Dry Socket

  • Medical Author:
    Donna S. Bautista, DDS

    Dr. Donna S. Bautista, DDS, completed her undergraduate studies at the University of California, San Diego with a bachelor of arts in biochemistry and cell biology. During her time at UC San Diego, she was involved in basic research including studying processes related to DNA transcription in the field of molecular biology. Upon graduation, she went on to attend dental school at the University of California, San Francisco. In addition to her formal dental training, she provided dental care for underserved communities in the Bay Area through clinics and health fairs. She also worked toward mentoring high school students interested in the field of dentistry.

  • Medical Editor: William C. Shiel Jr., MD, FACP, FACR
    William C. Shiel Jr., MD, FACP, FACR

    William C. Shiel Jr., MD, FACP, FACR

    Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.

What are risk factors for getting dry socket?

Smoking is a risk factor for developing a dry socket due to the nicotine found in cigarettes. Exposure to nicotine reduces the blood supply available to the healing socket and can prevent the proper formation of a blood clot at the extraction site.

Extraction of impacted third molars (wisdom teeth) can be traumatic as some surrounding gum tissue and jawbone may need to be removed or may be adversely affected during surgery. Although the extraction is necessary, the resulting trauma can increase the chances of dry socket.

Previous infections such as periodontal disease or pericoronitis at the site of the extraction can predispose an individual to dry socket.

Women have been found to develop a dry socket more so than men. This may be related to hormonal factors such as use of oral contraceptives or normal hormonal changes during a woman's cycle.

Patients older than 30 years of age with impacted third molars have an increased risk of dry socket. With age, the jawbone becomes more dense and has less blood supply available. A dense jawbone increases the risk of a traumatic extraction and less blood supply decreases the chances of blood clot formation and timely healing. Continue Reading

Reviewed on 1/11/2016
References
REFERENCES:

Congiusta, M. A. and A. Veitz-Keenan. "Study confirms certain risk factors for development of alveolar osteitis." Evidence-Based Dentistry 14.3 (2013): 86.

Daly, B., et al. "Local interventions for the management of alveolar osteitis (dry socket)." The Cochrane Database of Systematic Reviews 12.12 (2012).

Eshghpour, M., et al. "Effect of menstrual cycle on frequency of alveolar osteitis in women undergoing surgical removal of mandibular third molar: a single-blind randomized clinical trial." Journal of Oral and Maxillofacial Surgery 71.9 (2013): 1484-1489.

Peterson, L., et al. Contemporary Oral and Maxillofacial Surgery, 2nd ed. St. Louis: Mosby, 1993.

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