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Old 08-29-2015, 12:13 PM
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Bryanna Bryanna is offline
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Join Date: Feb 2007
Posts: 4,624
15 yr Member
Bryanna Bryanna is offline
Grand Magnate
Bryanna's Avatar
 
Join Date: Feb 2007
Posts: 4,624
15 yr Member
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vichen,

Debriding the surgical socket a second time is similar to having the tooth extracted in that the bone and tissue has been scraped to cause new blood clots to form. The area can become swollen and painful. Some dentists feel that it is best to let clotting factors do their job without any interference such as adding the dry socket paste. Other dentists feel that the medication helps to soothe it. So there is no real right and wrong with either decision.

A dry socket normally has no symptoms until the 3rd to 4th day post op. So the pain and swelling that you have is likely from the recent debridement.
But you can call the dentist to inform him of your symptoms and get his advice.

Use an ice pack on the outside of your cheek, 20 minutes on every hour or two for the first 24 hours. Do not use ice after 24 hours. Do not rinse with anything for 24 hours. After that time, rinse with warm salt water VERY GENTLY about 3 times a day for 2 days, then if it's feeling okay rinse a bit more aggressively (not overly aggressive) after the 3rd/4th day until the hole in the gum closes over. Avoid mouthwash, avoid putting anything into the socket, brush the rest of your teeth with water and a pinch of baking soda and eat a nutritious soft food diet. Do not drink through a straw as that can pull out the clot or eat chewy foods and that can aggravate the jaw traumatized jaw muscle and cause muscle spasms.

If you feel you need to speak with the dentist, call him.

Bryanna




Quote:
Originally Posted by vichen View Post
Hello Bryanna,

I just came back from my dentist,he did open the socket and clean out the bone to let it bleed to form a new blood clot. One thing I'm still confused is he said I still have dry socket and he didn't put new dressing there because we cleaned everything and form a new blood clot. And now I'm back home, and Gosh, it does have a very bad swollen pain. I'm so scared,I don't know whether this pain is from dry socket or from scraping the bone, will it become severe? I was expecting a new blood clot form there, and things can start all over again like a newly extraction, and bone can fill in normally from this blood clot. Am I wrong? Do I still have to live with dry socket pain from now on? Can anybody give me some advice? Thanks.
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Bryanna

***I have been in the dental profession for 4 decades. I am an educator and Certified Dental Assistant extensively experienced in chair side assisting and dental radiography. The information that I provide here is my opinion based on my education and professional experience. It is not meant to be taken as medical advice.***
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