Smoking is a major risk factor for periodontitis because of its harmful effects on the gums. Nicotine narrows the blood vessels, which reduces the blood supply to the gums. The tissues therefore receive less oxygen and fewer nutrients, which lowers their resistance. Smokers often have fewer symptoms, such as bleeding gums, so periodontitis goes unnoticed. Smoking also reduces the production of antibodies that fight infection. This makes the gums vulnerable to bacterial build-up and the formation of deep periodontal pockets. Stopping smoking can considerably improve the ability of the gums to heal. The periodontist can help with a recovery plan and advice on optimising oral health after quitting. Support from a stop-smoking service can strengthen the motivation to improve both general and oral health. By raising awareness of the impact of smoking, more patients can quit successfully.
Periodontology - Symptoms and Diagnosis
Why are smokers more likely to develop severe gum inflammation?
Smoking reduces the blood supply to the gums and weakens the defence against bacterial infections.

