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The most common complication of tooth extraction is dry socket, also known as alveolar osteitis or fibrinolytic osteitis. A dry socket occurs when a blood clot, which normally covers the bottom of the empty socket, fails to form or breaks down before the healing process is completed. The bone and nerves are exposed to the elements. When the extraction site is irritated by food debris or other particles, the pain can be excruciating. Flushing out the socket. Flushing out the socket can remove any food particles or other debris that may contribute to pain or possible infection. Medicated dressings. Your dentist or oral surgeon may pack the socket with medicated gel or paste and medicated dressings. These can provide relatively fast pain relief. The severity of your pain and other symptoms will determine whether you need dressing changes and how often or if you need other treatment.