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Taking oral contraceptives or receiving estrogen therapy Poor aftercare Insufficient oral hygiene Infection of the gums (periodontal disease) or supportive bone surrounding the extraction site Having had a dry socket in the past Not seeking treatment for swelling or serious inflammation of the face after tooth extraction Some of the common causes of dry socket include: Not treating or preventing gum disease before and after tooth extraction Using a straw, rinsing, spitting, or smoking a cigarette too soon after the extraction An untreated infection with low-grade fever or swollen glands prior to or after surgery Signs & Symptoms of Dry Socket In most cases, dry socket develops two to four days after the tooth extraction, and the first symptom is usually pain

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These results contribute to the understanding of why students in schools with smoke-free and e-cigarette-free policies are less likely to engage in smoking and e-cigarette use 31-33