Alveolitis is the inflammation of the alveolar (alveolus) left after the extraction of a tooth. It is commonly known as a “Dry Socket.” This pathology does not always develop. Its development depends on many factors.
However, sometimes, after tooth extraction, it can show up. The disease is characterized by severe pain in the area of the extraction site. You may feel general weakness, fever, headache, enlarged submandibular lymph nodes, bad breath, and other unpleasant manifestations.
Also, bad taste in mouth after tooth extraction indicates the same. Dry socket is not only physically excruciating but also a dangerous disease. If not treated properly within a few days, the inflammatory process can develop into limited osteomyelitis. That is a purulent melting off the jaw bone, and then you will need surgery again.
The treatment prognosis is favorable with a timely diagnosis of the pathology and competent sanitation of the hole. The main thing is to detect the symptoms of the disease in time and begin to treat it.
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Bad Taste In Mouth After Tooth Extraction: What To Do?
When you say tooth extraction smells terrible, you may have a dry socket problem. Depending on the nature of the healing of the hole, dentists distinguish several primary forms of dry socket:
The initial stage of the disease usually appears on the 2nd or 3rd day after tooth extraction. This form is characterized by continuous pain, which intensifies while eating. However, the patient does not yet complain of feeling unwell. His lymph nodes are not enlarged, but he already feels that the disease is progressing.
If the severe form of dry socket is not treated, the disease progresses to the purulent form. It is most often diagnosed 6-7 days after tooth extraction. You can no longer ignore painful sensations. The pain intensifies, radiating to the ear or temple.
Examination of the affected area also causes severe pain. You may notice a bad taste in mouth after tooth extraction and bone graft.
Purulent dry socket is characterized by a dirty gray plaque inside the hole, significant swelling around the wound, thickened alveolar process, and other problems. The patient’s general well-being worsens considerably. Lymph nodes increase and become painful when palpating. Often the patient cannot even eat and open his mouth.
At this stage, the symptoms of the disease subside. The patient notes a decrease in body temperature, improved well-being, and decreased pain. Also, a bad taste in mouth after tooth extraction is noticed.
However, in the hypertrophic stage, dangerous tissue overgrowth occurs, which is clearly visible on examination. Pus is excreted from the inflamed area when touched, and the mucosa takes on a bluish hue.
Treatment of Dry Socket
How long does bad breath lasts after tooth extraction? That depends. You can even feel a bad taste in mouth months after tooth extraction. That is probably due to other reasons. With inflammation of the hole, the main thing is to eliminate the focus of infection, prevent the development of inflammation and save the tooth row.
To alleviate the patient’s condition, the dentist uses the following therapies:
- Mechanical cleaning of the hole, washing out purulent residues with a solution of nitrofural or hydrogen peroxide.
- Anesthesia of the hole. The pain syndrome is treated with local applications of anesthetics and analgesics. To do this, the doctor applies a lotion for half an hour and then removes it to prevent the multiplication of germs in the area. The dentist will advise the patient to repeat the procedure several times a day. Taking painkillers internally is not recommended.
- Taking antibiotics. In the presence of concomitant diseases, dry socket is treated with antibiotics.
- With the right approach, the signs of dry socket subside 2-3 days after the start of treatment. If therapy is not started in time, residual pain may last for 2-3 weeks.
With the permission of the dentist, additional treatment of dry socket with folk remedies is possible:
Gargling with sage
To prepare the solution, brew a large spoonful of dried sage in 250 ml of boiling water, insist the mixture for an hour, wrapping the container with a towel. After that, the liquid should be filtered and used for gargles. Bad taste in mouth after tooth extraction should be gone.
Gargle with chamomile flowers
To prepare the composition, a large spoonful of chamomile flowers should be brewed in a glass of water for 15 minutes, warming the container with a towel. The infusion should be strained, and rinse your mouth up to 12 times a day.
For preparation, take half a cup of buds, pour into a glass container, and pour 500 ml of vodka. The product should infuse for 10 days in the dark and cool, then filtered, soaked in cotton swabs, and applied to the inflamed area.
A soda solution for gargling can also be an effective addition in the treatment of dry sockets. Take a large spoonful of powder or mix baking soda with water until a paste-like mass for a glass of warm water. It should then treat the hole.
To prepare a medicinal decoction of burdock leaves should be poured 20 grams of raw materials 2 cups of water. Then the mixture is simmering over low heat for about 40 minutes. The resulting solution should cool and strain, then use to rinse.
It is necessary to pour 1 tablespoon of crushed aspen bark with one glass of boiling water. It is essential to insist on the solution in an airtight container for 3 hours. Then use 100 ml of the strained warm liquid at least 3 times a day.
To prepare an infusion, pour 1 tablespoon of anise 200 ml of boiling water, and then soak in a thermos for 50 minutes. The liquid should be strained and used as a gargle 3 times a day. Bad taste in mouth after tooth extraction will be gone after this.
Prevention Of Dry Socket
The best prevention against cavities after a tooth extraction is to be careful and follow your surgeon’s recommendations. During the extraction site’s healing period, avoid bad habits, use too hot, spicy, sweet dishes, and, if possible, switch to pureed foods. And if you suspect inflammation, see your dentist as soon as possible.
