Most people believe that getting rid of a bad tooth, they removed all the problems. But it was not there. In certain cases, difficulties are only beginning. And one of them is a dry hole after tooth extraction.
What is it
The cavity that remains due to the stretching of the bone formation is called the hole. In it, after the intervention of the dental surgeon, a blood clot appears that protects the bone and nerve endings. Formed dense formation is an intermediate link in the healing process. Thanks to him, the wound heals faster. Dry hole syndrome after tooth extraction is formed if the clot does not form, dissolves after a few days or falls out.
Most often this problem occurs:
- after the removal of the eight (wisdom tooth);
- smokers;
- in people who do not follow oral hygiene.
If you do not consult a dentist in a timely manner, then this ailment can lead to a more serious one - alveolitis (the appearance of purulent plaque). In this case, compresses can no longer be dispensed with, you will have to use special disinfectant solutions.
Normal cavity healing always occurs without pain.
Forms of cavity pathology
A dry well after tooth extraction can take many forms.
- The acute inflammatory process, which is serous in nature. In this case, the cavity is open. Blood clots and food debris are visible in it. The person will be accompanied by constant pain. The treatment of this type of ailment is conservative.
- Chronic inflammatory process with purulent discharge. Granules form throughout the well. The gum swells, a little pus appears.
- Purulent-necrotic form of inflammation. Now we find out what a dry hole looks like after tooth extraction in this case. This form is considered the most dangerous. The gum is swollen and inflamed, the hole is covered with a dirty gray coating, dead tissue can be found in it. The pain extends to the temporal region and gives off to the ear. Bad breath comes from the mouth. The temperature rises, a person feels weakness and malaise. You can not do without surgical treatment.
Causes of the disease
By all rules, after the intervention of the dental surgeon, a blood clot should appear in the recess. But this is not always the case. Why does a dry hole appear after tooth extraction? There are several reasons.
- A doctor made a mistake. Pieces of root remained in the wound.
- During the operation, the gum was severely injured, and this increases the risk of complications.
- Improper oral hygiene before and after the intervention of a dental surgeon.
- Immediately after removal, until a blood clot has formed completely, the patient consumed hot, tough, coarse food.
- Leaching of a clot. After surgery, the patient rinsed the oral cavity.
- A person has low immunity.
- Nicotine addiction and a love of alcohol.
- The use of birth control pills. These drugs affect blood coagulation.
- Difficulties during the operation. Most often, a dry hole appears after the removal of a wisdom tooth.
Signs of the disease
Upon visual inspection at the site of bone extraction, you can see a hole with a yellowish or greenish bloom. Sometimes there is a rotting blood clot inside. In a particular case, the doctor may see exposed bone tissue.
An unpleasant smell comes from the patient’s mouth due to the inflammatory process in the hole.
Suppuration or inflammation always leads to intoxication of the whole organism. That is why the symptoms of the disease should include:
- general fatigue and weakness;
- bad feeling;
- elevated temperature;
- the appearance of purulent discharge from the gums;
- swollen lymph nodes in the neck and under the jaw.
In addition, a dry hole after tooth extraction is accompanied by gum damage, swelling of the cheek. After two days, pain appears, extending to the ear and throughout the face.
When removing the molars of the lower jaw and the appearance of pathology, difficulties may arise with opening the mouth and eating food.
Treatment principles
Before proceeding with treatment, be sure to do an x-ray. Thanks to her, you can see all the fragments that remained in the recess. After manipulation with eights, an inflammatory process often appears and a dry hole is formed. After removing a wisdom tooth, treatment usually begins with anesthesia. Used homeopathic medicine "Traumeel." If this drug does not help, they make a blockade, use drugs with lincomycin.
Further treatment is divided into several stages.
- The hole is cleansed of debris and food debris. The wound is washed with an antiseptic solution. A solution of potassium permanganate, hydrogen peroxide, "Furacilin" are used.
- A curettage procedure is performed (curettage of the internal walls of the notch).
- After a thorough inspection, the wells are re-treated using antiseptic solutions.
- The next step - the pit is dried and anesthesin is poured into it.
- With inflammation of the serous nature, an iodoform dressing is applied to the wound. If pus appears in a dry hole after tooth extraction, the treatment consists in the use of dressings soaked in a solution of camphorophenol, propolis. Pain blockade is carried out. Used Lidocaine, Novocaine, Trimecaine.
Some more recommendations
In case of purulent inflammation, dressings should be changed every day until the patient's condition improves.
With the serous form, the dressing is done for the first time a day after surgery. In the future, once every three days until the pain disappears.
During the procedure, the wound must be treated with an antiseptic solution.
In order for damaged tissues to heal faster, physiotherapy, analgesic agents and a vitamin-mineral complex are prescribed.
With purulent inflammation, antibiotics are prescribed.
When getting rid of the disease will be started at the wrong time, drug treatment will not save the situation. All this leads to the fact that alvelitis can go into limited osteomyelitis. In this case, only surgery will help.
If all the doctor’s prescriptions are completed correctly, the patient’s condition will improve in a few days. An excellent result can be obtained using ultrashort-wave or ultra-high-frequency therapy.
Severe treatment and well restoration
As mentioned above, if you do not consult a doctor on time, complications may occur. In this case, the treatment consists of the following steps:
- The pit is processed, a swab moistened with antibiotics is inserted into it. You can also add to this remedy drugs that relieve the inflammatory process.
- Antistatic blockade is carried out.
- To clean the top of the wound from dead tissue, proteolytic preparations are used.
- With the help of "Lidocaine" the nerve is blocked.
- A warm rinse is carried out with potassium permanganate.
In addition to all of the above, activities used in the usual form of the disease are added.
The healing process takes about a week, if we talk about the wisdom tooth, then this period may increase slightly. Completely inflammatory process takes place in two weeks. A dry hole after tooth extraction, photo of which is a proof, begins to recover, forming granulation tissue on the inner walls of the fossa. The pain sensations become smaller, the swelling subsides, the gum acquires a pink color and returns to its original state. The wound is filled with granulation tissue. The first layer of the epithelium begins to appear.
Prevention
On the day after surgery, it is advisable to abandon any physical activity.
Never touch a fresh wound, not even your tongue. Try to withstand at least six hours.
Do not eat solid food for a day, give preference only to liquid dishes. It is forbidden to eat hot, spicy, salty.
If the pain cannot be tolerated, pain medication can be taken.
Two days you can not smoke and drink alcohol.
The first day it is advisable not to brush your teeth. On the second day, this procedure is acceptable, but only using a soft brush.
Bath, sauna on the day of the operation is also prohibited.
If the hole begins to disturb the next day, be sure to consult a doctor in order to prevent complications.
It is not recommended to rinse the mouth for a couple of days, especially with aggressive solutions.
To ensure that normal tooth extraction does not cause complications, follow these recommendations.
Conclusion
As you can see, there is such a problem as a dry hole after tooth extraction. What to do after the appearance of this ailment, you already know. Try not to self-medicate. But if the pain appeared at home, then try rinsing the oral cavity with a solution using anti-inflammatory drugs. Remember, the sore spot should not be heated and rinsed with hot liquids. Painkillers can be used. Having calmed the pain a little, immediately go to the dentist. Only a doctor will correctly diagnose and prescribe treatment. Once again we want to focus your attention: no self-medication! Strictly follow your doctor's prescription.