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Risk factors

By Mayo Clinic staff

Factors that can increase your risk of developing dry socket include:

  • Smoking and tobacco use. Chemicals in cigarettes or other forms of tobacco may inhibit healing and contaminate the wound site. The act of sucking on a cigarette may physically dislodge the blood clot prematurely.
  • Oral contraceptives. High estrogen levels from oral contraceptives may disrupt normal healing processes and increase the risk of dry socket.
  • Improper at-home care. Proper at-home care after a tooth extraction helps promote healing and prevent damage to the wound. Failure to follow guidelines may increase the risk of dry socket.
  • Having dry socket in the past. If you've had dry socket in the past, you're more likely to develop it after another extraction.
  • Tooth or gum infection. Current or previous infections around the tooth to be extracted increase the risk of dry socket.
References
  1. Benko P. Emergency dental procedures. In: Roberts J, et al., eds. Clinical Procedures in Emergency Medicine. 5th ed. Philadelphia, Pa.: Saunders Elsevier; 2009. http://www.mdconsult.com/das/book/body/214478851-3/0/2083/0.html. Accessed Aug. 13, 2010.
  2. Noroozi AR, et al. Modern concepts in understanding and management of the "dry socket" syndrome: Comprehensive review of the literature. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology & Endodontics. 2009;107:30.
  3. Blum IR. Contemporary views on dry socket (alveolar osteitis): A clinical appraisal of standardization, aetiopathogenesis and management: A critical review. International Journal of Oral and Maxillofacial Surgery. 2002;31:309.
  4. Preparing for third molar removal. NIH Clinical Center. National Institutes of Health. http://www.cc.nih.gov/ccc/patient_education/tests_procedures.html. Accessed Aug. 13, 2010.
  5. Cardoso CL, et al. Clinical concepts of dry socket. Journal of Oral and Maxillofacial Surgery. 2010;68:1922.
  6. Wisdom teeth. American Association of Oral and Maxillofacial Surgeons. http://www.aaoms.org/wisdom_teeth.php. Accessed Aug 13, 2010.
DS00778 Oct. 19, 2010

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