After a tooth extraction, some discomfort is normal. But if you’re still in pain after a week or things start to feel worse instead of better, it might be more than just slow healing. You may be dealing with a bone infection, and it’s essential to recognise the signs early.
In this guide, we’ll help you understand what’s normal, what’s not, and what to do if you suspect something’s wrong, especially if you’re experiencing pain after 7 days post-extraction.
What’s Normal After a Tooth Extraction?
Let’s start with what healing is supposed to look like:
The First 24–72 Hours
- Some bleeding is normal in the first few hours.
- Swelling peaks around day 2 or 3 and then should decrease.
- Pain should be dull and decrease a little each day.
- A blood clot forms in the socket—this is crucial for healing.
You should feel gradual improvement. If things are getting worse, it may be a sign of trouble.
When Pain After 7 Days Isn’t Normal
If you’re still dealing with sharp pain, especially one that feels like it’s getting worse around your jaw, ear, or temple, take it seriously.
Warning Signs Include:
- Pain that returns or intensifies around day 5–7
- A bad taste or smell from the extraction site
- Throbbing that doesn’t go away with painkillers
- Radiating pain to nearby areas
Here are the signs and symptoms of infection after a tooth extraction:-
| Day | Normal Symptoms | Warning Signs |
| 1–3 | Mild pain, swelling | Heavy bleeding, severe pain |
| 4–6 | Decreasing discomfort | Bad breath, growing swelling |
| 7+ | Minor soreness at most | Fever, pus, sharp pain |
Sometimes, the pain in your jaw or face can suddenly switch to a feeling of numbness. If you notice this or any other unusual symptoms, Call Your dentist right away.
Signs of a Bone Infection You Shouldn’t Ignore
Here’s What to Watch For:
- Throbbing or stabbing pain, especially after Day 5
- Swelling that keeps growing instead of going down
- Pus or a white/yellow discharge at the site
- Fever, chills, or general fatigue
- Bad breath that won’t go away
- Trouble opening your mouth or chewing
These symptoms need urgent care. Infections can spread quickly if left untreated.
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Dry Socket vs. Bone Infection: What’s the Difference?
Not all pain indicates an infection. You may have a dry socket, which is a painful but less severe condition.
Key Differences:
- The dry socket starts 3–5 days post-extraction.
- You’ll notice an empty-looking socket, with no visible blood clot.
- Pain is localized and sharp but doesn’t usually involve fever or pus.
On the other hand, a bone infection typically:
- Appears later (Day 5–7+)
- Includes swelling, pus, and systemic symptoms like fever
If you’re not sure, call your dentist. Don’t try to guess.
What to Do If You Think You Have an Infection
The worst thing you can do is wait it out.
Take Action Now:
- Call your dentist or an emergency dental provider
- Avoid using over-the-counter antibiotics or rinsing aggressively.
- Follow any instructions your dentist gave you closely
- You may need prescription antibiotics or additional cleaning
Infections that reach the jawbone can spread, damage nearby teeth, or even enter the bloodstream. Fast action matters.
What You Can Eat After a Tooth Extraction
Eating the wrong foods too early can trigger problems like dry sockets, or even infection.
Stick With:
- Mashed potatoes
- Applesauce
- Lukewarm soups
- Yoghurt and soft pasta
- Scrambled eggs
Avoid:
- Chips, nuts, seeds
- Acidic foods like citrus
- Spicy items
- Hot liquids
- Sucking through straws (this can dislodge the clot!)
If your pain returns while eating, consult your dentist—it may be a sign of an infection after tooth extraction.
How to Stop Bleeding After a Tooth Extraction
If you’re still bleeding hours after your extraction, here’s what to do:
- Bite on clean gauze for 30–45 minutes
- Swap out the gauze if it becomes soaked
- Try biting on a damp tea bag (the tannins help clotting)
- Sit upright and avoid spitting, rinsing, or touching the site
If bleeding persists after a few hours, call your dentist.
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Frequently Asked Questions
Q: How To Eliminate an Infection After Tooth Extraction Surgery
A: First thing—call your dentist. They’ll likely prescribe antibiotics, pain medication, and a rinse to keep the area clean. Ice packs on your cheek can help reduce swelling. It’s best to stick to soft foods and drink plenty of water. If it’s severe, your dentist may need to drain it to help it heal more quickly.
Q: How long does pain usually last after a tooth extraction?
A: For most patients, pain peaks within the first 2–3 days and steadily improves. You shouldn’t feel worse after a week.
Q: What does a dry socket look like?
A: It looks like a hole with no blood clot—you may see white bone. The pain is sharp and focused at the site.
Q: Can a bone infection spread?
A: Yes. If left untreated, infections can spread to other parts of the body through the bloodstream. This is rare, but serious.
Q: When should I be worried after a tooth extraction?
A: If you experience pain after 7 days, worsening swelling, pus, fever, or difficulty chewing, seek dental care immediately.
Q: What does an infection after tooth extraction look like?
A: You might see swelling, pus, or redness. It could smell bad or leave a weird taste. If pain returns after a few days or your face feels puffy, contact your dentist.
Q: How do you prevent an infection after tooth extraction?
A: Follow your dentist’s instructions—don’t smoke, avoid straws, eat soft foods, and rinse gently if told to. Keep the area clean and let your mouth heal without messing with it.
Conclusion
Healing after a tooth extraction shouldn’t be a guessing game. If your pain is getting worse, not better—it’s time to act. An infection after tooth extraction can become serious fast, so don’t wait it out.
📍If you’re in San Antonio, TX, and need fast help or a second opinion, our friendly dental team is just a call away.
👉 Call today to book your appointment —same-day visits are available.