Since you had no pain or discomfort for the first 4 days and your dentist examined the extraction site on day 5 and confirmed that the clot and healing tissue looked normal, that is reassuring.
The pain starting after the examination could be due to temporary irritation of the healing tissues from the instrument used during the check-up. Some soreness can also occur around this stage of healing.
However, because the pain is new and continuous, it is important to monitor it. If the pain becomes progressively worse, severe or throbbing, particularly if it radiates towards the ear/temple, it could indicate a complication such as dry socket, which commonly becomes symptomatic a few days after extraction.
Next Steps
* Monitor the pain over the next 24–48 hours.
* Take the pain medication prescribed by your dentist, if required and if you have no contraindications.
* Avoid touching, probing or repeatedly checking the extraction site.
* Continue following your dentist’s postoperative instructions.
* Contact your dentist for a review if the pain does not start improving within 24–48 hours or continues to worsen.
Health Tips
* Maintain gentle oral hygiene around the area, but avoid directly brushing the socket.
* If you were advised to use warm salt-water rinses, rinse very gently—don’t vigorously swish or spit.
* Avoid smoking/vaping and alcohol during healing.
* Avoid hard, crunchy or very hot foods that could irritate the area.
* Some tenderness during healing is normal, but increasing pain after initially being comfortable deserves a review, especially if accompanied by bad taste/breath, increasing swelling, fever or discharge.