Concerned over tooth extraction site. Help

[Lintongirls]

Can anyone tell me if this looks OK? I went in because I had an abcessed tooth and took augmenting for a couple of weeks prior to extraction. Upon extraction at the dentist, a simple extraction lead to one that lasted over two hours of banging and cutting with only local anesthesia. I've been in pain since, but Its getting worse instead of better. I have allow grade temperature and feel generally worm out and can not sleep well because of the pain. I'm on a different antibiotic now. My dr can't fit me in and my dentist is off and honestly I don't want to go back in to her after this right now. Should I go to the er?