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47 years
From 1 week and 2 days.2aba3et deres bas la now ba3ed fi waja3 w3l arja7 eno l5ad majrou7 wm3amil mn wara l2abe3 so chou l3ilej w2ade mafroud yestamer lwaja3?merci
Aug 17, 2014

Dr. Zakia Dimassi Pediatrics
This is most likely a case of dry socket (alveolar osteitis), a temporary condition that may occur after extraction of a permanent adult tooth. It happens when the blood clot at the site of the tooth extraction is moved out, exposing underlying bone and nerves and producing pain. This is the most common complication after tooth extractions. It usually occurs about three days after the procedure.

Signs and symptoms of dry socket include:
-Severe continuous pain within a few days after a tooth extraction
-The blood clot at the extraction site is partially or totally removed, so you see an empty-looking (dry) socket
-Bone in the socket is exposed and you can see it
-Pain starts the socket and can go to your ear or eye on the same side of your face
-Bad breath or a bad smell from the mouth
-Bad taste in your mouth
-Swollen lymph nodes around your jaw or neck

Causes of a Dry Socket
At the site of a tooth extraction, a blood clot forms to protect the underlying bone and nerve endings, and it's the base upon which new tissue and bone will grow.
In some cases, this clot doesn't form properly or is physically dislocated before the healing process is complete. As a result, bone and nerves get exposed to air, fluids and food. This can cause severe pain that goes beyond the socket to involve the ear and eye on the same side of your face.
Possible explanations as to why this occurs:
Bacterial infection of the socket, or previous infection of the extracted tooth or the gums around it
Difficult or traumatic tooth extraction
Roots or bone fragments remaining in the wound after surgery
Previous history of dry socket
Oral contraceptive pills use
Age of the patient
Health of the patient
Smoking and tobacco use
Excessive alcohol use
High Bone density and poor blood supply of the extraction site
Poor patient compliance after extraction, such as avoiding certain foods or caring for your wound properly

Treatment of dry socket:
-Medicated dressings and pastes: packing the socket with medicated dressings. These may need to be changed several times in the few days after treatment is started.
-Flushing out the socket: to remove any food particles or other debris play a role in causing pain or infection.
-Pain medication.
-Home-care: by flushing your socket at home and placing dry socket medication daily to remove debris and help healing.

Once treatment is started, you may begin to feel some relief in just 5 minutes. Pain and other symptoms should continue to improve over the next few days. Complete healing typically goes smoothly and generally takes about 10 to 14 days.

How to help your dry socket heal faster?

-Hold cold packs to the outside of your face to help decrease pain and swelling
-Pain medications
-Do Not smoke
-Drinking plenty of clear liquids
-Rinse your mouth gently with warm salt water 3-4 times per day
-Brush your teeth gently around the affected area
-Use antibacterial mouth gargle solutions
-Avoid spitting for the first few days.
Don't drink with a straw for the first few days.
-Bite on gauze and change it only as prescribed by your dentist
-Don't drink carbonated beverages for two to three days after your tooth extraction. - Don't touch the extraction site with your fingers or tongue.
-Avoid pasta, popcorn and peanuts, and foods that have residuals that will sit in the socket of the extracted tooth. Instead, eat mashed potatoes, pudding, or clear or cream soups.
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