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The periodontal ligament comes out attached to the extracted tooth. The rare times it does not come out, it is easily scooped out when the surgeon curettes the socket before suturing or placing a gauze pack over the wound. A patient who believes a tooth extraction site needs to be vigorously cleansed at home risks dislodging the clot at the bottom of the socket and when that happens, the bone is exposed. You want to know how much pain you can tolerate? Try a dry socket. Your bad breath due to necrosis of the bone will curl the hair on all who converse with you, and the throbbing will make you want to seek out the local drug pusher for quick relief.

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