Boots WebMD Partners in Health
Return To Boots

Oral health centre

This content is selected and controlled by WebMD's editorial staff and is supported by Colgate.
Select An Article

Dry socket: Symptoms and treatment

You probably think having a tooth removed is not a particularly enjoyable experience. And you no doubt expect to have some discomfort afterwards, but that's alright you say. You can endure it when you need to. But if the pain becomes intense and doesn't go away after a few days, it may be a sign of a condition called dry socket or alveolar osteitis.

Only a very small percentage, about 2% to 5% of people, develop dry socket after a tooth extraction. In those who have it, though, dry socket can be very uncomfortable. Fortunately, it's easily treatable.

What is dry socket?

The socket is the hole in the bone where the tooth has been removed. After a tooth is pulled, a blood clot forms in the socket to protect the bone and nerves underneath. Sometimes that clot can become dislodged or dissolve a couple of days after the extraction. That leaves the bone and nerve exposed to air, food, fluid and anything else that enters the mouth. This can lead to infection and severe pain that can last for five or six days.

Who is likely to get dry socket?

Some people may be more likely to get dry socket after having a tooth extracted. That includes people who:

  • Smoke
  • Have poor oral hygiene
  • Have wisdom teeth removed
  • Have greater than usual trauma during the tooth extraction surgery
  • Use contraceptive pills
  • Have a history of dry socket after having teeth extracted

Rinsing and spitting a lot or drinking through a straw after having a tooth extracted also can increase your risk of getting dry socket.

What are the symptoms of dry socket?

If you look into the site where the tooth was removed, you'll probably see a dry looking socket. Instead of a blood clot, there will just be bone. The pain typically starts about two days after the tooth was extracted. Over time it becomes more severe and can radiate to your ear.

Other symptoms of dry socket include bad breath and an unpleasant smell and taste in your mouth.

How is dry socket treated?

You can take a non-steroidal anti-inflammatory drug (NSAID) such as aspirin or ibuprofen to ease the discomfort. Sometimes these over-the-counter medications aren't enough to relieve the pain. When that's the case, your doctor may prescribe a stronger medication or recommend a nerve block.

Your dentist will clean the tooth socket, removing any debris from the hole, and then fill the socket with a medicated piece of gauze or a special paste to promote healing. You'll probably have to come back to the dentist's surgery every day for a dressing change until the socket starts to heal and your pain lessens.

Your dentist may prescribe antibiotics to prevent the socket from becoming infected. To care for the dry socket at home, your dentist may recommend that you rinse with salt water or a special mouthwash every day.

Your dentist will wait until the dry socket has healed, which can take up to two weeks, before placing dental implants.

Next Article:

WebMD Medical Reference

Stay informed

Sign up for BootsWebMD's free newsletters.
Sign Up Now!

Popular Slideshows & Tools on Boots WebMD

woman looking at pregnancy test
Early pregnancy symptoms
donut on plate
The truth about sugar addiction
woman holding hair
Natural help for dry or damaged hair
woman in bikini
Get ready for swimsuit season
hand extinguishing cigarette
13 best tips to stop smoking
Immune-boosting foods
The role of diet
79x79_not_good_for_you.jpg
18 secrets men want you to know
boy looking at broccoli
Quick tips for feeding picky eaters
hamburger and fries
A guide for beginners
salmon dinner
A diet to boost your mood & energy
polka dot dress on hangar
Lose weight without dieting