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FAQ:  Dry Socket


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Dry Socket: Symptoms - Relief

Dry Socket Ask The Dentist James Sanderson Question:
I got my bottom-left wisdom tooth not impacted- pulled out a few days ago and within a couple of days I realized I joined the 8-to-10% of the victims of all extractions that suffer from a dry socket.

On Saturday I could go to the doctor who had recommended me doctor X , the one who performed the extraction, (for some reason they didn't do it. Even when he admitted my bone and my nerves were exposed, my blood cloth had gone away and he knew about the unbearable pain in my jaw and my ear and the pulsing migraines, he said I didn't have a dry socket !!?? I wonder why he said that when I am positive it is a dry socket, I have 2 of my friends with that condition and it really bothers me to be wasting valuable time to get better.

He filled the now HUGE hole with a green paste (I guess it was oil of cloves) but he didn't pack it, as I have heard many people have it done. Needless to say that the green stuff came out as soon as I stepped out from the doctor's office and when I called him from the bus, he told me it was expected to come out. But the nerve and the bone were once more exposed. Now the pain, which had diminished while I had that thing inside, rose again until a point I can't do nothing else but think of it.

The dentist told me to have some codeine and he prescribed an antibiotic too. But I didn't get the antibiotic, as he assured I didn't have an infection (he had taken X Rays). And dry sockets (according to all what I have read) have little to do with infections and to give antibiotics to prevent infection when there is little chance for it sounds ridiculous to me. I don't like the fact that every time I go to a doctor the solution for everything seems to be antibiotics. I always get horrible side effects from them and I try to minimize their use.

I would like someone to tell me if the one I had was a normal proceding (I mean, having that green stuff put in my mouth and next, the same green thing coming out and not being replaced) and if I can really get an infection from a dry socket (I can see my bone through the hole with the flash light and bones shouldn't be out like this) Could I instead of the antibiotics use a little of warm boiled water with hydrogen peroxide to topically prevent infection? (I have already been doing it, as I have not clue about other thing I could apply) Or could the hydrogen peroxide damage the exposed nerves or the bone?

I don't feel I can try my regular dentist anymore, as he didn't seem to care much for my pain, he was rushing (as usual) he didn't give me ANY explanation of my condition and wasn't clear about what to expect and when I should go back. He said that the pain should disappear in the next 5 days but I have read of people whose holes (and pain) are still there after 2 months and that really interferes with my activities, not to mention that I see no reason at all to be suffering this way when I know there are ways to avoid it.

I don't know exactly what I should do now. Should I insist so the doctor packs it with something a little steadier? ...Visitor from NJ

Answer:
My advice is to see your dentist or another dentist in the morning. If you are correct in your findings then I would want to pack that area with a dry-socket dressing.

Most of the time I place them and then see you the next day and then the next week to remove the dressing. Sometimes you have to suture the dressing in place but most of the time not.

You need to be aware that there may indeed be another problem there that you have not seen before.

Find a dentist who is willing to spend time with you and then be willing to pay them for their time to help you become healthy.

James Sanderson, DMD
Alabama Teeth In An Hour
Alabama Sedation Dentist
1633 Montgomery Highway
Birmingham, AL 35216
(205) 979-6005

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