Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

162 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Teeth removed. Puffed cigarettes. Any chances of getting dry socket?

Hello. I got a tooth removed, The tooth is located on the right side at the top all the way at the back. I ve had slight discomfort which is to be expected however I m worried about dry sockets. You see i m a smoker. About 4-5 hours after the tooth was removed I had to have a cigarette I took very gentle puffs and exhaled through my nose for this, then another before bed. On the Saturday I smoked about 4-5 using the same methods as above, normally have every meal and after every smoke/meal I would use lukewarm salt water to clean it. I ve also being do that today I have only had three today and cleaning afterwards. I normally smoke about 20 a day so I m drastically cut down and its driving me nuts . What I want to ask you is what are the chances of getting a dry socket now and when can I smoke normally again? That there is no chance of getting a dry socket.
Sat, 30 Mar 2013
Report Abuse
Question is related to
Diseases and Conditions ,   ,  
Drug/Medication
Medical Procedures
Medical Topics
Dentist 's  Response
Hi,

Thanks for asking the query,

If you have done with molar extraction and if pain becomes intense and doesnt go away in few days it may be a sign of dry socket , in this condition the blood clot gets dislodged leaving the bone exposed to air . It is a very painful condition often associated with bad breath and fever .
Smoking ciggarette will delay the wound healing and increase the chances of getting dry socket, complete wound healing after extraction takes at least 3 months .
I would suggest you to quit the habit for atleast 3-4 months .
It is my wise advise to you to leave the habit forever as it may cause many health hazards...

Take tab ibuprofen twice daily .

Visit to your Dentist and get the checkup done , he can clean the socket remove the debris and place a dressing of zinc oxide to promote healing . you probably have to come back to Dentist after sometimes to change the dressing.

At home take saline water gargles 3-4 times , use antiseptic mouthwash gargles twice.
Follow the post extraction instructions properly.

Hope this helps out.

Regards..
I find this answer helpful
Dentist Dr. Neha Gupta's  Response
Hello,
I am Dr. Neha Gupta (dentist) and am glad to address to your query here.

I would hold off on smoking a cigarette for at least two weeks from the time of the extraction. As a health care provider I would encourage you to quit smoking before the time of the appointment to help reduce the risk of post operative complications, and to remain that way.
Your body heals by forming a blood clot which is a matrix for the healing tissue and bone to form on. Cigarettes affect this in many ways, the suction you form on the cigarette itself can pull the clot from the socket and cause dry socket. The smoke is hot and irritating which can cause pain, delayed healing and also dry socket. The chemicals in cigarettes causes vasoconstriction, since the mouth heals through microvasculature, vasoconstriction can cut blood supply to the healing site and delay the healing or even cause failure of the clot from progressively healing leading to once again

Take care and please keep me informed of your progress at healthcaremagic through my profile directly.
Regards
I find this answer helpful

1 Doctor agrees with this answer

Dentist Dr. Bindiya Bhaskar's  Response
Hello,

Thanks for posting your query.

After tooth extraction,extreme care is essential for wound healing .
Smoking can prevent wound healing and usually such practice is not encouraged after tooth extraction.
In your case,chances of developing dry socket is high.
I would suggest you to get a frequent warm saline as well as betadine gargle.
Maintain good oral hygiene.
Antibiotics-analgesics complete course has to be administered.
Hope this helps.
I find this answer helpful
Dentist Dr. Farah Hussain's  Response
hello there ,

After extraction of the teeth , it is strictly instructed to the pateint to avoid smoking , alcohol and consumption of hot food stuffs for 3 to 5 days till the primary healing is completed.

Heat application by hot foods stuffs , smoke or even hot water over the open oral wound delays the healing process by preventing the clot formation .

