J Korean Assoc Oral Maxillofac Surg 2018; 44(2): 52~58
Dry Socket Etiology, Diagnosis, and Clinical Treatment Techniques
John Mamoun
Private Practice, Manalapan, NJ, USA
John Mamoun
Private Practice, 100 Craig Road, Suite 106, Manalapan, NJ 07726, USA
TEL: +1-732-4312888 FAX: +1-732-6378224
E-mail: mamounjo@gmail.com
ORCID: http://orcid.org/0000-0002-9975-5141
Received March 8, 2017; Revised May 28, 2017; Accepted June 10, 2017.; Published online April 30, 2018.
© Korean Association of Oral and Maxillofacial Surgeons. All rights reserved.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Dry socket, also termed fibrinolytic osteitis or alveolar osteitis, is a complication of tooth exodontia. A dry socket lesion is a post-extraction socket that exhibits exposed bone that is not covered by a blood clot or healing epithelium and exists inside or around the perimeter of the socket or alveolus for days after the extraction procedure. This article describes dry socket lesions; reviews the basic clinical techniques of treating different manifestations of dry socket lesions; and shows how microscope level loupe magnification of 6× to 8× or greater, combined with co-axial illumination or a dental operating microscope, facilitate more precise treatment of dry socket lesions. The author examines the scientific validity of the proposed causes of dry socket lesions (such as bacteria, inflammation, fibrinolysis, or traumatic extractions) and the scientific validity of different terminologies used to describe dry socket lesions. This article also presents an alternative model of what causes dry socket lesions, based on evidence from dental literature. Although the clinical techniques for treating dry socket lesions seem empirically correct, more evidence is required to determine the causes of dry socket lesions.
Keywords: Alveolar, Dry socket, Fibrinolysis, Osteitis
Fig. 1. Example of a maxillary posterior dry socket lesion surrounded by a viral outbreak. Although the outbreak may theoretically increase generalized inflammation around the dry socket, it is unknown if the outbreak increases pain or the duration of the dry socket or is only coincident with the lesion.

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