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Symptoms and signs of dry socket include severe pain following tooth extraction, gray-colored tissue around the site of extraction, or lack of a blood clot at the site of extraction. Dry socket symptoms generally occur within a few days of tooth extraction and are usually limited to the oral cavity. Oral symptoms of dry socket may come and go or may be continuous. These symptoms include: Bad breath or foul odor in the mouth. Bleeding from the site of extraction. Bone visible inside the site of extraction. Dental abscess. Gray or dead-looking tissue surrounding the extraction site. Pain at the extraction site.
How is a dry socket diagnosed? Diagnosis of a dry socket is based on history of dental treatment, clinical examination, and the individual's symptoms. Timing of when symptoms begin may be an indicator for a dry socket. During normal healing, the discomfort of an extraction should lessen over time. However, if the pain increases, this is an indication that healing is delayed and could possibly be due to a dry socket. Typically, symptoms for a dry socket develop two to four days after a tooth extraction.