Dry socket, or alveolar osteitis, is a common complication after tooth extraction where the blood clot fails to form or is lost from the socket, leaving exposed bone. Signs include severe pain on the second or third day after extraction, bad taste, and halitosis. Causes include smoking, traumatic extractions, and pre-existing infections. Treatment involves cleaning the socket, reforming the blood clot, and using pain medications or medicated dressings. Prevention focuses on not smoking, rinsing gently, and following dentist instructions after extraction.

1. Dr. Firas Kassab

2.  What is Dry Socket?
 Signs & Symptoms
 Causes
 Treatment
 Prevention of dry socket
Dr. Firas Kassab 2

3. • Alveolar Osteitis it’s inflammation of the
• alveolar bone and it’s a common
• complication after tooth extraction.
• Usually occurs when the blood clot fails to
form or it’s lost from the socket.
• This leaves an empty socket where the bone
is exposed to the oral cavity,
• causing a localized dry socket.
• and it’s associated with increased pain and
delayed healing time
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4.  An empty socket, which is partially or totally devoid of blood clot.
 Exposed bone may be visible which is extremely painful and sensitive to touch .
 Remaining food debris inside the socket that may hide the exposed bone
 Inflammation of the soft tissues around the socket.
 Delayed Healing of the socket.
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5. Severe pain and discomfort from the extraction
site that starts on the second or third day after
the extraction.
The pain may radiate to other parts of the head
such as the ear,eye,and neck.
Intraoral halitosis.
Bad taste in the mouth.
Dr. Firas Kassab 5

6. Dr. Firas Kassab 6

7. Smoking.
Traumatic Extraction.
Poor oral hygiene.
Patients with history of dry
sockets.
Surgical extraction of wisdom
teeth.
Rinsing and spitting alot or
drinking through a straw.
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8.  pre-existing infection in the mouth such
as necrotizing ulcerative
gingivitis or chronic periodontitis.
Teeth with pericoronitis are more likely
to cause a dry socket after extraction.
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9. Dr. Firas Kassab 9

10. Cleaning the socket by removing the food
debris from the hole.
Using saline irrigation for better cleaning.
Forming the blood clot again inside the
socket.
Using of medicated dressings such as Alvogyl
for rapid pain relief.
Analgesic medications for the pain.
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11. Dr. Firas Kassab 11

12. • A dry socket treatment which, when placed provides
rapid pain relief. It is self eliminating and has three
active ingredients:
• 1-Butamben: Anaesthetic
• 2-Iodoform: Antimicrobial
• 3-Eugenol: Analgesic
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13. No Smoking before & after tooth extraction
No spitting,eating,washing or using a straw for drinking
Good oral hygiene and gently brushing the teeth near the
wound
Using a warm saltwater rinse to keep the area clean
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14. Don't touch the wound with your fingers or other
objects
Eat soft foods and avoid foods that could lodge in
the wound, such as popcorn, peanuts,rice or pasta
Good instructions by the dentist after the tooth
extraction.
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15. •Thank you for your
attention
Dr. Firas Kassab 15