Aim: The aim of this study is to evaluate the risk factors associated with the development of dry socket following tooth extractions. Materials and methods: Participants were aged between 18 and 60 years, with exclusions for those with coagulopathies, bleeding disorders, pregnancy, breastfeeding, or medications affecting wound healing. Baseline demographic data, including age, sex, and medical history, were recorded, alongside preoperative oral hygiene assessments and smoking status. Scaling was performed before surgery. The extraction procedure details, including technique and duration, were meticulously documented to explore associations with dry socket development. Data analysis was done using SSPS software. Results: The study included 50 participants, with an age distribution of 68% (n=34) between 18-40 years and 32% (n=16) between 41-60 years. In terms of gender, 46% (n=23) of the participants were male, while 54% (n=27) were female. Among the study participants, 25 out of 38 individuals with dry socket were smokers, compared to only 4 out of 12 in the non-dry socket group, with a statistically significant P value of <0.003. Additionally, poor oral hygiene was observed in 18 participants with dry socket, whereas only 1 participant without dry socket had poor oral hygiene, showing a significant association with a P value of 0.002. Conclusion: Smoking and poor oral hygiene were identified as key risk factors for dry sockets, highlighting the importance of preoperative counseling and preventive measures. Keywords: smoking, dry socket, pain