyond the socket to the ears.

The symptoms usually show up around two days after operation.

What Causes Dry Socket

Dry sockets can be caused by any cause that removes the blood clot that is in the socket, before it has had time to heal. The most common causes are the suction of straws, or food that gets stuck in the socket. Other types of dislodging or disruption can be a result of poor hygiene, spitting or coughing up, or the sneezing.

Certain studies have shown some studies show that taking birth control pills can increase the risk of developing dry socket. If you are taking birth pills to control your weight, inform your dentist prior to your appointment.

How to Prevent Dry Socket

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If you’re preparing to undergo wisdom teeth healing and you’re likely to know how to prevent developing dry sockets.¬†Here are the top tips to avoid dry sockets but be sure to adhere to the instructions of your dentist¬†instructions for surgery.

Eat the Right Food

Prevention of dry sockets starts by eating the right diet to ensure an appropriate healing.¬†After extractions of teeth the best food to eat is one that is soft and doesn’t require chewing too much.¬†The best options to make a list of ahead of time include soup, mashed potatoes Applesauce, ice cream milk, beans mashed and smoothies.

It is recommended to stay clear of crunchy or hard food items that require a lot of chewing, at least for the first week following the surgery. These types of foods could dislodge the blood clot and become trapped in it and cause pain eating them all over.

Avoid Straws and Smoking

To prevent dry sockets Also, be wary of any suction which could pull blood clots out of the socket. One of the most common suction sources to avoid are straws. The air that comes from the straw as well as the motion your mouth makes when drinking from one could result in dry socket.

Avoid drinking from straws for at least 1 week following the surgery.

Smoking is a different reason for dry socket. In actual fact, smokers are 12 percent more likely to suffer from dry sockets Рwhich is more than twice the risk of non-smokers. Smoking any kind of substance, not just cigarettes.

However, smoking tobacco can interfere with your healing. It is possible to stop smoking cigarettes in the days after your wisdom tooth extraction if you cut down on the amount of cigarettes you smoked the prior weeks. You can also apply nicotine patches but not gum with nicotine.

Keep the Area Clean

Dental hygiene is essential at all times however it is particularly important when you have a tooth extracted. Cleaning your teeth regularly and keeping your mouth clean can help stop bacteria from entering the area which can harm the clot or even causing infection.

The ortho dentist will give you guidelines regarding how to brush your teeth.¬†It’s likely that you’ll be instructed to refrain from brushing on day oneand to brush frequently, but gently in over the next few days.

You may also perform regular saltwater rinses, and you may be given medications to treat mouth infections.

Rinse With a Syringe

The ortho doctor may offer you a curved Syringe to wash the site of the wound.¬†It is best to wait 5 days prior to using the syringe , so it’s clear that your blood clot remains firm in its the correct position.¬†You’ll then clean it with a gentle rinse to avoid loosing it.

Cleaning the area of extraction with the syringe helps get rid of food particles.

Don’t Get Teeth Extracted While Sick

A crucial factor to avoid dry sockets is that you not plan an extraction of wisdom teeth during sickness; instead, be patient until you’re feeling better.¬†The reason is that sneezing and coughing can be violent mouth movements that could cause the dislodgement of the blood clot that heals.¬†It is also beneficial to heal that your body be in top shape.

If you suffer from severe allergies Be sure to talk to your dentist for any precautions you can be taking.

Get Plenty of Rest

A good amount of rest is essential for healing after an extraction of wisdom teeth.¬†The body is at rest when it heals and the more rest you are able to get in, the more.¬†Additionally, you’ll be moving your mouth less in your sleep, which is an excellent time to allow your mouth to heal.

If you are able avoid talking for during the initial 24 hours following your procedure. Keep gauze at the site of the wound in your mouth until bleeding ceases. Both of these can help to allow the blood clot to form and to settle.

It is recommended to avoid doing any kind of exercise during the weeks following procedure as increasing the heart rate can result in unnecessary bleeding and complications.

Now You Know How to Avoid Dry Sockets

You now know how to prevent dry sockets. Knowing is the first step to prevent it.

If you adhere to the guidelines in this article the healing process following your wisdom tooth extraction will be significantly less difficult.¬†If you’re suffering from bleeding or pain for within a few days of the procedure or if your discomfort suddenly becomes more severe contact your dentist or surgeon right away to set up a follow-up appointment.

A comparison to a standard socket

Following the extraction of a tooth an empty socket tends to heal naturally, and any discomfort resulting from the procedure will decrease gradually.

However, with dry sockets the pain may improve but will then become more severe and could be much more uncomfortable than an extraction process.

The pain caused by dry sockets may cause throbbing and spread across a wide area of the jaw , or to the ear.

