Steps to prevent Dry Socket after Dental extraction

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Dry socket (alveolar osteitis) is an infection in your tooth socket after a tooth is extracted. It occurs when the blood clot at the site of a tooth dismissal is disrupted prematurely. This leaves the alveolar bone unprotected and exposed to the oral environment. The socket can be packed with food and bacteria. The pain typically commences 3-4 days following the extraction. This is often highly unpleasant for the patient, as symptoms include greatest pain (sometimes worse than the toothache that indicated the extraction), a foul taste, bad breath, and swelling in the infected area. Nerves are exposed, and sometimes the bone is descriptive in the empty socket. It is often accompanied by what feels like an earache. There may be lymph-node involvement.

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Dry socket occurs in practically 5 percent of all tooth extractions. Women are at higher risk than men for developing dry socket. Of the women that have industrialized it, the majority take an oral contraceptive. Smokers have been shown to have a greatly increased risk of developing alveolar osteitis after tooth extraction. This is notion to be due to the decreased number of oxygen available in the medical tissues as a ensue of carbon monoxide in tobacco smoke. It is advisable to avoid smoking following tooth dismissal for at least 48 hours to sacrifice the risk of developing this dry socket.

Treatment for alveolar osteitis is generally preventative. Maintaining good oral hygiene is a must before and during the medical period. If possible, have your teeth professionally cleaned several days before dental surgery. Take all of your quarterly medications for systemic illnesses (diabetics and cardiovascular diseases). Women are recommended to have extractions during the last five days of their menstrual cycle. This is to minimize chances of developing dry socket because the estrogen levels are lower during that part of the cycle (day 23-28).

Several things can cause the premature loss of a blood clot from an dismissal site, along with smoking, forceful spitting, sucking straight through a straw, coughing or sneezing. You should also avoid sharp carbonated or alcoholic beverages after an extraction, as these have also been linked with the improvement of dry socket. Also, you should:

o keep your fingers and tongue away from the dismissal site.

o apply an ice pack to your jaw for the first 24 hours following surgical operation - on for 15-20 minutes, and off for 30-40 minutes - to prevent pain and swelling and stop immoderate bleeding.

o not rinse your mouth the day of surgery. The next day, you can rinse moderately with warm salt water; dissolve one teaspoon of salt in a cup of warm water. Be sure to rinse and spit gently.
Call your dentist right away if you notice any symptoms of dry socket. Medicine for dry socket typically includes a polite rinsing of the socket to remove debris. This is followed by packing the socket with Alvogyl. Its fibrous consistency allows for easy filling of the socket and good adherence during the entire medical process. The active ingredients of Alvogyl include:

o eugenol for analgesic action;

o butamben for anesthetic action; and

o iodoform for anti-microbial action.

Sometimes analgesics are also prescribed. You ordinarily need to return to the dentist's office two to three times over a two-week time duration for re-dressing and monitoring the healing. Fortunately, a dry socket is often self-healed over a longer time. In very rare situation where the dry socket can't heal itself, another doing may be needed. The procedure aims to make the socket bleed again and so that a new blood clot can be formed inside the post-extraction socket.

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