Early symptoms of dry socket

Many people don't have a particularly good understanding of dry tooth disease, which refers to the lack of timely care and anti-inflammatory treatment after tooth extraction. This disease often occurs, often causing bacterial infection, causing the patient to experience pain after tooth extraction. In addition, sometimes facial swelling occurs, which often leads to swollen lymph nodes, which has a relatively large impact on the patient's health.

Early symptoms of dry socket

1. Dry socket mainly occurs after the removal of impacted wisdom teeth in the mandible. It is a bone wound infection caused by oral bacteria. Dry socket is another type of acute infection caused by tooth extraction trauma. It is more common in mandibular posterior teeth, especially after extraction of impacted mandibular third molars. The incidence rates are as follows: mandibular third molars, mandibular first molars, mandibular second molars, and rare in other teeth, with the lowest incidence in anterior teeth.

2. If severe pain occurs 2-3 days after tooth extraction, and the pain radiates to the ear and temporal area, submandibular area or top of the head, and cannot be relieved by general analgesics, dry socket may have occurred.

3. Clinical examination shows that the alveolar socket is empty or contains corrupted blood clots, which are grayish white in color. The broken dead matter covering the alveolar socket wall has a foul odor, and the bone surface can be directly touched with a probe, causing sharp pain.

4. There is no obvious swelling in the maxillofacial area, no obvious restriction in mouth opening, and there may be enlarged and tender lymph nodes under the mandible.

5. Under normal circumstances, even in flap, bone removal and tooth extraction surgery, the pain in the wound will gradually disappear after 2-3 days.

6. Spontaneous pain begins 2 to 3 days after tooth extraction and radiates to the ear or front teeth. Examination revealed that the blood clot in the extraction socket had fallen off, exposing the bone wall, which was grayish white. It was very painful when the probe touched the bone wall. If not treated in time, the disease may last for half a month or longer.

treat

Dry socket is related to infection after oral surgery. Once dry socket occurs, the principle of treatment is to thoroughly clean the wound and isolate external stimulation to the tooth socket to promote the growth of granulation tissue. The treatment method is to repeatedly rinse with 3% hydrogen peroxide and saline under block anesthesia, and place iodine gauze in the alveolar socket. To prevent the iodoform gauze from falling off, the gums can also be sutured with a stitch. It will heal in 1 to 2 weeks, and the iodine gauze can be removed after 8 to 10 days. At this time, the alveolar socket bone wall is covered with a layer of granulation tissue and can gradually heal.