Dentistry >>>> Why does the socket hurt after tooth extraction?

Why does the socket hurt after tooth extraction?

After extraction (extraction) of the tooth, the hole heals normally within a few days. But sometimes the course of the healing process is disrupted, which leads to inflammation of the socket and increased pain in the area of the extracted tooth. Such a violation of the healing process of the hole is called alveolitis. With alveolitis, the socket hurts after tooth extraction after three to five days.

The reasons for the development of alveolitis are provoked by a violation of the formation of a blood clot in the area of the wound (thrombus formation), which opens the entrance gate for infection. Abnormal formation of a blood clot (or an unformed blood clot at all) occurs for a number of reasons:

Untimely rinsing of the mouth (and the place of tooth extraction) wash away the blood clot;
The general principles of thrombus formation in the body are violated due to diseases;
Violation of oral hygiene, when food disappears into the hole during the formation of a blood clot;
Untreated caries and other diseases of the teeth adjacent to the socket, mucous membranes, from where the infection can spread to an open wound.

Signs of alveolitis:

Pain in the hole develops after tooth extraction a few days later,
The pain is aching, throbbing,
The pain symptom may worsen,
The inflammatory process may involve the edges of the socket, the mucous membrane surrounding the lost tooth,
An unpleasant odor may spread from the inflamed wound,
The temperature may rise and / or the regional lymph nodes may increase,
Possible swelling of the tissues surrounding the hole, swelling of the cheeks,
Sometimes the general condition of the body is disturbed.

Treatment of alveolitis is based on extinguishing the focus of infection, cleaning the hole (curettage), washing out purulent contents with antiseptics (furacilin, potassium permanganate, etc.), hydrogen peroxide and proteolytic enzymes. To relieve pain, analgesics are prescribed. With reduced immunity, immunostimulants are used. Self-treatment of alveolitis will not bring success, since it is necessary to professionally remove necrotic tissue, dissolve necrotic plaque. A complication of alveolitis can be the development of osteomyelitis of the jaw bone tissue.