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Inflamed alveolar bone, unprotected and exposed to the oral environment after tooth extraction, can become packed with food and debris. Dry-socket typically causes a sharp and sudden increase in pain commencing 2–5 days following the extraction of a mandibular molar, most commonly the third molar. [51]
Socket preservation or alveolar ridge preservation is a procedure to reduce bone loss after tooth extraction. [1] [2] After tooth extraction, the jaw bone has a natural tendency to become narrow, and lose its original shape because the bone quickly resorbs, resulting in 30–60% loss in bone volume in the first six months. [3]
The most common location of dry socket: in the socket of an extracted mandibular third molar (wisdom tooth). Since alveolar osteitis is not primarily an infection, there is not usually any pyrexia (fever) or cervical lymphadenitis (swollen glands in the neck), and only minimal edema (swelling) and erythema (redness) is present in the soft tissues surrounding the socket.
Indications of alveoloplasty should nevertheless include recontouring or reshaping alveolar bone during tooth extraction surgery. For instance, if alveolar bone has sharp edges after tooth removal, it is necessary to smoothen the bone surfaces to facilitate tooth socket healing process and to avoid any procedural complications such as pain or ...
After extraction of a tooth, the clot in the alveolus fills in with immature bone, which later is remodeled into mature secondary bone. Disturbance of the blood clot can cause alveolar osteitis, commonly referred to as "dry socket". With the partial or total loss of teeth, the alveolar process undergoes resorption.
Thickening of the lamina dura in response is also possible. Clinically, occlusal trauma is noted by the late manifestation of increased mobility of the tooth and possibly the presence of pathological tooth migration. [5] Damage to the PDL may result in tooth ankylosis to the jawbone, making the tooth lose its continuous eruption ability.
Dental crowns, tooth extraction, gum surgery Resorption of the root of the tooth , or root resorption , is the progressive loss of dentin and cementum by the action of odontoclasts . [ 4 ] Root resorption is a normal physiological process that occurs in the exfoliation of the primary dentition .
The root canal filling material (3, 4, and 10) does not extend to the end of the tooth roots (5, 6 and 11). The dark circles at the bottom of the tooth roots (7 and 8) indicated infection in the surrounding bone. Recommended treatment is either to redo the root canal therapy or extract the tooth and place dental implants.