This is one of the most common questions we hear from patients who smoke and are considering dental implants. The honest answer is: it's complicated — but not necessarily impossible.
Why Smoking Is a Problem for Implants
Dental implants fuse to the jawbone through a process called osseointegration. This requires good blood flow to deliver healing cells and nutrients to the surgical site. Nicotine is a potent vasoconstrictor — it narrows blood vessels, reducing circulation to the gums and bone.
The result: smokers experience slower healing, increased risk of infection, higher rates of peri-implantitis (infection around the implant), and significantly higher implant failure rates. Research consistently shows that smokers have implant failure rates roughly 2–3 times higher than non-smokers.
So — Are Implants Still Possible?
Yes, for many smokers — with important caveats. Dr. Burton evaluates each patient individually, considering:
- How much you smoke (heavy vs. occasional)
- The health of your existing bone and gum tissue
- Your overall health status
- Your commitment to cessation protocols around surgery
The "Smoking Cessation Protocol"
Most implant specialists recommend stopping smoking at least one week before surgery and for at least two months after — ideally permanently. This window allows osseointegration to proceed more safely. Patients who commit to cessation have outcomes much closer to non-smokers.
Schedule a consultation with Dr. Burton to discuss your specific situation. We'll be honest about the risks and help you make an informed decision about your best path to a complete smile.