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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 which is extremely painful

andand 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 of the socket.socket.

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SymptomsSymptomsSevereSevere pain and pain and discomfortdiscomfort from the from the extraction site that starts extraction site that starts on the on the second or third daysecond or third day after the extraction.after the extraction.The pain may radiate to The pain may radiate to other parts of the head other parts of the head such as the such 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 Causes of Dry SocketDry Socket

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 ulcerativenecrotizing ulcerative 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 removing the food debris from the hole.food debris from the hole.Using Using saline irrigationsaline irrigation for better for better cleaning.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, which, when placed provides rapid pain when placed provides rapid pain relief. It is self eliminating and relief. It is self eliminating and has has three activethree active ingredients:ingredients:

1-Butamben1-Butamben:: Anaesthetic Anaesthetic

2-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 Good oral hygiene and gently brushing the teeth near the woundbrushing the 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