Dental Hygiene/dry socket

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Question
wisdom tooth extraction 1
wisdom tooth extractio  

wisdom tooth extraction 2
wisdom tooth extractio  
Hello ,
I had an extraction of my wisdom tooth 36 hours ago and i would describe it as a smooth one , which i carried on with my daily activities afterward  . I smoked a cigarette 12 hours after the extraction while placing a wet gauze on the healing wound . The last signs of blood in my saliva where 24 hours after the extraction and after that i believe there were no signs of bleeding . However although i have felt no pain or experienced a swollen cheek . I am a bit concerned that i may be having some signs of dry socket , what makes me think so is the white thing surrounding the hole , I am not sure if it is normal or it is an early sign of dry socket or some type of infection . I have not been prescribed any antibiotics by my dental surgeon . I would appreciate it if you please offer and insight as to whether I should be worried.

Thank you very much

Answer
Hi Sam,

Of course I can't be positive of a diagnosis without actually seeing you, but my best guess tells me you do not have a dry socket.  My opinion is based upon the fact that  you don't have the pain associated with a dry socket.  Furthermore there does not appear to be any exposed bone in the socket as would be present in a dry socket situation.

That is a great photo you sent and it enables me to make this educated guess.

Regards,
Larry Burnett DDS
Lburnett2 @comcast.net.

Dental Hygiene

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Larry Burnett DDS

Expertise

I can answer questions about prevention, elimination of, and non surgical treatment of periodontal diseases and early tooth decay. I can't answer questions concerning dental insurance payments.

Experience

Taught hygienists in a major dental hygiene school for about 20 years. Taught hands on courses concerning these categories to Dentists and Hygienists throughout the US and Canada including repeat lectures at the Annual Scientific Sessions of A.D.A. and A.G.D over several years. Personal hands on delivery of preventive hygiene services to disadvantaged children through a mobile school based prevention program.

Publications
RDH Magazine, Parkell, Dental India and some places of which I'm not aware.

Education/Credentials
Medical College of Virginia ( VCU) School of Dentistry.

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