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More likely a dry socket if: Very intense pain without fever or pus Painful socket with visible bone exposure Socket that appears empty or hollow More likely an infection (suppurative alveolitis) if: Presence of pus Fever Significant, diffuse inflammation Swelling of the gums and cheek Throbbing pain Persistent bad odour Marked fatigue Uncontrollable pain Signs of infection Difficulty opening your mouth Recurrence of bleeding Numbness (possible nerve involvement) In Quebec, care is provided by an oral and maxillofacial surgeon, either in an oral surgery clinic or in a hospital setting