You have had a tooth extracted. The anaesthetic has worn off and you expect some aches and pains — that is normal. But a few days later, the pain gets worse instead of better. It spreads to your ear or your temple. You look in the mirror and notice the socket looks dry, almost like a pale hole rather than a blood clot.
That could be alveolitis — a painful but treatable condition that sometimes follows a tooth extraction.
What Exactly Is Alveolitis?
After a tooth is removed, a blood clot forms in the socket. That clot protects the bone and nerve underneath while the area heals. Alveolitis happens when that clot either dissolves prematurely or gets dislodged, leaving the bone and nerve exposed.
Without the protective clot, food particles and air can irritate the exposed nerve, causing intense pain.
Who Is Most at Risk?
Smokers are at higher risk, as are people who rinse or spit forcefully in the first few days after extraction. Women who take oral contraceptives may also be more susceptible.
It is also more common after difficult extractions, such as wisdom teeth removals.
What Are the Signs?
Severe pain that starts two to four days after your extraction is the most common sign. The pain often radiates to your ear, eye, temple, or neck on the same side.
You might also notice a foul taste or bad breath, and the socket may look empty or have a dry, greyish appearance.
How Is It Treated?
Your dentist will clean the socket carefully and may place a medicated dressing to protect the area and relieve pain. You will likely need to return for dressing changes over several days.
Painkillers and antibiotics may also be prescribed to manage discomfort and prevent infection.
Can It Be Prevented?
Follow your dentist aftercare instructions carefully. Avoid smoking, rinsing forcefully, or drinking through a straw for at least 48 hours after your extraction.
If you experience worsening pain after a tooth extraction, do not wait — contact your dentist promptly.
Call 01323 723757 or book at www.meadsdental.com Meads Village Dental Practice