Everyone knows smoking causes lung cancer. It’s closely linked to cardio-pulmonary problems and can cause coughing fits and worsen asthma symptoms. And it’s common knowledge smoking can lead to emphysema and other chronic lung problems. Most people who use tobacco are aware of these risks.
There’s another side effect of smoking that doesn’t get as much attention, and that’s the toll it takes on your dental health. It can significantly weaken both, constricting the blood flow to your mouth and turning it into a breeding ground for bacteria. Not only that, but smoking also may:
At AZ Family Dental, we understand how difficult it can be to stop smoking. We see it every day with the patients at our Glendale, AZ-area family dental practice. Yet many of these patients don’t know how much their habit can hurt their dental health.
That prompted us to put together this guide on why tobacco is so bad for your teeth and gums, along with a few tips for addressing the effects of tobacco on your teeth and gums. Your dentist may be able to restore damage done by smoking.
We’ll start by exploring why smoking is so bad for your teeth and gums.
Tobacco hurts your teeth in many ways. Cigarettes limit your mouth’s ability to fight off infection, which leaves you defenseless against the bacteria produced by smoking. When your mouth can’t fight back, plaque and bacteria fester. This leads to problems ranging from yellowing of teeth to losing them and needing root canals.
When you smoke, you short-circuit your body’s auto-immune defenses. Your body will have a hard time protecting itself. Suddenly, tartar buildup becomes a major issue because your body can’t battle a potential infection. The blood circulation in your mouth decreases sharply when you smoke. Grit in tobacco can also rub teeth and wear away their protective coating of enamel.
It’s not only cigarettes, either. Smokeless tobacco can also cause harm to your mouth, and not just because of the nicotine. Some brands of chewing tobacco use sugar as an ingredient. When you hold the tobacco in your mouth for long periods, you’re exposing your teeth to damaging sugar that can cause tooth decay, beyond all the other problems nicotine can spark.
Smoking cigarettes doesn’t just damage teeth — it can even destroy them. Consider these alarming statistics from the Centers for Disease Control and Prevention:
Interestingly, there appears to be a link between financial concerns and smoking that can compound the impact of tobacco on oral health. The CDC also reports more than half of smokers who had not seen a dentist in the past six months said it was due to financial concerns.
Your teeth grip the cigarettes you smoke and come in direct contact with the dangerous toxins you inhale when you take a drag. It’s little surprise they’re harmed so severely by tobacco. Symptoms of serious tooth problems may include:
These symptoms often lead to even greater side effects from smoking, such as:
The issue can be more than just cosmetic. Smoking can impact the way you chew and how your bite aligns. One study found female smokers lose 1.5 teeth every 10 years, and male smokers lose 2.9.
Smoking has many effects on the mouth that can lead to the weakening of gums and development of periodontal disease. Smokers are 64.2 percent more likely to develop gum disease than non-smokers. More than 40 percent of all periodontal disease in the United States is attributable to smoking. The problem develops when bacteria in the mouth build up in the gum, or soft tissue surrounding the teeth. The gums become inflamed, and soon periodontal disease develops.
Smokers produce more bacterial plaque in their mouths, in part because the nicotine in cigarettes causes a reduction in the amount of oxygen delivered to the soft tissue in the mouth. At the same time, nicotine also constricts blood vessels, which can impact the length of time it takes to diagnose gum disease. When smokers develop an infection of the gums, it’s less likely to bleed, which usually tips off the dentist to its presence. For this reason, smokers’ diagnosis of gum disease can be delayed, and the disease may worsen in the meantime.
Tobacco causes problems with the gums that range from cosmetic to downright painful. Using tobacco in any form, including cigarettes and chewing tobacco, can increase the tartar buildup in your mouth and decrease the flow of saliva, which washes away harmful bacteria. When you smoke, you may notice problems developing with your gums, such as:
These are signs of periodontal disease and should be addressed with your family dentist immediately. They can treat the condition through many solutions that range from simple to complex, such as:
Smokers are eager to know if they can prevent gum disease. Giving up smoking is the best way to fight gum disease, but it’s also important to practice good oral hygiene. Floss daily and brush after every meal using a toothpaste with fluoride. Perhaps the best way to head off future gum issues is to visit your dentist regularly. Your dentist or hygienist can recognize the signs of periodontal disease and work to combat it.
In addition to smoking’s effects on teeth and gums, this habit can have other unfortunate effects on oral health. You increase your risk of developing oral cancer, including cancer of the tongue. Your salivary glands may become inflamed. You can also raise the chance of leukoplakia, or white patches inside the mouth.
If you smoke, dental implants have less chance of being successful. Bone loss may happen in the jaw, and it can take longer for you to recover from oral surgery. This is especially problematic, because you’re more likely to need oral surgery for the problems smoking causes.
Over recent years, e-cigarettes have gained in popularity as a “safer” alternative to smoking tobacco. Proponents claim they drastically reduce the risk of cancer and pulmonary diseases while helping many people quit a habit they never thought they could give up. Is vaping, as e-cig smoking is often called, a better option for your mouth?
The answer is unclear. There has not been a lot of research on the topic. While there are clear benefits to reducing the use of tobacco, which drops the risk of developing oral cancer appreciably, there may be other problems tied to e-cigarettes that have not yet been discovered.
So far complaints about e-cigarettes linked to the mouth have been limited to dryness. Researchers would like to investigate whether the aerosol used for vaping could cause oral hygiene problems. They know toxins exist in the vapor from e-cigarettes, but they believe there are fewer of them than tobacco smoke creates.
It may take years to determine whether e-cigarettes are truly safe, but for now, the smartest course would be to avoid them until more has been learned about vaping. It can take decades to vet new developments such as e-cigs.
Clearly the use of tobacco of any kind — whether it’s smoking or snuff — can be harmful to your gums and teeth. The best solution to this issue is to stop using tobacco entirely.
We know that’s not easy. Many people have tried and failed to quit smoking. It’s not a character flaw — it’s a difficult habit to end. Yet just because you smoke doesn’t mean you should abandon your oral hygiene habits.
Some people get embarrassed to come to the dentist when they smoke. They worry the hygienists and dentists will judge them for using nicotine. They fear lectures on what they should be doing differently.
There’s a reason why fewer smokers visit the dentist: They don’t want to feel guilty. Dentists don’t want you to feel guilty either, and we don’t want to lecture you. We just want to make sure you’re doing everything to keep your mouth healthy, whatever that should be.
If you haven’t quit smoking yet, here are a few dental tips that can help address your dental hygiene problems:
The best thing you can do for your dental health is, of course, to quit smoking. Your dentist or hygienist may be able to offer information on smoking cessation programs or tell you what has worked for other patients in the past. At AZ Family Dental, we recognize that quitting smoking can be one of the most difficult things you’ll ever try to do, and it can take time to work. We work hard to help our patients restore their dental health through a handful of procedures. If you need to restore your smile, we can perform many services at our Phoenix-area office, including:
AZ Family Dental welcomes all patients to our practice, whether you’re a smoker or non-smoker. We have helped many patients deal with gum disease and tooth issues caused by smoking. We can help with cosmetic dentistry procedures to restore your teeth to their former luster. Contact us to schedule a visit today.