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Causes

By Mayo Clinic staff

The precise cause of dry socket remains the subject of study. Researchers suspect that several issues may be at play, including:

  • Bacterial contamination of the socket
  • Severe bone and tissue trauma at the surgical site due to a difficult extraction
  • Very small fragments of roots or bone remaining in the wound after surgery
References
  1. Neville BW, et al. Oral and Maxillofacial Pathology. 3rd ed. St. Louis, Mo.: Saunders Elsevier; 2009:120.
  2. Summers A. Emergency management of alveolar osteitis. Emergency Nurse. 2011;19:28.
  3. Roberts JR, et al. Clinical Procedures in Emergency Medicine. 5th ed. Philadelphia, Pa.: Saunders Elsevier; 2010. http://www.mdconsult.com/das/book/body/202633129-4/0/2083/0.html#. Accessed May 27, 2013.
  4. Krakowiak, PA. Alveolar osteitis and osteomyelitis of the jaws. The Oral and Maxillofacial Surgery Clinics of North America. 2011;23:401.
  5. Cardoso CL, et al. Clinical concepts of dry socket. Journal of Oral and Maxillofacial Surgery. 2010;68:1922.
  6. Dodson T. Prevention and treatment of dry socket. Evidence-Based Dentistry. 2013;14:13.
  7. Preparing for third molar removal. NIH Clinical Center. National Institutes of Health. http://www.cc.nih.gov/ccc/patient_education/tests_procedures.html. Accessed May 27, 2013.
  8. Daly B, et al. Local interventions for the management of alveolar osteitis (dry socket). Cochrane Database of Systematic Reviews. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD006968.pub2/abstract. Accessed May 27, 2013.
  9. Fenton DA, et al. Perioperative strategies for third molar surgery. Atlas of the Oral and Maxillofacial Surgery Clinics of North America. 2012;20:25.
  10. Sheridan PJ (expert opinion). Mayo Clinic, Rochester, Minn. June 26, 2013.
DS00778 July 16, 2013

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