Dry socket: signs and what to do

A dry socket is a painful problem that can follow a tooth extraction. It is not common, but it is worth knowing about, because it can be treated and the pain can be eased quickly.

What is it?

After a tooth is taken out, a blood clot forms in the empty socket. It protects the bone and nerves underneath while the area heals. If that clot is lost or does not form properly, the bone is left exposed, and it hurts.

What are the signs?

• Pain that gets worse about two to four days after the extraction, instead of better
• Pain that spreads from the socket to the ear, eye or temple on the same side
• An empty-looking socket, where you may see bone, instead of a dark clot
• A bad taste or bad breath
• Pain medicine that no longer helps

Who is more at risk?

• People who smoke or use tobacco
• Lower wisdom teeth and difficult extractions
• People who use a straw, spit, or rinse hard in the first days
• People who have had a dry socket before
• Poor cleaning of the mouth before and after

Is it an infection?

Not usually, although infection can happen. A dry socket is mainly a problem of the clot being lost. Fever and swelling point to an infection, and need a dentist to check.

What should you do?

Do not wait for it to pass. See your dentist. At the visit the dentist cleans the socket gently and usually places a medicated dressing to protect it and ease the pain. You may need to come back to have it changed. You can also be advised on pain medicine.

What can you do until then?

• Rinse very gently with warm salt water.
• Use a cold pack on the outside of the cheek.
• Take pain medicine only as a doctor or the dentist advised.
• Do not poke the socket, and do not put anything in it.

How long does it last?

With treatment, the pain usually eases within a day, and the socket goes on to heal over the next days and weeks.

How can you prevent it?

Follow the aftercare steps: do not smoke or use tobacco, do not use a straw, do not spit or rinse hard in the first 24 hours, and keep your mouth clean. See after a tooth extraction: care in the first days.

When to see a dentist

Come in as soon as you suspect it. If you also have fever, spreading swelling or trouble swallowing, get help the same day. Dental care is available at both our clinics, in Sayan and on Chhaprabhatha-Variyav Road. Use the booking button below to ask for an appointment.