How to Prevent Dry Socket After a Tooth Extraction

Medically reviewed by Alina Lane, DDS

Last Updated: June 19, 2022 Approved

Dry sockets occur after a tooth has been extracted, when the empty tooth socket loses its protective scab and the nerves become exposed. The cloth that is placed over a tooth after extraction is also absent leaving an exposed area of the alveolar bone and nerves. The condition can be extremely painful and lead to extra visits to the oral surgeon. Learn what preventative measures you can take before and after a tooth extraction to prevent this from happening to you.

Method 1

Method 1 of 3:

Taking Preventative Measures After the Extraction

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1
Clean your mouth. Since your mouth may have stitches or an open wound, it requires special cleaning for the first few days. Do not brush your teeth, floss, or use mouthwash, or rinse your mouth out in any way for 24 hours. After that, follow this routine:^{[1]
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- If you have stitches and the gum covers the extraction site completely, then you can start brushing your teeth gently after 12 hours. Just make sure that you avoid the extraction area.
- Rinse your mouth gently, without too much pressure, with saltwater every two hours and after every meal.^{[2]
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  Alina Lane, DDS
  Board Certified Dentist
  
  Expert Interview. 21 April 2020.}
- Brush your teeth gently, being careful not to touch the wound.
- Floss your teeth carefully without going near the wound.
2
Get plenty of rest. Let your body's energy focus on healing, rather than other activities. In the first few days after getting surgery your mouth may be swollen and painful, so it shouldn't be difficult to take a few days off of work and school to allow yourself to rest.^{[3]
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- Don't do a lot of talking. Let your mouth be still as the sockets begin to form a scab and the swelling goes down.
- Don't do unnecessary exercise. Lie or sit on your sofa for the first 24 hours, then do light walking for the next few days.
- Avoid touching the area of the extraction and also try not to sleep on that side for two to three days.
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3
Avoid beverages other than water. Drink plenty of cool water after the surgery, but stay away from beverages that might interfere with the healing process. That means avoiding the following drinks:^{[4]
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Mayo Clinic
Educational website from one of the world's leading hospitals

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- Coffee, soda, and other drinks that contain caffeine.
- Wine, beer, liquor, and other drinks that contain alcohol.
- Soda, diet soda, and other drinks that are carbonated.
- Hot tea, hot water, and other drinks that are warm or hot, since these can loosen the scab that is forming over the socket.
- Don't use a straw when drinking liquids. The sucking motion puts stress on the wound, and can cause the scab not to form.
4
Eat soft foods. Chewing tough foods is a sure way to break up the scab that is protecting your fragile nerves from exposure.^{[5]
X
Expert Source

Alina Lane, DDS
Board Certified Dentist

Expert Interview. 21 April 2020.} Eat mashed potatoes, soup, applesauce, yogurt, and other soft food for the first couple of days. Graduate to semi soft foods when you're able to eat them without feeling pain. Avoid the following foods until your mouth has totally healed:^{[6]
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Mayo Clinic
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- Chewy foods, like steak and chicken.
- Sticky foods, like toffee and caramel.
- Crunchy foods, like apples and potato chips.
- Spicy foods, which can irritate the wound and prevent it from healing.
Don't smoke for the first 24 hours after surgery. If you can wait a few more days after that, your mouth will heal faster. Don't chew tobacco for at least a week after surgery.^{[7]
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Method 2

Method 2 of 3:

Taking Preventative Measures Before the Extraction

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1
Find a surgeon you trust. The way the tooth extraction is performed has a big impact on whether or not dry sockets occur. Educate yourself on the procedure and talk to your surgeon about what to expect. Make sure you are provided with the information you need to ensure everything goes smoothly.^{[8]
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Research source} You can expect the following preventative treatments from your surgeon:
- Your oral surgeon will provide you with mouthwashes and gels designed to help the socket heal properly.
- The surgeon will also dress your wound with antiseptic solutions and gauze to protect it when the surgery is over.
2
Find out whether medicines you take will interfere with the extraction. Certain prescription and over-the-counter medications can inhibit blood clotting, which can prevent the protective scab from forming over your empty sockets.
- Oral contraceptives put women at greater risk of developing dry sockets.
- If you are a woman taking oral contraceptives, it can help to schedule the extraction to take place during days 23 to 28 of your cycle, when your estrogen levels are low.
Smoking, as well as chewing tobacco or using other tobacco products, can interfere with the healing process of your socket. Consider using a nicotine patch or other substitute for a few days, since inhaling smoke can greatly increase your chances for getting dry sockets.^{[9]
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Method 3