The following table outlines the distinctions between a socket that is dry and the normal socket:

Dry socketThe normal socket
The pain improves and then becomes worseThe pain that is improving continues
There is no visible blood clot, or perhaps a blood clot which is broken upA visible blood clot stays on the spot until wound healing
There is visible open bone, or even tissue that could have grown in size in the years since surgery.There is no visible bone or tissue
A bad taste to the tongueThere is no changes in the flavor
Bad smells emanating from the wound could cause bad breath.There is no noticeable change in the way the breath smells.

When is the best time to forget about dry socket?

The majority of cases of dry socket occur within 3 to 5 days following surgery. The chance of developing the condition increases over time, and the more the healing process takes, the less likely it is.

For normal tooth extractions, full recovery can take several weeks. However wisdom tooth extractions could require a longer time to recover. After the wound has fully healed there is no chance of a dry socket.

What is the cause of dry sockets?

Following a tooth extraction your body produces swelling. This can cause small swelling in the region. The blood platelets clump together and create a clot that helps to protect the wound by sealing it.

If the clot dissolves or dislodges, or fails to form, the tooth socket isn’t protected.¬†This increases the chance of extreme pain caused by the nerves that are exposed in the socket.

Certain factors that increase the risk that you will develop dry sockets such as:

  • The pressure on your woundChewing or pressing down hard on the socket could remove the blood clot.¬†Also, straws, sucking food or blowing your nose could create pressure in your mouth. This can lead to¬†which increases the likelihood¬†for the blood clot dissolving.
  • Type and location the extraction is:Dry socket is more frequent in wisdom tooth extractions and extractions of teeth in the jaw’s lower region.¬†It’s also more frequent when the extraction is complex or¬†trauma-related¬†and dependent upon the surgical¬†expertise¬†and level.
  • Preexisting infections:People with bacterial infections in their mouth prior to extraction of teeth have a greater risk of having a dry socket.¬†Patients with preexisting conditions must consult their dentist regarding¬†the possibility of antibiotic therapy.
  • The history of serious disease or¬†cancer:A¬†2019 analysis of the trusted source¬†on dental files showed dry sockets were more frequent in those who had oral sores, hospitalization for serious illnesses, and cancer.
  • smoking:Most research suggests that there is a connection between¬†smoking a trusted source¬†with dry socket.¬†It could result from the smoking of tobacco or the sucking action involved when smoking.
  • Birth control pillsFemales who are taking¬†contraceptive¬†pills could be more likely to suffer from dry socket.¬†One study suggests that those who take oral contraceptives may be at risk of having the risk of having a¬†two-fold¬†greater risk of contracting dry socket.


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Treating a dry socket is focused on relieving discomfort. It is recommended that the American Dental Association suggests going back to the dentist for treatment to alleviate symptoms.

A dentist will clean the socket using an saline or mouthwash that is medicated. They will then cover the socket with an antibiotic dressing to ease the discomfort. Based on how long the discomfort lasts, the patient will likely need to replace the dressing after a few days.

Time to complete the recovery

In the majority of cases dry socket will ease within 24 to 72 hours as per the Canadian Dental Association. For some the pain can last for up to seven days.

But, prompt treatment could lessen the pain quicker.¬†When the socket-dressing isn’t efficient, or the pain lasts longer than a couple of days, the dentist could examine whether a different reason is behind the discomfort.


Are you able to get a dry socket and no pain?

The most common sign of dry socket is extreme pain. However, the tolerance to pain and perceptions vary from person to person. So, some individuals may suffer less pain than others.

Dentists typically identify dry sockets by evidence of painTrusted source and the breakdown of the clot following a tooth extraction.

The main treatment for dry sockets is pain control, therefore in cases where the condition is causing little or any pain, it should not need treatment. Sole will repair and become better by itself.

But, contracting an infection caused by bacteria could be a complication after an extraction. Patients who experience symptoms that suggest an infection, like pus draining from the socket must seek treatment even if the region does not feel pain-free.

When should you speak to the dentist

Patients who experience a significant or worsening discomfort following a tooth extraction need to consult with an experienced dentist. If the root cause was a dry socket they can relieve the pain swiftly.

It is also essential to visit a dentist for:

  • the pain is not responsive to medication for pain
  • an increase or worsening of swelling couple of days after surgery
  • inflammation,¬†blood¬†swelling, pus¬†the appearance of pus, swelling, and
  • Pain in the mouth elsewhere
  • broken teeth close to the site of surgery


Dry sockets can become painful over the course of the extraction of a tooth.¬†They could also be exposed bone or tissue or have a foul odor.¬†In contrast normal healing sockets are less painful with time and don’t trigger any other signs or symptoms.

You may are suffering from a dry socket when you feel a sharp pain following the extraction. The most effective way to receive confirmation is to see your dental surgeon. They will discuss your symptoms , and then examine your mouth to determine whether the socket of your tooth has blood clots.

Dry socket identification

It is likely that you have dry socket if can open your mouth through a mirror and notice the bone that your tooth was on prior to.

The throbbing sensation that is evident in your jaw is another sign of sockets that are dry. The pain could extend to your ear, eye or temple. It could also affect your neck and temple at the site of extraction. The area of extraction typically feels that same site.

