Dry socket occurs most commonly as a complication following a tooth extraction.
According to Dental Gentle Care, dry socket develops in approximately 5 percent of dental patients, and results in pain. Smoking can increase the chance and prolong the effects of dry socket.
Significance
According to Dental Gentle Care, a dry socket develops within two to three days of oral surgery. It occurs when the blood clot formed at the site of extraction is lost and the bone is exposed. This leaves the bone vulnerable to liquids, air and food. It can cause severe pain, as well as a bad taste and odor in the mouth. The discomfort is easily treated but may last for up to five days.
Function
Dental Gentle Care explains that the proper formation of a blood clot at the site of extraction is important as it enables new tissue and bone to develop properly. The total healing process takes around two months, but if it is slowed by an action such as smoking, it can take up to six months for the bone to heal.
Effects
Smoking can worsen and prolong dry socket, according to Dental Health Index due to the sucking action involved. Smoking reduces the amount of oxygen that reaches the site of the extraction. This slows down healing and dries the socket. You should not smoke for the first 48 hours after a tooth extraction.
Prevention/Solution
According to the Mayo Clinic website, treatment for dry socket involves flushing out the socket to remove debris, application of a medicated dressing to help with pain relief, pain medication and continued self-flushing with a syringe of saline solution. Symptoms should completely resolve within five to 10 days.
Warning
If you have recently had oral surgery, particularly the extraction of a molar, you should avoid smoking, sucking through a straw, sneezing and solid food for 24 hours. You can prevent dry socket by stopping smoking at least 24 hours prior to oral surgery, and using an anti-bacterial mouthwash prior to and immediately after extraction.


