You may have a dry socket if you experience the following signs and symptoms within 1 to 5 days after a tooth extraction:

• Severe, persistent, throbbing pain at the extraction site that may radiate to your ear, eye, temple, or neck on the same side as the extraction

• Noticeable loss or absence of the blood clot in the socket, making the socket appear empty or dry, sometimes with visible bone

• Bad breath or a bad taste in your mouth that does not go away

• Slight fever or swelling around the extraction area

• Difficulty opening your mouth or talking due to pain or swelling

Dry socket pain typically starts a few days after the tooth is pulled, often 2 to 3 days later, and is more intense than normal post-extraction discomfort. The pain may not be relieved fully by over-the-counter pain medications

. If you suspect you have dry socket, it is important to see your dentist or oral surgeon promptly. They can diagnose the condition by examining the extraction site and may take X-rays to rule out other issues. Treatment usually involves cleaning the socket, placing a medicated dressing, and providing pain relief or antibiotics if needed

. In summary, the key indicators of dry socket are severe pain starting a few days after extraction, an empty or dry-looking socket without a blood clot, bad breath or taste, and pain radiating beyond the extraction site