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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.
The main symptom is pain, which often suddenly appears, and is made worse by biting on the involved tooth, which may feel raised and prominent in the bite. The tooth may be mobile, and the lesion may contribute to destruction of the periodontal ligament and alveolar bone. [4] The pain is deep and throbbing.
The pain pathway is mostly transmitted via myelinated Aδ (sharp or stabbing pain) and unmyelinated C nerve fibers (slow, dull, aching, or burning pain) of the trigeminal nerve, which supplies sensation to the teeth and gums via many divisions and branches. [18]
Noticeable signs include receding gums,making the teeth appear longer. Gums may bleed more, and there may be some bone loss. Moderate periodontitis: As the gum disease progresses, pockets get ...
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 .
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.
Spacers can also cause toothache and gum pain because of the constant pressure against the patient's teeth. The gaps that the spacers create are necessary to apply certain appliances or braces. There are two common types of expanders used after the spaces have been made. One very primitive, model is a metal bar that has a key used to tighten.
It is a likely outcome of untreated dental caries (tooth decay), and in such cases it can be considered a sequela in the natural history of tooth decay, irreversible pulpitis and pulpal necrosis. Other causes can include occlusal trauma due to 'high spots' after restoration work, extrusion from the tooth of root filling material, or bacterial ...
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