II. Complications
- Immediate Periosteitis
- Initial post-Tooth Extraction pain due to socket inflammation
- Occurs in the first day after extraction and improves with NSAIDs
-
Dry Socket (Alveolar Periostitis)
- Occurs in 5-20% of Tooth Extractions when blood clot is lost prematurely at the extraction site
- Onset 3-4 days after Tooth Extraction (delayed beyond typical post-extraction pain)
- Associated with halitosis and severe pain, not relieved with Acetaminophen and NSAIDS
- See Dry Socket for management
-
Post-Tooth Extraction Bleeding
- Apply direct pressure to area by biting on gauze or tea bag
- Apply gauze soaked in Tranexamic Acid and held in position for at least 15 minutes
- Surgical Collagen foam may be used in refractory cases
- Insert foam in socket and Suture the socket closed over the top
III. References
- Broderick and Deak (2015) Crit Dec Emerg Med 29(1): 2-8