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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.
For persons with a dry socket as a complication of tooth extraction, packing the dry socket with a eugenol-zinc oxide paste on iodoform gauze is effective for reducing acute pain. [3] The placement of a ZOE "temporary" for a few to several days prior to the placement of the final filling can help to sedate the pulp.
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] This is often extremely unpleasant for the patient; the only symptom of dry-socket is pain, which often radiates up and down the head and neck.
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"Orajel is a topical treatment for the mouth and gums that may be used to relieve pain associated with minor mouth problems," Asante says. Orajel contains benzocaine, which can help numb the pain.
Pain is considered the most important symptom of dry socket. It can vary in frequency and intensity, and other symptoms, such as headache, insomnia, and dizziness, can be present. [18] Pre-disposing factors to dry socket include smoking, traumatic extraction, history of radiotherapy and bisphosphonate medication.
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