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Oral Surgery/had molar pulled out.


I had a molar pulled out on 2/21 i have some on and off pain that tylenol or ibuprofen takes care of. y question is i took a picture of my mouth where the extraction happened number 14  and m worried its not healing right. I heard you get alot of pain if its a dry socket. Where the extraction happened it appears on my phone to be gary around the edges and possibly black in the middle. I didn't eat anything other than jello and pudding until the oral surgeons office said i could when i asked them and i didn't rinse until after 24 hrs
Is the tenderness, the pain that tylenol takes care of., and the color of the extraction site normal?

Danielle, Thank you for your question. Extraction sockets can look a bit odd the day after an extraction, especially if you are not use to looking at them. The tooth #14 is on the top and a dry socket on the top is a very low risk. The highest risk of developing a dry socket in on the lower back teeth. As long as you don't have any pain, you should be healing appropriately. I would recommend to see your surgeon to have them look at it if there is some concern. I am not able to tell you if your site is healing appropriately without examining you. I hope that helps

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James M. Ryan. DDS, MS; Board Certified Oral and Maxillofacial Surgeon


Dr. Ryan's expertise is in the field of Oral and Maxillofacial Surgery. Specifically, Dr. Ryan is an expert in Orthognathic Surgery. He holds uniques experience as the former Assistant Program Director of the Oral and Maxillofacial Surgery Residency Training Program at Washington Hospital Center where he trained residents to perform these complicated surgical procedures. Additionally, Dr. Ryan also has a tremendous amount of experience in reconstruction of the maxillofacial skeleton related to trauma and tooth loss. Dr. Ryan is an expert in 3 dimensional treatment planning for Orthognathic Surgery, Dental Implant Surgery and Wisdom Teeth removal. To learn more about Dr. Ryan, his full profile can be seen at


Diplomate of the American Board of Oral and Maxillofacial Surgery with current hospital affiliations at: Washington Hospital Center Holy Cross Germantown Hospital National Institute of Health/NIDCR

American Dental Association. American Association of Oral and Maxillofacial Surgeons. District of Columbia Society of Oral and Maxillofacial Surgeons. District of Columbia Dental Society. American Board of Oral and Maxillofacial Surgeons. Health Volunteers Overseas.

Journal of Oral and Maxillofacial Surgery Journal of The American Dental Association

S.U.N.Y @ Stony Brook- B.S. in Biochemistry, Stony Brook, NY. Northeastern University- M.S. in Perfusion Technology, Boston, MA. D.D.S.- New York University College of Dentistry, New York, NY. Certificate and Chief Resident- Washington Hospital Center, Washington, DC. Clinical Fellow- The Johns Hopkins Hospital, Baltimore, MD.

Awards and Honors
Dr. Ryan has received numerous awards including: 2006 American Association of Oral and Maxillofacial Surgeons Dental Student Award, Washington Hospital Center 2008 Nurses' Choice Physician Collaboration Award, 2009 Resident Research Summit Scholarship Award, and the 2011 Outstanding Surgical Attending in the Department of Oral & Maxillofacial Surgery at Washington Hospital Center. He has also authored/coauthored and published several journal articles and held several teaching positions,including assistant professor, while at NYUCD.

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