Why don't Dentists routinely stitch after extraction?

[opalescent]

I'm sure there is an obvious answer, but it has always baffled me.
My dad had a large lower molar removed on Monday, and has gone on to develop dry socket.
Exactly the same thing happened to me last year, despite painstaking aftercare. In fact, my dentist warned me to pretty much expect it, saying that lower extraction sites usually go that way.

Caring for a huge gaping hole is so stressful, trying to eat and avoid getting debris in it etc etc.

Surely the whole thing would be easier if larger extraction sites were routinely stitched? Then you'd have a closed wound- much easier to keep clean, and much more likely to heal with out hideous dry socket complications??

Bump

It's not the part of the body that I specifically know about but I suspect it's like leaving dent/hole from an abscess open or packed - if closed, infection may develop inside and socket is meant to heal from base upwards to prevent pockets of infection

Ahh yes that makes sense! I guess you can't really stitch a wound that is essentially a cavity?

Yes I think that's why and the mouth is quite full of bacteria.

The hole doesn't have gum to close as the tooth was there. So it would not be closed by stitches.
Closing it fully would mean raising the gums either side and moving the gum in. This is a lot more painful afterwards. The area always tends to swell a bit afterwards and if it is closed up again it's more painful if it's held by stitches.
A dry socket is not caused by infection it's inflammation of the bone. Closing the gum doesn't help this. Dry socket is usually influenced by difficulty of extraction, site in the mouth, smoking and loss of the clot.

I had both lower wisdom teeth surgically extracted. I has some stitching where the had to incise my gum to get them out as they were sitting at an angle. I read up on dry socket extensively as I was terrified of it (the pain sounds horrendous). I managed to escape it, the thing is I was never told about it or warned what to look for. I think the aftercare advice should be a bit more detailed. The booklet I got didn’t mention it just earned against smoking, swishibg water in first 24 hours and using a straw. Some people must get it and think it’s just part of the pain from extraction so delay getting help. As it was I got an infection and wanted to pull my own head off.