Board Review: Dental Problems
A 35 year old female presents to the Emergency Department with sudden onset of right lower dental pain. Patient had a dental extraction for a dental carie 5 days ago. What is the most likely diagnosis?
A. Acute Necrotizing Ulcerative Gingivitis
C. Dental Abscess
D. Alveolar Osteitis
E. Post-Extraction Pain
Answer is D - Alveolar Osteitis (Dry Socket)
Loss of healing clot leads to pain and inflammation 3-5 days post extraction.
Post extraction pain usually occurs within 24 hours (Choice E).
Treatment = Dry socket paste and follow up in 24 to 48 hours. Some dentists recommend antibiotics.
More on dental issues can be found here.