You should never disregard the first symptoms of the bad taste in mouth after tooth extraction or dry socket. Against the backdrop of inflammation, more severe problems may arise:
- Phlegmon – acute spilled purulent inflammation
- Abscess – purulent inflammation of tissues with their melting
- Osteomyelitis is a purulent-necrotic process that can develop in bone and bone marrow and the surrounding soft tissues
- Periostitis – inflammation of the periosteum
- Sepsis – severe systemic inflammatory reaction
- Tissue necrosis – local tissue death
Causes Of Inflammation
The disease can only develop after the extraction of a tooth. The hole formed after extraction often heals within a day after surgery, and the patient feels better. But if the blood clot that covers the open wound is displaced or deformed, the infection can enter the hole.
In that case, the dry gum socket develops. As a result, the surface of the wound takes a long time to heal. Also, the patient suffers from complicated discomfort.
Predisposing Factors For The Development Of Inflammation
- Surgical trauma during a complicated removal. The more complicated the surgery, the more severe the postoperative bone inflammation will be—also, the more likely the release of direct plasminogen activators.
- Complicated removals involving tooth segmentation, osteotomy, and peeling of the mucosal-periosteal flap. Complex surgeries increase the chance of dry socket by a factor of 10.
- Removal of wisdom teeth. The denser, less vascularized bone tissue near the “eighths” is prone to the formation of dry holes. Therefore, you may feel a bad taste in mouth after wisdom tooth extraction but no pain.
- General illness of the patient. It is not uncommon for the dry socket to occur against the background of comorbidities. For example, diabetes or immunocompromised patients are more susceptible to dry sockets due to impaired tissue healing processes.
- Taking oral contraceptives. The estrogen in these drugs can indirectly enhance the fibrinolytic process, causing blood clot breakdown.
- Smoking. The direct link between smoking and the dry socket has been clinically proven repeatedly. According to studies, smokers have a 4-5-fold increased risk of inflammation of the wellbore compared to nonsmokers. The incidence increased by more than 20% in patients who smoked 1 pack per day and 40% in patients who smoked immediately before and after surgery.
- Clot Dislocation. A dry socket may develop if the well is handled poorly and negative pressure is applied (e.g., drinking through a straw).
- Bacterial infections. Dentists agree that bacterial infections are a significant risk factor for a dry hole.
- Poor oral hygiene. The incidence of dry sockets is significantly increased with poor oral hygiene.
- Overuse of local anesthetics. According to some studies, overuse of an anesthetic with a high concentration of a vasoconstrictor can provoke ischemia and make it difficult to fill the hole with blood. Such a condition also increases the risk of dry socket.
A dry socket is a relatively rare condition. If you have a bad taste in mouth after tooth extraction, that doesn’t necessarily mean that you have the disease. Sometimes. Statistically, it affects about 3% of patients who have undergone tooth extraction surgery.
Most often, the hole does not form properly when lower incisors and molars are extracted.
But dry socket is ubiquitous when removing the lower wisdom teeth. According to experts, about 20% of removal cases of “octagons” with difficulty in eruption are complicated by dry sockets.
In addition, it is believed that the risk of developing the disease is inextricably linked to age. This is because the metabolism slows down, the immune system weakens, and the body’s regenerative abilities deteriorate.
Symptoms Of Dry Socket
As a rule, the patient usually leaves the first symptoms of inflammation without proper attention, considering them the norm after surgery. After tooth extraction, as noted above, within a day, painful sensations are considered normal.
As the hole heals, the pain subsides and completely disappears in a few days. In general, the symptoms start with a pus taste in mouth after tooth extraction.
If the patient develops an inflammatory process, the discomfort does not subside after a day or two. And 3-5 days after surgery, there is intense, throbbing pain in the hole, which increases as the infection develops.
In a dry socket, patients may complain of both intolerable and moderate pain. The throbbing and soreness are usually focused only in the area of removal. In rare cases, however, the pain is irradiated to half of the face.
Other dry socket symptoms include:
- A sharp rise in body temperature
- Tooth sensitivity to hot/cold food
- Enlarged submandibular lymph nodes
- Decreased appetite
- Increased salivation
- Bad taste in mouth after tooth extraction but no pain
- In rare cases, weakness increases fatigue, and secondary infectious lesions on the oral mucosa occur in the background of the disease.
The main sign of the dry socket is the appearance of severe pain. But that does not subside even 24 hours or 2-3 days after extraction of the tooth. Sometimes the dentist can identify chronic dry sockets during a preventive oral examination.
In this case, there is an empty pit without granulation tissue in place of the retained tooth. At the bottom of the hole, the bone is already visible.
The dentist will be able to determine the presence of tissue changes during the examination. X-rays and radiovisiography of the affected area may also be prescribed.
Modern methods of dry socket treatment allow you to quickly stop the symptoms of inflammation and avoid the complex consequences of the disease. However, if you have bad taste in mouth after tooth extraction, that doesn’t mean anything till you see a dentist.
The earlier the patient goes to the doctor, the less likely complications will develop. A thorough check-up and diagnosis are necessary to treat salty taste in mouth after tooth extraction. More specifically, to treat the dry socket.