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Smokers and tobacco users smoking is the single biggest risk factor for dry socket due to the suction involved and the chemicals in smoke that impair healing Women taking oral contraceptives estrogen can interfere with clot formation Patients with poor oral hygiene prior to extraction Extractions of lower wisdom teeth the anatomy of the lower jaw makes these sockets more prone to dry socket Patients with a previous history of dry socket Those who did not follow post-extraction instructions, including accidental rinsing, spitting, or straw use Patients with certain systemic conditions affecting healing, such as diabetes If you fall into one or more of these categories and have accidentally rinsed, it is especially prudent to contact your dental office for guidance rather than waiting to see what develops

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