If a patient reports pain 72 hours after an extraction, what is the most appropriate action?

When a patient reports pain 72 hours after an extraction, the presence of pain at this timeframe can indicate a couple of potential issues, such as dry socket (alveolar osteitis) or infection. In this context, the most appropriate action involves addressing the potential for dry socket, which is characterized by pain that begins a few days post-extraction due to the loss of the blood clot at the extraction site.

Using eugenol-soaked gauze is a standard treatment for managing dry socket pain. Eugenol has analgesic and anti-inflammatory properties that can help soothe the area and provide temporary pain relief. Additionally, applying gauze can help protect the tissue and create a conducive environment for healing. This approach directly targets the most likely cause of pain at this stage, focusing on effective relief for the patient.

In contrast, prescribing antibiotics may not address the underlying cause of the pain unless there's clear evidence of infection. Relying solely on irrigation may not provide the necessary pain relief or treatment for the potential dry socket. Referring to a specialist typically isn't warranted unless the situation is particularly complex, and scheduling a follow-up in a week may lead to unnecessary prolonged discomfort for the patient without immediate relief.