Do you always get dry socket after wisdom teeth removal

No. Dry socket is not inevitable; it occurs when the extraction clot is lost or breaks down early.

The socket normally contains a blood clot that protects bone and nerves. Dry socket, or alveolar osteitis, leaves the socket inflamed.

Follow post-extraction instructions, avoid smoking, and do not disturb the clot with suction or forceful rinsing.

Worsening pain, foul taste, or pain spreading toward the ear needs an examination. Irrigation and a medicated dressing may help.

Ask whether the clot is present, how to rinse, and whether a dressing needs review.