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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 prevent or slow 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.
  • Use of corticosteroids. These types of medications, such as prednisone, may increase your risk of dry socket.
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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