How Can I Manage Swelling after a Tooth Extraction?

Occurred after oral mandibular wisdom tooth extraction, bone wounds caused by oral bacteria. At present, the main causes of trauma and infection and large tooth extraction are considered. Therefore, in order to prevent the occurrence of dry socket disease, the trauma should be minimized during the extraction process, and the extraction wound should be minimized after extraction; antibiotics should be used before and after extraction to prevent infection.

Basic Information

nickname

Fibrinolytic alveolitis, alveolar osteomyelitis

English name

dry socket

Visiting department

Stomatology

Common causes

Trauma, infection, large extraction socket

Common symptoms

Severe pain occurs 2 to 3 days after tooth extraction. The pain radiates to the ear-temporal area, submandibular area, or the top of the head.

Causes of Dry Slot Disease

Dry socket is an acute infection of tooth extraction.

Dry trough pathophysiology

Histopathological manifestations were superficial osteitis or mild localized osteomyelitis of the alveolar fossa bone wall.

Clinical manifestations of dry trough

Dry socket is another type of acute infection caused by tooth extraction. Mandibular posterior teeth are more common, especially after extraction of the mandibular third molar. The incidence is: mandibular third molar, mandibular first molar, mandible. Second molars, other teeth are rare, and anterior teeth have the lowest incidence. Under normal circumstances, the pain of the wound will gradually disappear after 2 to 3 days even if the flap is removed and the bone is removed. If severe pain occurs 2 to 3 days after tooth extraction, the pain radiates to the ear-temporal area, the submandibular area, or the top of the head, and it cannot be alleviated with ordinary pain medications, and xerostomia may occur. The clinical examination showed that the alveolar socket was empty, or had a clot with a degenerate, grayish white color. The dead objects covered on the wall of the alveolar socket have an odor, and the probe can directly touch the bone surface with sharp pain. There is no obvious swelling in the maxillofacial region, and the mouth opening is not significantly restricted. There may be lymphadenopathy and tenderness under the mandible.

Dry trough diagnosis

1. Severe and persistent pain occurs 3 to 4 days after tooth extraction and radiates to the ear-temporal area, submandibular area, or the top of the head. The pain can last for more than ten days.

2. The cavity in the tooth extraction cavity is empty, or there is a residual blood clot that is corrupt and necrotic. If you use a cotton ball to dip the contents, you will smell bad.

3. The bone wall of the extraction socket has obvious tenderness, and the gums around the wound are slightly red and swollen.

4. Local lymph nodes may be enlarged and tender.

Dry Slots Treatment

Dry trough is related to infection after oral surgery. Once dry trough occurs, the principle of treatment is to thoroughly debride and isolate external stimuli to the tooth socket, and promote the growth of granulation tissue. The treatment method is repeated rinsing with 3% hydrogen peroxide and physiological saline under block anesthesia, and placing iodoform gauze in the alveolar socket. To prevent the iodoform yarn strip from falling off, the gum can be sutured and fixed with a needle. Healing can be done in 1 to 2 weeks, and the iodoform gauze strip can be removed after 8 to 10 days. At this time, a layer of granulation tissue has been covered on the alveolar socket bone wall, and can gradually heal.

Dry Slot Disease Prevention

To prevent the occurrence of dry trough, in addition to minimizing trauma, preventing infection, and trying to reduce the wound, various preparations are built into the wound, which have different preventive effects. The clinical use of Yunnan Baiyao powder for local plugging method to prevent dry trough disease also has good results.