Following dental extractions, dry socket/alveolar osteitis is a very crippling, excruciatingly painful, but rather frequent condition. For all normal extractions, its incidence is roughly 3%, but for impacted mandibular third molars, it can be as high as 30%. In the literature, a number of strategies for managing and preventing this illness have been proposed. Most of these recommendations are empirical and not supported by data. Various conventional methods are used for management of Alveolar osteitis like gels, rinse, and medicated gauze. Use of novel methods can prove to be more effective in treatment of Alveolar osteitis since it provides local delivery of drug with sustained and controlled release, low dose thus leading to reduced side effects with a better patient compliance compared to conventional methods. Rinsing the socket with chlorhexidine (74% or saline; placement of a non-resorbable obtundent dressing (56%); and instruction in home chlorhexidine rinsing (44%). This is one of the most researched topics in dentistry, and it is currently being studied at the Dublin Dental School and Hospital. Over the years, little progress has been made in reaching firm conclusions about how to best manage dry socket. Our recommendations are based on a review of the literature, which we believe is the best available evidence for guiding our clinical practice.