Can you get dry socket if the blood clot remains?

Yes: The typical presentation of a dry socket is one in which the blood clot has dislodged from the socket. However, dry socket is really just an inflammation in the bone surrounding the socket, and this can happen either with or without a clot. Analgesic medication and socket dressings are helpful in relieving symptoms until the natural healing process leads to resolution of the condition.

Probably not: Dry socket is caused by the premature loss of the blood clot in the extraction socket and the subsequent exposure of the bone to the oral cavity. It is essential that the clot remains for proper healing.

Not likely: "dry socket" occurs when the blood clot fails to mature properly and thus the body begins to break it down.