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Dry socket treatment after a tooth extraction

dry socket · alveolar osteitis · infected tooth socket · pain after tooth extraction

The doctor cleans the socket where the tooth was removed and puts in a medicated dressing. This eases the pain and helps the wound heal.

When 2 to 4 days after a tooth is removed, the pain gets worse instead of better, and there is a bad smell.

⏱ Duration: the procedure usually takes 15 to 20 minutes; healing takes 1 to 2 weeks

Be sure to tell your doctor

How to prepare

  • Smoking. Do not smoke. It slows healing.
  • Rinsing. Do not rinse your mouth hard before the visit.
  • Pain relief. You can take a painkiller your doctor already allowed. Tell them what you took.

What to bring

  • Your ID
  • A list of your medicines
  • Notes or instructions from the extraction, if you have them

How it goes

  1. The doctor looks at the socket
  2. If needed, you get numbing medicine
  3. The socket is gently rinsed
  4. Food bits and the broken-down clot are removed
  5. A medicated dressing or paste is placed
  6. The doctor explains how to care for it at home

What you'll feel

  • Rinsing can be unpleasant
  • After the dressing, the pain usually eases a lot within a day

Afterwards

  • Do not touch the socket with your tongue or fingers
  • Do not smoke or drink through a straw
  • The dressing is sometimes changed. Come back for your follow-up
  • Rinse and take medicines as the doctor said

Contact a doctor straight away if

  • Cheek swelling is getting worse
  • A fever over 38°C
  • It is hard to swallow or open your mouth: see a doctor right away

Common questions

Why does dry socket happen?

The blood clot in the socket broke down or washed out. It is more common in smokers and after a difficult extraction.

How long will it hurt?

After treatment, it usually feels better within a day. It fully heals in 1 to 2 weeks.