Dry sockets.
One of the more common complications people experience after a tooth extraction is that of developing a "dry socket". It is thought that dry sockets occur when either a blood clot has failed to form in the socket (the hole found in the bone) where a tooth has been extracted, or else the blood clot that did form has been dislodged and lost. Since the formation of a blood clot is an important part of the healing process, the healing of the extraction site is significantly delayed.
Dry sockets are most frequently associated with difficult tooth extractions or those extractions that have been traumatic in nature. Extractions involving the removal of bone from around a tooth so the dentist can access it, which is often the case when lower impacted wisdom teeth are removed, would be considered to be more traumatic in nature than extractions where the tooth is already through the gums and easily accessed.
Persons who follow their dentist's post-extraction recommendations will reduce their chances of developing a dry socket. Dry sockets are found to occur more commonly in women (even more so in those taking oral contraceptives), persons over the age of 30, and smokers.
Typically dry sockets manifest themselves as a dull throbbing pain which doesn't appear until three or four days after the tooth extraction. The pain can be moderate to severe in intensity and often seems to radiate from the area of the extraction site to the ear. Dry sockets are usually associated with a foul odor or bad taste. Visually, if you can see down into the socket, the extraction site appears "dry", in the sense that you just see exposed bone, there is no formation of pus.
Dry sockets need to be treated by your dentist, and don't be hesitant to let them know that you need help. Your dentist knows that there is no predictability regarding who will develop a dry socket and who will not, and when one occurs they will be eager to assist you.
Typically a dentist will place a medicated dressing into the dry socket. This will help to soothe and moderate the pain. The dressing is usually removed and replaced every 24 hours until the dry socket's symptoms subside, which can in some cases take some number of days. It is not uncommon that small fragments of dead bone (called a "sequestrum") come to the surface of the extraction site as they are ejected by your body during the healing process. You may be able to painlessly remove the very smallest of these splinters of bone yourself, or you may find you need, or want, your dentist's assistance in removing them.
____________________________
Belkira wrote:
Wow. Regular ol' Joph fan club in here.