Why i still have a tooth pain after dry socket treatment( medicated dressing )?

How long?: How long has it been since the dry socket paste was placed into the socket? It takes some time for the medication to work and for the healing process to resume. However, depending upon the circumstances, you should discuss this issue with your dentist who may need to replace the medication and make sure there is no infection and that everything is on the path to recovery.

Yes & no depends.: An oral surgeon is best able to answer this. I am an orthodontist, however a dry socket is an area where a tooth has been removed where the blood clot is lost and bone is exposed: it hurts. You should go to the dentist/surgeon and have it packed with iodoform gauze, each day for several days in a row. If you do not return for replacement or it is lost, pain will resume.

Likely infection: The topical pain killers in dry socket dressings are designed to provide quick acting and sometimes short term relief while the underlying infection starts to resolve. Since that infection can take up to a week to resolve, it is common for pain to recur and require replacement of the dry socket dressing a few times while managing the condition. Systemic painkillers like Ibuprofen are very helpful.

Happens: Some dry sockets are worse than others. Some require multiple packings. If you haven't been treated by an oral surgeon, ask your dentist for a referral to an oral surgeon. Oral surgeons very experienced with management of difficult dry sockets.

The Dentist or Oral Surgeon that did your extraction is responsible for your post-surgical care. Get into contact with him/her. Your surgical site may be still infected and the medicated dressing may have to be replaced. Until you get to see your practitioner, take OTC pain meds as per package instructions.