Typically, the pain is felt after three days of the removal of the tooth, but it can occur at any time. Other signs include bad breath and a sour tongue taste. Consult your dentist right away if you are experiencing any of these signs.

How can dry sockets be caused?

Following tooth extraction, If a blood clot that protects the tooth doesn’t form within the space that is left empty and a dry socket may form.¬†Dry socket can also occur when blood clots have been separated out of the gums.

What prevents the development of the blood clot? Bacterial contamination may trigger this response regardless of the source, be it liquids, food or any other substances that come into the mouth. Trauma can cause dry sockets within the mouth as well. It can happen after a lengthy dental extraction or post-care. For example, it could cause an issue by a mistakenly hitting the tooth using your toothbrush.

What can you tell if you have dry sockets?

It is normal to experience pain after tooth extraction however, the prescribed medication is likely to ease the pain. However, you could have dry sockets if your discomfort gets worse. Every person has their own experience when it comes to this issue, but there are some symptoms that occur generally:

  • A large hole at the site of removal is due to the blood clot
  • It is not possible to make the pain go disappears after a week following the tooth being removed
  • The bone is visible inside the socket
  • Bad tooth odor or bad breath will not disappear no matter how many times you scrub your teeth
  • A mouthful of sour taste
  • The pain began at the point of extraction but then spread across your mouth.

Dry socket treatment

Unfortunately, it is not possible to treat a dry socket at your home . Instead, you must visit your dentist or an oral dentist as fast as you can. Make sure to:

Clear your socket: Dab your socket gently with the cotton swab to eliminate the food particles and other debris which could cause pain.

Dressing with a medicated substance:¬†Your oral surgery specialist will apply a the medicated gel or pulp onto the socket of your mouth to provide rapid relief.¬†The pain you feel will inform you whether you require a change in dressing and how long you’ll have for therapy.

Prescribed medications:¬†Your dentist will prescribe pain-relieving medications.¬†Don’t take pain relief medications until you consult a doctor as you require an exact type of medication to assist you to ease pain in your mouth.

To have your tooth extracted, contact the Dr. Wooten at Oral and Facial Surgery of Oklahoma. Make appointments with the oral surgeon and have your teeth cleaned.

Dry Socket Symptoms

  • The pain can begin two days after tooth extraction.¬†Pain may radiate out from the socket and, in certain cases even reach the ears.¬†The term used to describe pain is dull and painful.
  • An open, dry-looking area where the tooth was extracted where a blood clot is likely to be
  • Bad breath
  • The taste of the mouth is not pleasant.

Causes of Dry Socket After Tooth Extraction

When the blood clot is dislodged, there are a variety of ways in which dry sockets may form. Drinking from a straw and smoking cigarettes can result in suction which can dissolve the blood clot from the tooth sockets. The most common cause for appearance of sockets that are dry is food or other debris that gets lodged on top where the blood clot has formed.

Food is difficult to remove from sockets that are open with the right tools. Sometimes, dentists take patients to home with a plastic syringe that they be filled with water or other solution to cleanse the socket where the teeth have been removed. Sneezing, coughing, or spitting may cause the debris to fall into the socket opening, which can result in dry socket.

Inadequate oral hygiene and touching the area that has been injured can increase the chance for developing dry sockets and so do women who use birth control pills.¬†Women who use birth control are more likely to have a 30% risk that they will develop dry sockets than women who don’t.

How to Treat Dry Socket

  • The prescription of anti-inflammatory medications is for discomfort.
  • A dentist will visit and clean out any particles that has accumulated within the hole.¬†They’ll then fill it with an antibiotic paste that aids in healing.
  • The paste is then removed and applied every day for a couple of days
  • If the socket gets infected The dentist will prescribe antibiotics.

How to Prevent Dry Sockets After Wisdom Teeth Removal

  • Good oral hygiene is a must.
  • Use the medicated oral rinse according to the directions
  • Your mouth should be rinsed with salt water following a meal, to get rid of any bacteria
  • Avoid contact with the area at any cost Other than changing the gauze following the procedure.
  • Avoid smoking for at minimum 24 hours following the tooth removal
  • Avoiding eating food that leaves leftover food particles within your mouth for example, pasta, peanuts, popcorn or popcorn for four days following the procedure.
  • Soft foods like clear soup sweet potatoes, and pudding
  • Beware of carbonated drinks
  • Informing your dentist or oral surgeon of any prescription medications you’re taking prior the procedure

What to Do If a Dry Sockets Develops

If you notice dry socket and you notice a dry socket,¬†contact our office¬†immediately.¬†If you call, make sure to tell us that you’ve recently had wisdom teeth removed and you believe that you have an empty socket.

This will allow us to offer you suggestions to ensure you are at ease while we plan your appointment. It is necessary return to our office to ensure that our dentist can cut an incision in the socket of your tooth in order that a fresh blood clot can form.

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