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Dry socket

Also called: Dry socket, alveolar osteitis

Severe, throbbing pain 2 to 4 days after a tooth is pulled because the blood clot came out of the socket. A dentist can ease it fast.

Starts2 to 4 days after extraction
TreatmentDentist packs the socket
RiskSmoking, straws

Overview

The bone in the socket is exposed.

Pain can spread to the ear.

Symptoms

Common signs:

  • Severe pain after a tooth pull
  • Pain after a tooth was pulled

Less common

  • Bad taste or breath

When to get medical care

Call 911Trouble breathing or swallowing.
Get care todayFever or swelling.
See a doctor soonPain getting worse days after extraction.

Causes

Lost blood clot.

Does it spread or run in families?

  • It isn't contagious. You can't catch it from someone else.

Who is more likely to get it

  • Smoking
  • Birth control pills

Diagnosis

A dentist looks at the socket.

Treatment

See your dentist.

Self-care

  • Rinse gently with salt water
  • Don't smoke or use straws

Medicines

Medicines that may help:

MedicineHelps withGood to know
Pain relievers
Pain and swellingAsk first if you have kidney, stomach, or heart problems.

OwieClear doesn't give doses: follow the label or your healthcare professional. Medicine names here are examples, not a full list.

Prevention

To prevent it:

  • No smoking or straws

Which doctor treats this

  • Start with your dentist. Go to the ER for face swelling, fever, or trouble breathing.

Back to school, work, or sports

  • Most people can go back to school or work the same day or the next day.

Pregnancy and breastfeeding

  • If you're pregnant or planning to be, tell your prenatal provider about this condition.
  • Don't start or stop any medicine on your own. Some are safe in pregnancy and some need to be changed.
  • Ask before taking any pain reliever. The FDA advises avoiding ibuprofen and naproxen after 20 weeks unless your doctor says to.
  • Breastfeeding: Most medicines are fine, but ask. The NIH LactMed database lists what's known about each one.

Outlook

Heals.

Research studies

Research studies test new ways to find and treat health problems. Some are looking for volunteers. Talk with your doctor before joining one.

Search ClinicalTrials.gov for studies on Dry socket

Sources

Last updated 2026-11-12.