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Dentistry · Oral surgery: dry socket
Sample itemThree days after a difficult mandibular molar extraction, a patient has escalating severe pain, halitosis, and an empty socket with exposed bone. What is the most likely diagnosis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Alveolar osteitis
Alveolar osteitis, or dry socket, results from loss or breakdown of the socket blood clot and commonly presents with severe pain several days after extraction. Local irrigation and dressing are typical supportive measures.
Option by option
A. Temporomandibular dislocation
TMJ dislocation causes inability to close the mouth rather than socket pain.
B. Alveolar osteitis (correct)
Correct. Timing, exposed socket bone, and severe pain are classic for dry socket.
C. Postoperative hematoma
A hematoma presents with swelling and blood collection rather than an empty painful socket.
D. Acute sinusitis
Sinusitis causes facial pressure and nasal symptoms.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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