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Understanding Dry Socket Dry socket, or alveolar osteitis, is a common complication after tooth extraction, particularly for smokers: What is Dry Socket For Smoking After Tooth Extraction and How To Avoid It Dry socket is a real pain (literally) and can totally ruin your recovery after a tooth extraction

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53,54 Of note, nicotine itself has no effect on the CYP enzymes, and nicotine replacement formulations do not affect the serum levels of coadministered medications like tobacco smoking does

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