Most people know that smoking is harmful to their lungs and heart, but far fewer realize the long-term damage it can cause to their gums, teeth, and overall oral health. As Periodontists, we regularly see the consequences of tobacco use—especially in patients seeking dental implants or treatment for gum disease. Understanding how smoking affects the gums and what can be done to improve treatment outcomes is essential for preserving oral health and ensuring the success of dental procedures.
The Link Between Smoking and Gum Disease
Smoking is one of the most significant risk factors for periodontal (gum) disease. It impairs blood flow to the gums, thereby reducing the body’s ability to fight infections and heal wounds. Smokers are more likely to develop plaque and tartar buildup, which can lead to inflammation of the gums (gingivitis) and progress to more serious conditions like periodontitis.
Once gum disease takes hold, it can cause bone loss around the teeth, gum recession, and eventually tooth loss. Smokers may not even notice the early signs because nicotine masks bleeding and inflammation, making it harder to detect problems until they are advanced.
Smoking and Dental Implants: A Risky Combination
For patients considering dental implants, smoking poses a unique challenge. Dental implants require healthy bone and gum tissue for successful integration and long-term function. Unfortunately, smoking can compromise both.
Smoking Cessation: Improving Outcomes and Quality of Life
The good news? Quitting smoking can significantly improve your oral health and the success rate of periodontal and implant treatments. Even short-term cessation before surgery can enhance healing and reduce the risk of complications. Our protocol includes cessation of smoking 2 weeks before procedures and continuing for 8 weeks postoperatively.
We encourage patients to explore smoking cessation strategies as part of their treatment plan. Here are several evidence-based options
This is why we refer to the relationship as “bi-directional”: diabetes worsens gum disease, and gum disease can worsen diabetes. Comprehensive care can interrupt this cycle.
Our Commitment to Your Health
At Portland Perio Implant Center, we are committed to helping our patients achieve long-lasting oral health — and that includes addressing modifiable risk factors, such as smoking. If you are a smoker considering dental implants, we want to work with you, not against you.
Our team will guide you through risk assessment, help you understand your treatment options, and support your efforts to quit smoking. It’s never too late to make a change. Quitting smoking doesn’t just benefit your teeth and gums—it improves your overall health and enhances your quality of life.
Take The First Step
Whether you’re considering dental implants or need advanced periodontal care, we’re here to help. Contact Portland Perio Implant Center today to schedule your consultation and learn how we can support you on your journey to better oral health — smoke-free.
