Dental Dry Socket Problems after Wisdom Tooth Extraction.

Some people that have tooth pain, may end up needing to get their tooth extracted (tooth pulled out).  These patients are relieved that with the tooth removal, their abscess or tooth pain should go away.  One thing some patients do not fully realize, is that after getting a tooth extracted - will need to follow the post-operative instructions carefully and to make sure the open socket area left after the tooth extraction heals properly. In this Dentist Chat article, we will be discussing post-operative tooth extraction protocols and how to know if have a dry socket problem after having had a tooth extraction.

- Common reasons why teeth are pulled - Why do people get their tooth extracted?

First let's dental blog about why people get their tooth extracted or get teeth extracted?  There are many reasons why a tooth or teeth are extracted.  Here are some of the reasons.

1.  Wisdom tooth pain or wisdom teeth erupting in a bad way.  Wisdom teeth extraction is one of the most common reasons why get a tooth pulled out or removed from the mouth.  Wisdom teeth are called third molars by dentists, and are generally erupting (becoming visible) from under the gums around the age of 15 or later.  The age when wisdom teeth erupt or come out varies.  Some wisdom teeth never erupt and are fully impacted under the gums.  Not all wisdom teeth need to extracted or should get extracted.  Best to get great dental x-rays and dental imaging done of the area with CT scan, etc.  - to see the condition of the third molars.  Some wisdom teeth extractions are easy, and others may need more surgical approach to getting these third molars out.  That is, may need to open up the gums in that area, and remove the wisdom teeth that are impacted.

2. Severe Tooth Decay can cause a tooth needing to be extracted.  If the decay goes below the gum line, then the tooth may become structurally compromised.  Large cavities in a tooth can spread in size and make the whole tooth not be able to be dentally restored with a filling or root canal. The root area and the coronal portion of the teeth, when both have large caries in them - makes the tooth be a more likely candidate for removal.

3.  Bad gum disease or periodontitis can cause loss of a tooth or loss of many teeth. The underlying jaw bone structure begins to recede and the tooth start to become loose.  Teeth mobility over time, can lead to teeth loss for people with severe periodontitis.  Hence, people with periodontal disease are advised to get dental treatment as early as possible.

- Having a dry socket discussion:

Having a dry socket, is always possible after getting any kind of tooth extraction. The dry socket usually happens within the first couple days and becomes noticeable by the patient. For those that have experienced a Dry Socket after having an Wisdom Tooth extracted - it is usually an experience that one does not forget. 

- Wisdom Tooth Extraction Chat:

Wisdom teeth are removed or extracted from the mouth for many reasons. One reason may be preventive measures.  For instance, if the wisdom tooth is coming in at a bad angle or is causing gum problems because it is hard to keep clean. These third molars may be causing dental problems such as gum disease / gingival inflammation. Sometimes wisdom teeth are not growing in the right way or impacted in such a way, that dentists or orthodontists may recommend to extract it.  Orthodontists may sometimes recommend wisdom teeth extraction when doing teeth straightening for some adults.

- Wisdom Teeth and Dry Socket Blog:

Let's discuss why dry sockets can happen when having third molar extractions. Why getting a dry socket usually is more common with wisdom teeth?  The wisdom tooth or third molars are usually larger teeth, and when extracted, can leave a large void in the mouth.  It is also, in the back of the mouth.  These factors can contribute to getting a dry socket in the wisdom tooth.  Now dentists and oral surgeons, have various ways of helping avoid this by packing in and suturing up the area of the extraction.  Of course, the patient plays a big part in this - if the patient dislodges the clot being formed and does not follow post-op instructions, this can be a big factor of getting a dry socket.

If the dentist sees or does a dental exam of the mouth and notices that the wisdom tooth is impacted that is causing pain or it might be problematic in the future, then will most likely recommend for the Wisdom Tooth or Wisdom Teeth to be extracted.  Sometimes orthdontist(s) recommend for teens to have their wisdom teeth extracted before getting braces.  

How do dentists, orthodontists or oral surgeons know what to do with wisdom teeth?  One of the key tools dentists use for examining the wisdom teeth is to take a variety of dental x-rays & dental imaging machines.  Their are a variety of dental x-ray machines that allow the dentists to fully examine and view the wisdom teeth underneath the gums.  These can include 3D pan machines or CT scan machines.  They provide a better imaging of the underlying third molars, under the gums to the dentist, periodontist or oral surgeon.

Even wisdom teeth that have grown in properly are subject to issues such as an infection from Food bacteria trapped between the tooth and jaw where it is tough to brush. If infections become frequent, it is a good idea to have the tooth removed as it can cause medical danger. If the wisdom tooth interferes with the tongue, it will need to be removed as the pain will numb the tongue. Also, anyone who has been orthodontically treated is recommended to have the teeth removed as the addition could disrupt the alignment.

Wisdom teeth should only be removed by experienced dental professionals. A panoramic x-ray is the best technology the industry currently has for viewing wisdom teeth and diagnosing problems.

- Online Dry Socket Chat and after extraction problems discussion.

There are several problems which can occur after the removal of wisdom teeth. Some are natural and cannot be avoided. In other instances, the patient has control over or maybe causing the dry socket to happen. The patient should follow all instructions given by the surgeon diligently. Failure to do so could result in problems ranging from a dry socket to a life-threatening infection.

Dry sockets are caused by a blood clot falling out or failing to form. The dentist / oral surgeon will give advice as to how to avoid these.  Following the post-op instructions provided is good, as there are certain things that should not be done after teeth extaction(s). Painful swelling sometimes does occur and maybe a sign that the body is healing naturally.  Anything unusual or substantial should contact dentist office. However, any little swelling should begin to reduce after it peaks. If this does not occur, the surgeon or dentist needs to be contacted. With dental problem(s) involving pain or swelling, the dentist or dental office should be contacted as soon as can.  Some dental extractions are more complicated than usual and need more work.  Speaking with your dentist about what to expect is a good idea before and after getting extraction(s). 

We have many dental blogs that our users find useful.  Here is a article on Oral surgery and oral surgeons.  Oral surgeons are many times referred complicated impacted third molar extractions   https://dentalchat.com/oral-surgery-information-and-oral-surgeon-chat  We appreciate our users feedback and suggestions on how can improve DentalChat.com. 

We are at Dental Chat networking with local dentists, dental professionals and dental companies.

"