Does swelling of gums after root extraction suggest infection or dry socket?

Question

Hello doctor,

I had seven teeth extracted today, just the roots. Anyway, the dentist said there was an infection in two of the teeth. I did not get any antibiotics, but she cleaned the area after.

There is a lot of swelling in that area, and the gums are really red and look like an ulcer. But not much pain. Is this normal? How do I know if it is infected or a dry socket? Or anything else it could be?

Kindly help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern, and I have seen the photos (attachment removed to protect patient identity).

Nothing to worry about. For the swelling, apply a cold pack to the outside of the extraction area. Do not spit or rinse the mouth for a day. Drink lots of water to keep yourself hydrated. Do not suck anything, such as ice cubes, using a straw to have liquid, etc., because it will lead to dislodgement of the blood clot.

Do not see the extraction site every time; it will heal in seven to ten days. After 24 hours of extraction, rinse your mouth with lukewarm saline water three to four times a day; it will help in healing. Additionally, do not smoke or chew tobacco. Do not drink alcohol or sodas. Have semi-solid food for two to three days.

Dry socket is caused by the dislodgement of the blood clot from the extraction socket. In your case, white-colored film is there; that clot is covering the socket. Wait for one more day; if the swelling does not reduce, consult your dentist. If you could provide me with your age, gender, and medical history, I will be able to advise on medication as well.

I hope this helps.

Thank you.