Method 3 of 3:

Seeking Help if You Think You Have a Dry Socket

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1
Know when your socket is dry.^{[10]
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Research source} Pain alone is not necessarily an indication that you have a dry socket. However, if you feel increased pain two days after the surgery in addition to other dry socket symptoms, your socket is probably dry. Usually, a dry socket heals itself after five days and the pain disappears. All you have to do is maintain good hygiene and avoid getting food stuck in the extraction site. Look for these issues to determine if you might have a dry socket:
- Exposed bone. Look into your mouth at the surgical wound. If you don't see a scab, and you do see exposed bone, you have a dry socket.
- Bad breath. A bad smell coming from your mouth could be an indication that the wound isn't healing properly.
2
Go back to the dentist right away. A dry socket must be treated by your dentist or surgeon to make sure it properly heals. The dentist will dress the wound with a salve and gauze to promote cell generation in the area.^{[11]
X
Expert Source

Alina Lane, DDS
Board Certified Dentist

Expert Interview. 21 April 2020.} You may be given an extra painkiller prescription to deal with the increased pain, which can radiate from your mouth up to your ears.^{[12]
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Research source}
- Carefully follow the dentist's instructions for caring for a dry socket. Don't smoke, eat chewy foods, or otherwise exacerbate the situation.
- You may be asked to return every day to have your dressing changed.
- Eventually new tissue will form over the socket, covering the bone and the exposed wound which contains nerves and vessels. It may take a month or longer to fully heal.

Foods to Eat and Avoid and Best Practices to Avoid Dry Sockets

Foods to Eat after Tooth Extraction

Foods to Avoid after Tooth Extraction

Best Practices for Avoiding Dry Socket

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Question

Can a dentist prevent a dry socket?

Alina Lane, DDS
Board Certified Dentist
Dr. Alina Lane is a Dentist who runs All Smiles Dentistry, a general practice dental office based in New York City. After completing a DDS at the University of Maryland, Dr. Lane completed a year-long clerkship in Implantology at the University of Maryland, where she focused on the advanced restoration of dental implants. She continued her advanced education by completing a General Practice Residency at Woodhull Medical Center, an affiliate of the NYU School of Medicine. She received the Woodhull Medical Center Resident of the Year 2012-2013.

Alina Lane, DDS

Board Certified Dentist

Expert Answer

They can't prevent it, but they will be able to help one heal by cleaning it out and applying a healing ointment.

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Question

What causes dry sockets?

Alina Lane, DDS
Board Certified Dentist
Dr. Alina Lane is a Dentist who runs All Smiles Dentistry, a general practice dental office based in New York City. After completing a DDS at the University of Maryland, Dr. Lane completed a year-long clerkship in Implantology at the University of Maryland, where she focused on the advanced restoration of dental implants. She continued her advanced education by completing a General Practice Residency at Woodhull Medical Center, an affiliate of the NYU School of Medicine. She received the Woodhull Medical Center Resident of the Year 2012-2013.

Alina Lane, DDS

Board Certified Dentist

Expert Answer

You could get a dry socket by swishing or spitting to forcefully and dislodging the blood clot from where you had a tooth extracted.

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Question

How long after a tooth extraction can I remove gauze?

Cristian Macau, DDS
Doctor of Dental Surgery
Dr. Macau is a Doctor of Dental Surgery based in London, England. Dr. Macau is an oral surgeon, periodontist, and aesthetician at Favero Dental Clinic where he is known for his cosmetic dentistry and facial aesthetics work. He is actively involved in scientific research in the field of dentistry and he received his DDS from Carol Davila University of Medicine in 2015.

Cristian Macau, DDS

Doctor of Dental Surgery

Expert Answer

One hour should be enough as the gauze will soak with saliva and reduce the effect. Check if there is any bleeding and wait to change the gauze for another hour if there is any sign of this. Make sure the gauze is under the right amount of pressure when you bite it.

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