Very glad to hear that you did not do the apico.... you are right, it would not have cured anything irrelevant of the tooth being cracked or not. The most reliable option to remove the infection is to have the tooth extracted.
About the dry socket..... At your appointment, I would remind your dentist before he removes the tooth that you had a dry socket once before and do not want to go through that again. It's just a way to leave him with that as his last thought before he removes the tooth so he takes special care to help prevent that from occuring again.
Some things you can do to help prevent a dry socket are....
.....If you smoke, don't. At least wait until the gum tissue heals closed completely. Smoking causes a decrease in oxygen which inhibits the blood clot from forming properly and disrupts the healing process. When the blood clot is disturbed, the bony socket becomes dry and infected.
.....Do not rinse your mouth for the first 24 hours. Then at 24 hours begin gently rinsing with warm salt water about 4 times a day, every day for the first 3 weeks. Each day slowly get a little more aggressive with the rinsing.
....Do not rinse with anything other than salt water. No mouthrinse or mouthwash. Salt water is the best!
....Do not drink alcohol until the gum tissue closes over completely. Alcohol is a drying agent and it will prevent the blood clot from doing it's job.
....Drink plenty of water from a cup, don't use a straw.
....Make sure you eat a soft, nutritious diet.
... If you take vitamins, do not take them 24-48 hours prior to the surgery. Begin taking them again the night of the surgery. The reason to hold off is because some supplements thin the blood which can cause more bleeding than necessary.
I always encourage my patients to plan ahead as much as possible so that they don't have to think about it at the time. One less stress to worry about!
Please let us know how you are doing... ~'.'~
Originally Posted by Millerprof
Thanks for your info! I went to an appointment today to have the tooth assessed and as I thought, it's infected with a bunch of bacteria harboring. They offered me an apioectomy which didn't sound like a great option (besides leaving the diseased tooth, there's no guarantee it will even work, and if they got in there and found the tooth to be cracked, which I think it is, the tooth would have to go anyway). I've decided to get the tooth pulled Friday and get on with healing. I also started some antibiotics so I'm hoping that will make me feel a tad better. I had a terrible experience last year with a dry socket, so if you have any good tips on how to prevent this again I'd appreciate it. Not looking forward to Friday, but looking forward to getting the yuck out of my mouth!