Hi Inalotofpain,

A few things can be going on. It is best to see a "private" oral surgeon, not a general dentist. The surgeon will handle the situation differently than the general dentist.

1) It needs to be determined if there is a piece of tooth or root tip remaining in the bone. If there is, it could be a source of chronic infection. Depending on where it is located in the bone, it could be embedded near a nerve canal which would cause relentless pain.

2) If the tooth was infected or root canaled prior to the extraction, then there could be a residual bone infection that needs to be addressed by an oral surgeon.

3) If the initial blood clot did not form properly or was disturbed inside the socket after the extraction, you can develop a condition called Alveolar Osteitis or dry socket. This can be a very relentless and painful condition. It needs to treated by an oral surgeon.

4) It is also possible that you have developed a condition called Osteomyelitis which is an inflammation of the bone due to infection. Routine antibiotics usually will not be helpful with this type of infection. Depending on the severity, sometimes a combination of meds or antibiotics via an IV are warranted. The surgical site would need to be biopsied and cultured to determine the bacteria that is present so the proper antibiotic can be prescribed.

If you are rinsing with anything other than salt water, stop. Mouthwash or other chemical rinses cause dryness and irritation to occur resulting in infection and delay in healing.

If you smoke, stop. The toxic chemicals in the tobacco will cause infection and prevent healing.

Eating sugar or drinking sugary drinks will not help with the healing and are best to avoid. Eating a nutritious diet and drinking plenty of water throughout the day are beneficial irrelevant of the problem.

It is best to consult with an oral surgeon and a "private" practicing one as the care is usually more thorough.

I hope you have a resolution soon.
Bryanna