Dry socket (alveolar osteitis) happens when the blood clot protecting an extraction site is lost too early. It affects roughly 2–5% of routine extractions but up to 20–38% of lower wisdom-tooth extractions. Answer eight questions to see your risk band and a prevention checklist matched to your situation.
Make the next few days easier
Having these basics ready at home makes the first few days more comfortable:
Ice pack head wrap
Hands-free cold therapy for the first 48 hours to limit swelling.
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Bite down gently to control oozing on day 1. Keep extra at home.
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How the score works
Each factor carries a weight drawn from published risk-factor reviews: lower wisdom tooth (+35), other lower tooth (+15), upper/front tooth (+5); heavy smoking (+30) or light smoking/vaping (+20) in the first 48 hours; oral contraceptives (+15); straws, spitting or hard rinsing in the first 72 hours (+20); surgical or difficult extraction (+15); previous dry socket (+15). Scores of 0–25 are low risk, 26–50 moderate, 51 and above high. Severe radiating pain on days 2–5 with a bad taste triggers a “call your dentist today” message regardless of score.
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Related guides
- Tooth extraction healing stages, day by day
- Blood clot fell out after extraction
- Smoking after tooth extraction
- Tooth pain symptom checker
Tool last reviewed: September 10, 2026. Educational use only; see our medical disclaimer.
