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Relief from Dry Sockets - What to Do
The standard method of treating a dry socket is to re-open
the site and surgically clean the socket, then pack the socket
with iodoform gauze to start the healing process. Next,
administer antibiotics and strong pain medication for the comfort
of the patient.
But the simplest and most effective treatment for a dry socket
is to use equal parts of a liquid containing Guaiacol, Peruvian
Balsam, and Glycerin. Gently shake this mixture until
completely mixed. Using a small piece of cotton the size of a
grain of wheat, soak half of the cotton and remove the excess by
blotting. Carefully place the cotton directly to the bottom of the
dry socket, and set a timer for ten minutes. The pain will be
relieved, and the patient will experience a warm, comfortable
feeling.
The first treatment with dry socket medication is good for six
to eight hours. Follow this period by treating again to continue
the pain relief. Use this medication once every 24 hours for the
next three to four days, or as needed. Remember, this socket
should be tested with CEDS for a possible cavitation in six to
eight weeks.
If the pain does not stop, there are two possible reasons: 1)
either the piece of cotton is too large, having expanded when
wet, and causing pain, or 2) the socket has two or more roots
and both need to be treated to the full depth of the site. No
anesthetic is necessary, thus the patient can tell in ten minutes if
the pain has gone away. The patient can also tell when they feel
the treated cotton deep enough in the socket. Patient feedback
is important for proper placement of the cotton.
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