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A dry socket can occur within three days after an extraction after a blood clot falls out of the socket. Without the blood clot present, the bone is exposed, which is extremely painful. A dry socket causes radiating pain up and down the face and pain upon drinking cold water or breathing in cold air. It is imperative to keep the blood clot in the socket until the bone has a chance to fill the socket and essentially heal. Without the blood clot, the socket will take longer to heal and it will be quite painful during that period of time. A dry socket is exposed bone â some of the worst pain there is.
How to Know if You Have a Dry Socket. The best differentiator between normal extraction pain and dry socket pain is timing. Post extraction pain peaks and wanes within a 24 hour period, but dry socket pain peaks three to five days after the extraction and will take weeks to go away unless treated by a professional. Symptoms also include bad breath, an earache, and an unpleasant taste in the mouth.