Dry Socket: Causes and Treatment


What causes your dry socket as throbbing pain after tooth remove and is it treatable?


It is believed that there are several reasons leading to dry socket. The causes in general involve many bacterial, chemical, mechanical and physiologic factors, which may include:

Р Bacterial contamination of the socket such as periodontal (or periodontitis)

– Serious bone and tissue trauma at the surgical site because of a hard extraction

– Products contain nicotine, especially cigarette, which can cause a reduction in the blood supply in the mouth

– Sucking through a straw, intense rinsing, spitting, or dragging on a cigarette

– Hormones, close-packed jawbone, or poor blood supply.

health for life dry-socket

A dry socket is basically caused by the total or partial disappearance of a blood clot in the tooth socket after a tooth remove. As usual, when a tooth is removed, there will be a blood clot created after that as the first stage of recovery. If the blood clot does not form, there will be nothing to protect the underlying jawbone, following the recovery process will be slow down.

Nicotine involved in cigarette is one of the most risk factors developing a dry socket since it is able to make the blood supply to heal and protect the socket decreased. Other risk factors may be oral contraceptives, improper dental home care, experience of dry socket in the past and use of corticosteroids.

It is studied that women have more chances to get this problem than men, which slightly could be because of the hormonal factors.


The treatment of dry socket concentrates on lessening the symptoms, especially your pain. It typically consists of symptomatic support during the time that the socket is healing.

Your dentist may initially gently flush your socket out to remove any food debris. The next step maybe medicated dressings that contributes to quick pain relief. The seriousness of your pain and other signs will detect how often you are required to come for dressing changes or other extra treatment, maybe a few days. Otherwise, you can be prescribed medications to manage the pain. Your dentist will consider which pain medications are suitable for your situation. Last but not least, home care contributes an important part to your recovery. You may be instructed how to clean your socket at home and how to daily rinse  with salt water or a special mouthwash. Home remedies may also involve:

health for life dry-socket (1)– Take pain medications as told

– Avoid using products containing nicotine, particularly tobacco products and cigarette

– Drink plenty of clear liquids

– Gently brush your teeth around the dry socket area

Once your socket starts to be treated, you will find your pain gradually go away within a day as well as other symptoms may keep improve and likely to disappear within a few days.

If you see your pain worsens or does not go away, immediately call your doctor for more advice.

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