One of the best things you can do is rinse your mouth with warm saltwater. This will help to remove any food particles that could be irritating your dry socket and promote blood clotting. You want to make sure that you're using warm water and not hot because hot water could further irritate your wound.
Lifestyle and home remedies
Take pain medications as prescribed. Avoid smoking or using tobacco products. Drink plenty of clear liquids to remain hydrated and to prevent nausea that may be associated with some pain medications. Rinse your mouth gently with warm salt water several times a day.
Warm salt water
The Mayo Clinic recommends dissolving ½ teaspoon of salt into 8 ounces of warm water. Swish this around in your mouth for a minute, or use it to flush out the dry socket with a syringe your surgeon gives you. Do this at least three times per day or after meals.
Will a dry socket heal on its own? Yes, in most cases a dry socket will heal on its own. However, because most people experience moderate to severe dry socket pain, seeing your dentist for prompt treatment can help ease discomfort sooner.
Dry socket usually occurs within 3-5 days of an extraction and more commonly in the lower jaw. Symptoms include severe pain, a throbbing sensation, an unpleasant taste, a fever, or swollen glands. It can last for up to 7 days. By following your dentist's instructions carefully, dry socket can usually be prevented.
Factors that can increase your risk of developing dry socket include: Smoking and tobacco use. Chemicals in cigarettes or other forms of tobacco may prevent or slow healing and contaminate the wound site. The act of sucking on a cigarette may physically dislodge the blood clot prematurely.
Pressure on the wound: Chewing or biting down on the empty socket can dislodge the blood clot. Similarly, using straws, sucking on foods, and blowing the nose can create negative pressure inside the mouth, increasing the risk of the blood clot detaching.
Dry Socket Healing Time
You can expect it to take about 7-10 days to heal from dry socket as new tissue begins to cover the exposed bone and heal the wound. If you have periodontal disease or thin bone, it may take longer to heal.
Prevention methods include avoiding smoking before and after surgery and a traumatic surgery, the use of antibiotics, such as, azithromycin, can be considered, chlorohexidine rinse or gel can be effective in the reduction of dry socket incidence.
Use a Cold Compress
If you have dry sockets or are experiencing swelling, applying a cold compress to the outside area of your face can help ease your discomfort.
Dislodge the food by gently rinsing your mouth with warm salt water (saline) solution. Avoid swishing the water around and don't spit—this can lead to painful dry sockets. If you received a syringe from your clinician, you can use warm water or salt water to gently flush the socket clean.
Eat soft foods: Throughout the entire healing process, people should eat soft foods that do not require a lot of chewing and are unlikely to become trapped in the empty socket. Consider sticking to soups, yogurt, applesauce, and similar foods. Avoid hard toast, chips, and foods containing seeds.
Dry Socket Healing Time
Dry socket typically heals within 7-10 days. After this time, new tissue has been able to cover the visible bone and the wound has begun to heal. For patients with thin alveolar bone, such as those with periodontal disease, healing may take longer.
Delayed healing or continual dry sockets can pose a high risk of infection and pain. In some cases, it may be necessary to place medication or a bone graft down into the opening to facilitate appropriate healing.
Normal pain after tooth extraction subsides progressively within a week. However, dry socket pain increases every day and becomes excruciatingly painful, especially if something touches the nerve endings. Pain will not subside and becomes unbearable.
Dry socket typically lasts 7 days. Pain can be noticeable as early as day 3 after extraction. After tooth extraction, a blood clot usually forms at the site to heal and protect it. With dry socket, that clot either dislodges, dissolves too early, or it never formed in the first place.
You shouldn't touch the site of your tooth extraction with your fingers or tongue: that can dislodge the clotting. Gently rinsing with salt water twice daily after tooth extraction can help by keeping the site around your socket clean.
A dry socket pain doesn't always begin right away. It can take several days before the pain begins. Most of the time, the pain starts small and gradually gets worse over time. Other times the pain can begin without warning and can be excruciating in which case you should seek an emergency dentist immediately.
How Is Dry Socket Treated? You can take a nonsteroidal anti-inflammatory drug (NSAID), such as aspirin or ibuprofen, to ease the discomfort. Sometimes these over-the-counter medications aren't enough to relieve the pain. When that's the case, your doctor may prescribe a stronger drug or will anesthetize the area.
Patients with this condition typically experience a consistent throbbing pain a few days after the tooth is removed. The pain may radiate to other areas of the face and a foul odor may be present. Drinking cold water and breathing in air may also cause discomfort.
Honey soaked in sterile gauze placed in dry socket cases showed accelerated healing with minimum patient discomfort. Excess use of eugenol can lead to necrosis of bone. Honey can be used as a medicament for the management of dry socket.
To help with the pain of dry socket, which occurs when a blood clot becomes dislodged after a tooth extraction, your dentist may recommend over-the-counter (OTC), or non-prescription pain relief medications, such as acetominophen (Tylenol), ibuprofen (Advil), or naproxen (Aleve).