Oral and Maxillofacial Surgeon Questions Oral & Maxillofacial Surgery

How does smoking affect oral surgery?

I am a 38 year old smoker and I will have oral surgery. How does smoking affect oral surgery?

17 Answers

it can delay healing and lead to complications, most typically a "dry socket"
You have to stop if you are having any oral surgery. It prohibits proper healing and can make implants fail and extractions not heal well.
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Smoking reduces your ability to heal and increases the chances you will get a dry socket. Please don't smoke after your surgery.
Smoking can slow the healing after oral surgeon. can also cause dry socket after extraction which is usually very painful, and require immediate attention.
Smoking decreases blood flow to the mouth and can cause delayed healing and dry socket
Tobacco is also associated with catecholamines release resulting in vasoconstriction, affects postoperative wound healing following surgical and non surgical tooth extractions, implants, periodontal therapies, thank you
Nicotene is a vasodilator and causes prolonged bleeding following any surgical procedure.
If you had a tooth extracted need to avoid smoking for 24-48 hours after extraction because it would cause dry socket which is very painful
The chemicals in cigarette smoke causes vasoconstriction (a construction of the blood vessels in your mouth). The decrease in blood flow inhibits the healing process. Smoking following a tooth extraction also increases your risk of a dry socket (a very painful complication which causes delayed healing, a bad odor in your mouth, and difficulty in opening you mouth) the inhalation process causes the blood clot to dislodge which leads to bone exposure and disrupted healing. I recommend not smoking a minimum of 48 hrs after an extraction.
Smoking will delay healing after oral surgery because it interferes with the clotting mechanism and irritates the healing tissues. Research has shown less than favorable outcomes after surgery for smokers.
It can slow healing and significantly increase the risk of a dry socket.
Smoking is like cooking your mouth. When you cook a roast its called convection heating which means hot air. So if you smoke its like putting your mouth in an oven.This is not what you should do after surgery, or ever.
One of the main reason smoking is discouraged after oral surgery is that it increases the chance of a dry socket. When a tooth is removed a blood clot forms in the empty socket. Not only does the clot help stop bleeding but it also helps “insulate” or cover the exposed bone of the socket. The inhalation during smoking creates pressure and creates a vacuum that can disrupt the clot. The bone underneath that is no longer protected then begins to hurt, this is referred to as a dry socket. This can happen from smoking as well as drinking through a straw, and even vigorously swishing, basically anything that can disrupt the clot or interrupt the healing if process. We all know smoking is bad for us, but after oral surgery it can cause even more problems!

Smoking can 1. Pull the blood clot out by creating a negative vacuum which can delay healing and/or cause painful healing such as a dry socket. 2. It decreases blood supply which is needed for proper/timely healing 3. It decreases oxygen to the healing site which is also needed for proper/timely healing.
Hope this helps!

Best Regards,

Andrew Adly, DDS
The nicotine in any type of cigarette device interferes with healing. Healing after any type of oral surgery is delayed, if you are smoking after an extraction, chances are you may have a dry socket No matter what we say to the patient, patients will smoke. Many of them will get a dry socket. GUM DISEASE INFECTION IS MORE DESTRUCTIVE if a patient smokes. Smoking causes problems with mouth and throat surface tissues. Some problems you may have include mouth and throat lesions - pre-cancerous lesions. Smoking, depending on the INDIVIDUAL, is a health threat.

Smoking delays the healing process. Nicotine narrows the blood vessels and the “healing factors” in the blood are delayed in getting to the surgical site. Smoking also increases the chance of getting a dry socket.

Hope the oral surgery helps you out well. Smoking slows the body's ability to heal. If you are having teeth extracted at the same time, smoking afterwards puts you at risk of having dry socket. Dragging on a cigarette causes a pressure change in your mouth which could dislodge the blood clot after an extraction. Hope this helps.

Best of luck to you!

William F. Scott IV, DMD