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I got my tooth pulled yesterday been putting gauze over it like the dentist said and it stopped bleeding last night which releived me because that much blood kinda freaked me out anyway to my question. If I was to get dry socket which I pray that I don't how many days after getting the tooth pulled could dry socket set in?? I'm hopeing I do not get it like I said but just wondering how many days I can get it after the tooth is pulled?? And also how long should I keep gauze over that area

2007-09-05 07:37:12 · 7 answers · asked by Lisa L 1 in Health Dental

7 answers

Dry socket is the most common complication of an extraction. It develops in about 5% of tooth extractions. It is very painful condition that is easily treated.

A dry socket is:
Any socket in which a patient is having pain due to the loss of the blood clot thus exposing the bone to air, food, and fluids along with an offensive odor. This often occurs two or more days after an extraction and can last about 5-6 days. It is normal to have soreness and discomfort following an extraction.

However, pain should be lessening by the second day.
This condition exist when a blood clot is dislodged from the surgery site thus exposing the bone and fine nerve endings. The blood clot helps in the stopping of bleeding and lays the foundation or framework for new tissue and bone to develop over a two-month healing process. This condition is more common in the mandibular area and in back teeth due to poorer circulation in this area, with wisdom teeth being the most common site. Dry socket delays the healing process.

It usually takes gum tissue about 3-4 weeks to heal where as the bone can take up to six months to heal.

This condition is most often found:

In individuals who smoke before their recommended time. Smoking: decreases healing, decrease blood supply to the protective blood clot, brings toxic products to the area, injuries the gum tissue and the negative pressure of sucking removes the blood clot from the surgery site.

If you do not care for your extraction site as instructed by staff.

Not following your home care instruction.

Sucking action from smoking, sneezing, coughing, spitting or sucking, within the first 24 hours.

Women taking oral contraceptives are more susceptible.

Prevention of dry socket:

Women who use birth control pills or have their teeth removed in the first 22 days of the menstrual cycle are twice as likely to develop dry socket after an extraction. Schedule extractions during the last week of your menstrual cycle (days 23 through 28) ** when estrogen levels are low or inactive.

Avoid drinking through a straw

Avoid smoking, it contaminates the extraction site

Avoid excessive mouth rinsing, it interferes with blood clotting

Keeping food from impacting in this area. Chew on the other side of your mouth and gently rinse your mouth with warm salt water after the first 24 hours.

Treatment could include the following:

Medication applied to the site.

Clove oil technique.

Gauze with medication.

Additional home care instructions.

Applying topical anesthetic.

Alvogyl by Septodont

Patients usually notice pain relief in about 5-10 minutes after the dressing is applied.

We have experienced fewer cases of dry socket since every patient is asked to rinse with an antimicrobial mouthwash and each patient is instructed on how to care for their extraction site through CD ROM patient education, verbal instruction and home care instruction handouts. We highly recommend patients use Breath RX in their daily oral hygiene routine to help control oral bacterial

Continue these instructions for the next 3-4 days:

Good oral health care.

Avoid food with any residuals...popcorn, peanuts and pasta

Eat soft foods...mashed potatoes, clear or cream soups that don't contain any residue, puddings.


* Consult your dentist ASAP if you have dry socket.
Remove the gauze already. to allow the healing procee to set in. Putting gauze can disrupt the healing process. It is only place there in the first place to place pressure on the extraction site to stop or control the bleeding. since bleeding already stop, remove the gauze and maintain complete oral hygiene to facilitate healing of the extraction site. If medications was given, take it as prescribe and finish it.

2007-09-05 07:53:22 · answer #1 · answered by Dr. Ana 1 · 0 0

If the bleeding has stopped, there is no need to replace the gauze. The reason you put the gauze in is 1)pressure to stop the bleeding and 2)to catch the blood. Dry socket can not happen physiologically for 3 days following the procedure. Do not suck on straws, spit, or drink carbonated drinks for the next three days. Spitting and/or sucking motions cause negative and positive pressure which will dislodge the clot leaving exposed bone (hence the name dry socket). Your dentist should have been more clear with you about these instructions. FYI pain and swelling will peak tomorrow if you had the tooth removed yesterday. It should get better after tomorrow. I hope this helps. I deal with this EVERYDAY at work :)

2007-09-05 08:06:59 · answer #2 · answered by Nicole R 2 · 1 0

A dry socket is when the blot clot rinses out of the socket area causing exposed bone. This usually happens within the first 2-3 days. As the socket closes and heals it closes and heals from the bottom up.
If you get a dry socket, yes, it hurts worse than a toothache and you would need to see your DDS as soon as possible, he would pack the tooth with a medicated dressing, changing it daily or every other day (his preference) for approximately 1 week.
You can use a warm salt water rinses to help speed up the healing approximately 4-5 days after extraction visit, 2-3 times a day for approx. 1 week.

2007-09-05 07:59:51 · answer #3 · answered by Anonymous · 0 0

Hello,
If a dry socket will form it will be 24-48 hours after the extraction.
Why would this be?
Within that time the blood clot must remain in place undisturbed so that the healing process will continue.
Keeping gauze over the site for the first couple of hours is critical for the process.
See the link below

2007-09-05 08:28:27 · answer #4 · answered by Dr. Albert, DDS, (USA) 7 · 0 0

Dry sockets occur most frequently after about 3-4 days. They are caused by a breakdown of the clot in the extraction site. Protecting that clot is vitally important to normal healing. The gauze can usually be removed after 24 hours unless your dentist has instructed otherwise. Make sure you are getting enough nourishment--liquid forms if you can't eat comfortably--so that your body can heal itself. Best of luck to you!

2007-09-05 07:49:28 · answer #5 · answered by ponyboy 81 5 · 0 1

You can get rid of the gauze now. Just keep rinsing with salt water for the next 5 days and you won't get dry socket. When you rinse, just swish the salt water gently around your mouth so you don't dislodge the healing clot on the top of the extraction. Rinse often.....like every couple of hours.

2007-09-05 07:48:40 · answer #6 · answered by Lucy 5 · 1 0

CALL your dentist NOW!!

2007-09-05 07:46:10 · answer #7 · answered by CreoleSista 3 · 0 0

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