Smoking does not rule out dental implants, but it is one of the factors that most reduces their success. Smoking decreases blood supply to the gums, hinders healing and increases the risk of infection and implant loss, especially in the first months. Quitting, even temporarily around the surgery, greatly improves the prognosis.
How tobacco affects an implant
Tobacco smoke reduces the supply of oxygen and blood to the tissues of the mouth. Since the integration of the implant with the bone depends on good healing, that reduced blood flow works against it. Tobacco also encourages plaque build-up and gum inflammation, which over time can lead to peri-implantitis, the main cause of long-term failure.
The most delicate moment: the first weeks
The most sensitive period is the initial healing, just as the bone begins to bond with the implant. Smoking during those days significantly increases the risk of complications. That is why specialists insist so much on avoiding tobacco during recovery, as we explain in the guide on care after a dental implant.
Recommendations if you smoke
- Consider quitting, or at least cutting down as much as possible, in the weeks before and after surgery.
- Take extra care with daily hygiene and cleaning between teeth.
- Attend every check-up: smokers benefit from closer follow-up.
- Be honest with your specialist about your habit, so the treatment can be planned as safely as possible.
What about vaping and heated tobacco?
Although they are often seen as alternatives, they also expose the tissues of the mouth to substances that can affect healing and gum health. As a precaution, the same advice about avoiding use around the surgery applies.
The good news
The body responds quickly when you stop smoking: blood flow to the gums improves in a short time. An implant in an ex-smoker, or in someone who abstains around the surgery, has a much better prognosis than in an active smoker. Caring for the implant afterwards matters just as much for it to last, as we explain in how long a dental implant lasts.
Frequently asked questions
Can I be refused an implant for smoking?
Not usually. The specialist will explain the increased risk and recommend cutting down or quitting, but the decision is made by assessing your case as a whole.
How long should I stop smoking for?
The longer the better. As a minimum, it is recommended to avoid it in the weeks before surgery and during the initial healing.
Does tobacco affect an implant that is already integrated?
Yes, it continues to increase the risk of peri-implantitis in the long term, which makes hygiene and check-ups even more important.
Do you smoke and are considering an implant? We will assess your case with no obligation. Request an assessment.
