Not only should you not use a straw but you should not smoke for days after an extraction!
Definition
Like with root canal, the thought of dry socket probably sends chills down your spine. Even if you've never had this condition, you may wince in sympathetic pain as a relative or co-worker recounts his or her tale of dry socket. Although dry socket can indeed be painful, the condition has taken on frightening proportions that may not match reality.
Dry socket (alveolar osteitis) is a dental condition that occurs when the blood clot at the site of a tooth extraction is dislodged, exposing underlying bone and nerves and causing increasing pain. It's the most common complication following tooth extractions, such as the removal of impacted wisdom teeth. But with proper postoperative dental care and avoidance of risk factors, dry socket often can be prevented. When it does occur, treatment usually provides immediate relief.
Symptoms
Dry socket is a condition that sometimes occurs after a tooth extraction. It has several tell-tale signs and symptoms, including:
Partial or total loss of the blood clot at the extraction site, which you may notice as an empty-looking (dry) socket
Visible bone in the socket
Pain that increases between one and three days after tooth extraction and that typically becomes severe and unrelenting
Pain that radiates from the socket to your ear or eye on the same side of your face
Bad breath or a foul odor coming from your mouth
Unpleasant taste in your mouth
Swollen lymph nodes around your jaw or neck
Causes
Normally, a blood clot forms at the site of a tooth extraction. This blood clot serves as a protective layer over the underlying bone and nerve endings in the empty tooth socket. The clot provides the foundation for the growth of new tissue and bone.
In some cases, though, the clot doesn't form properly or is physically dislodged before complete healing. With the clot gone, bone and nerves in the socket are exposed to air, fluids and food. This can cause intense pain, not only in the socket but also along the nerves radiating to the ear and eye on the same side of your face.
But the precise cause of dry socket remains the subject of study. Some researchers believe that several issues may be at play, including:
Bacterial contamination of the socket
Difficult or traumatic tooth extraction surgery
Roots or bone fragments remaining in the wound after surgery
Dry socket occurs in about 3 percent to 5 percent of all tooth extractions, but it's much more common after extraction of wisdom teeth and impacted wisdom teeth in particular.
Risk factors
Certain factors can increase your risk of developing dry socket after a tooth extraction. These include:
Smoking and tobacco use. Chemicals in cigarettes or other forms of tobacco may contaminate the wound site. In addition, the act of sucking on a cigarette may physically dislodge the blood clot prematurely.
Taking oral contraceptives. High levels of estrogen can greatly increase the risk of dry socket by dissolving the blood clot.
Not following post-extraction guidelines. If after oral surgery you don't follow instructions, such as avoiding certain foods or caring for your wound properly, your risk of dry socket increases.
You've had dry socket in the past. Having dry socket once means you're more likely to develop it again.
Tooth or gum infection. Current or previous infections around the tooth to be extracted increase the risk of dry socket.
Less experience. Although dry socket can occur with even the most experienced dentists and oral surgeons, having a less experienced dentist or oral surgeon may increase your risk.