There are great chances of DRY socket if the normal healing of the wound is delayed .
blood clot from the extraction socket is dislodged and the socket bone is exposed to the oral environment leading to dry socket condition.

i would suggest you to avoid smoking and follow post extraction instructions given by your dentist promptly.

if you experience any pain in the area , please consult your dentist for examination.

i hope this helps,

take care.
I find this answer helpful
Dentist Dr. Anshul Agarwal's  Response
hi.. smoking increases the chances for dry socket as it creates negative pressure in mouth so it can lead to dry socket .

as a doctor i would never advise you to start smoking again but you can start after 10-15 days
I find this answer helpful

1 Doctor agrees with this answer

Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in

doctor1 MD

I got my wisdom teeth removed on Monday and I am 14 and I only got 2 on the left side out. And right now the bottom periodically bleeds and throbs and there also is a flap there too and I can still feel my stitches, I am worried that this is a dry socket, should I go get seen before my follow up appointment with my oral surgeon?.

doctor1 MD

Hi, On Thursday I got two molars removed (both 2nd from back, right bottom side and right top side). I had bleeding that whole day, which was expected. On Friday, I noticed the hole on the bottom of my mouth had a white solid substance in it. As I was paranoid about dry socket, I rushed to the dentist, who assured me it was a clot, and that my wound is healing perfectly. She then put a brown thing (don t know how to describe it) over the hole and told me not to worry about taking it off, and rinsed it with saline. Now, on Sunday, part of the brown thing she put on my hole has started to wear away and fall off. I am also unsure if my top hole has a blood clot, as I cant see up there, but there is no bleeding. I really don t want Dry Socket.. I have little paid there but not more than what I expected, as my teeth were hard to get out. Is everything normal? Thanks!

doctor1 MD

Hello doctor, I had 4 wisdom teeth taken out October 5 (6 days ago). The thing Is mine were still inside the gums and were stitched up once removed. I still have minimal pain but only bite food down with my front teeth, there doesnt seem to be any holes where they are and I was just wondering If can get a dry socket from smoking hookah.

Recent questions on  Dry socket

doctor1 MD

I have a chronic painful infection. The longest I have had without pain in 7 years is the past 12 months. About 5 weeks ago the pain returned & I have been taking 150mg Roxithromycin, the pain initially subsided after 3-4 days but has now returned. This problem started after removal of my wisdom tooth, after which I had dry socket & jaw infection. I have seen 3 dentists, 3 Dr s & a maxofacial surgeon. But I cannot get rid of this problem. I am about to travel overseas for 6 weeks & not sure what to do next.

doctor1 MD

I just had a tooth pulled today and my dentist prescribed taking Azithromycin 250mg. He also removed the crown next to it. My family only believes in alternative treatments . The reason I had the tooth pulled was because I had an infection in the...

doctor1 MD

Should I be worried that my stool is light or tan in color? I had 2 wisdom teeth removed 6 days ago and now have one dry socket, which was treated. I'm 23, male. 6' tall, 197 lbs., in good-great shape. Nurse said I had the heart of a runner. Drink socially, don't smoke. I take Vyvanse 70mg in the morning, mon-fri... Post operation, I was prescribed hydrocodone-5mg and have taken it when going to sleep. Otherwise I'm taking about 8 Ibuprofen a day. Since surgery, my diet has been mashed potatoes, soup, and sorbet/sherbet. I usually eat high protein and take vitamins. My stool has been tan in color for the past two days and has never been this color before. I have no bodily aches or pains and have no trouble sleeping. Should I seek immediate attention? In my case, what could cause this discoloration?

doctor1 MD

I'm a cosmetology student and have accidentally inhaled powdered bleach when mixing several times (it makes a cloud of dust when you pour it). Ever since i've been using it, i'm noticed that my tongue and mouth "taste bad" and my mouth feels like it's burning. At the same time that i was learning to work with this product, i had a tooth pulled, which was traumatic and developed into dry socket, so for the last 3 months i've been thinking the tooth caused the mouth problem. But after being checked by my dentist and an oral surgeon several times, i'm starting to think maybe the chemicals are stuck in my lungs. I will now wear a mask for future highlights, but what to do i do to "clean" my lungs?

doctor1 MD

Hope you can advise. Couple of questions. Stumbled upon this site. I had a back tooth extracted 4 days ago. After extraction, I asked dentist if I would need antibiotic and pain medication. He said it was a smooth extraction and did not think I...

doctor1 MD

Hello? I have a very painful extraction site 7 days post surgery. The site is bottom canine. The gum was VERY recessed and there was deep decay. I see minimal closure in fact buccaneers side it is a visible flap of my gum that is drooped over...

doctor1 MD

I have taken ibuprofen 800mg for the past 7 days every 4-6 hrs, what are some of the side effects if I continue I had my wisdom tooth pulled 7 days ago. And I am still in extreme pain, I was told that I did not have a dry socket but still the pain is extreme..