Dry socket typically causes pain on the second to fourth day following a dental extraction. Other causes of post extraction pain usually occur immediately after the anesthesia/analgesia has worn off, (e.g., normal pain from surgical trauma or mandibular fracture) or has a more delayed onset (e.g., osteomyelitis, which typically causes pain several weeks following an extraction). Examination typically involves gentle irrigation with warm saline and probing of the socket to establish the diagnosis. Sometimes part of the root of the tooth or a piece of bone fractures off and is retained in the socket. This can be another cause of pain in a socket and causes delayed healing. A dental radiograph (X-ray) may be indicated to demonstrate such a suspected fragment.
Alveolar osteitis
Osteonecrosis of the jaw
Osteomyelitis
Osteoradionecrosis
Osteochondrosis
Osteitis
Medication-related osteonecrosis of the jaw
Osteochondritis