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When a tooth is removed from the bone and gums, a blood clot forms to protect the hole in your gums as it heals. If the blood clot does not form properly or becomes dislodged from your gums during healing, it can create dry socket.

Dry socket is also called alveolar osteitis.

Dry socket can leave the nerves and bone in your gums exposed, so it’s important to seek dental care. It can be incredibly painful, and if left untreated, it can lead to complications, including:

  • 延迟治愈
  • 插座中的感染
  • 传播到骨骼的感染
Dry socket in a mouth 在Pinterest上分享
PAL US等。(2013)。氧化锌美葡萄酚与明胶海绵的比较评估浸入了富含生长因子的干燥插座的血浆中:一项初步研究。https://doi.org/10.4103/0976-237X.111592

If you’ve recently had a tooth removed, you’re at risk of developing dry socket. Although dry socket is the most common complication of tooth removal, it’s still relatively rare.

研究人员一个2016 study发现在2,281个观察到的牙齿中,约有42个经历了一定程度的干窝。这使发病率仅为1.8%。

The type of tooth extraction you undergo determines how likely you are to experience dry socket. While still rare, dry socket is more likely to develop after your wisdom teeth or other molars are removed compared with other teeth.

如果您以前有干燥的插座,则可能更有可能再次体验它。确保您的牙医或口腔外科医生意识到您的病史,在计划拔牙之前干燥插座。

尽管您的牙医无能为力防止发生这种情况,但如果干燥插座会发展,将它们保持在循环中会加快治疗过程。

如果您能够在镜子里张开嘴巴,看看牙齿过去的位置,那么您可能会经历干燥的插座。

干燥插座的另一个明显迹象是下巴无法解释的剧烈疼痛。手术后2至3天,通常感觉到与牙齿拔牙部位相同的感觉。但是,在愈合过程中的任何时候都可能发生干插座。

Other possible symptoms include bad breath and an unpleasant taste that lingers in your mouth.

如果您遇到这些症状中的任何一种,则应立即看到您的牙医。

感觉怎么样?

干插座通常会导致稳定的疼痛。疼痛可能很严重,通常无法通过非处方或处方止痛药完全帮助。这可能导致无法工作或专注于其他事情。

干燥插座的疼痛可能会从提取部位辐射到您:

  • 耳朵
  • 眼睛
  • 寺庙
  • 脖子

If you have dry socket, you may also feel pain when you drink something cold or breathe in cold air.

诊断

If you’re experiencing symptoms of dry socket, your dentist will want to see you to look at the empty socket and to discuss next steps.

In some cases, your dentist may suggestX射线排除以外的条件。这包括骨骼感染(osteomyelitis) or the possibility that bone or root fragments are still present in the extraction site.

如果拔出牙齿后,可以在开放空间中形成保护性血块,则可以发育干燥的插座。

Dry socket can also develop if this blood clot becomes dislodged from your gums.

研究人员不确定是什么阻止了这种血块形成。人们认为,无论是食物,液体还是进入口腔的其他物体,细菌污染都会引起干燥的插座。

Trauma to the area may also lead to dry socket. This can occur during a complicated tooth extraction or during aftercare. For example, accidentally poking the area with your toothbrush may disrupt the socket’s healing.

Risk factors

You’re more likely to develop dry socket if:

  • You smoke cigarettes or use other tobacco products.化学物质不仅可以减慢愈合并污染伤口,而且吸入的行为也会消除血块。
  • 您服用口服避孕药。Some birth control pills contain high levels of estrogen, which may disrupt the healing process.
  • 您不适当地关心伤口。不遵循牙医的家庭护理指示,或者不练习良好的口腔卫生会导致干燥的插座。

清洁和穿衣区域

如果您的插座干燥,您的牙医将清洁插座,以确保其没有食物和其他颗粒。这可能会减轻任何疼痛,并有助于防止感染。

您的牙医还可以用药敷料或糊状物包装插座,以帮助麻木疼痛。

如果需要取出敷料,几天后您必须返回牙医。如果疼痛仍然严重,则可能需要更换敷料。否则,可能会指示您在家中删除它,然后再清洁插座。

您的牙医可能会推荐盐水或处方冲洗。他们还可能开出抗生素以防止该地区感染。

管理疼痛

非处方止痛药可能有助于缓解任何不适。您的牙医可能会推荐一种特定的非甾体类抗炎药(NSAID),例如布洛芬(Motrin IB,Advil)或乙酰氨基酚(Tylenol)。

It’s best to avoid taking aspirin, as it’s an NSAID that may cause more bleeding in the area.

冷压也可能提供缓解。

如果您的疼痛更加严重,您的牙医可能会建议使用处方止痛药。

提取后约一周,您可能会进行后续约会。您的牙医将查看受影响区域并讨论任何下一步。

布洛芬to help relieve discomfort.

您可以通过在手术前采取以下步骤来降低干窝的风险:

  • Ensure that your dentist or oral surgeon is experienced with this type of procedure. You should check out their credentials, read online reviews, and ask around about them — whatever you need to do to know that you’re in good hands.
  • After selecting a care professional, talk with them about any over-the-counter or prescription medications that you’re currently using. Some medications can prevent your blood from clotting, which can cause dry socket.
  • If you smoke, limit or avoid smokingbefore and after your extraction. Smoking can increase your risk of dry socket. Talk with your dentist about using nicotine management options, such as the patch, during the healing process. They may even be able to provide guidance about quitting.

After the procedure, your dentist will provide you with information about recovery and general guidelines for care. It’s important that you follow these directions. If you have any questions, call your dentist’s office. They can clear up any concerns that you may have.

Your dentist may recommend one or more of the following during recovery:

  • antibacterial mouthwashes
  • 防腐冲洗
  • 药纱布
  • 药凝胶
  • pain medication

您的牙医也可能建议使用抗生素,尤其是如果您的免疫系统受到损害。

While it can be very painful, dry socket is a highly treatable condition. You should start to feel better shortly after treatment begins, and your symptoms should be gone entirely within a few days.

If you’re still dealing with pain or swelling after about 5 days, call your dentist. You may still have debris caught in the area or another underlying condition.

Having had dry socket once does put you at risk of developing dry socket again, so be sure to tell your dentist about your dental history if you ever need to have another tooth removed.