Smoking and Oral Health

October, 2014

Smoking leads to dental problems, including:

  • Bad breath
  • Tooth discoloration
  • Inflammation of the salivary gland openings on the roof of the mouth
  • Increased build up of plaque and tartar on the teeth
  • Increased loss of bone within the jaw
  • Increased risk of leukoplakia, white patches inside the mouth
  • Increased risk of developing gum disease, a leading cause of tooth loss
  • Delayed healing process following tooth extraction, periodontal treatment, or oral surgery
  • Lower success rate of dental implant procedures
  • Increased risk of developing oral cancer

How Does Smoking Lead to Gum Disease?

Smoking and other tobacco products can lead to gum disease by affecting the attachment of bone and soft tissue to your teeth. More specifically, it appears that smoking interferes with the normal function of gum tissue cells. This interference makes smokers more susceptible to infections, such asperiodontal disease, and also seems to impair blood flow to the gums - which may affect wound healing.

Do Pipe and Cigar Smoking Cause Dental Problems?

Yes, like cigarettes, pipes and cigars do lead to oral health problems. According to results of a 23-year long study published in the Journalof the American Dental Association, cigar smokers experience tooth loss and alveolar bone loss (bone loss within the jawbone that anchors teeth) at rates equivalent to those of cigarette smokers. Pipe smokers also have a similar risk of tooth loss as cigarette smokers. Beyond these risks, pipe and cigar smokers are still at risk for oral and pharyngeal (throat) cancers -- even if they don't inhale -- and other oral consequences -- bad breath, stained teeth, and increased risk of periodontal (gum) disease.

Are Smokeless Tobacco Products Safer?

No. Like cigars and cigarettes, smokeless tobacco products (for example, snuff and chewing tobacco) contain at least 28 chemicals that have been shown to increase the risk of oral cancer and cancer of the throat and esophagus. In fact, chewing tobacco contains higher levels of nicotine than cigarettes, making it harder to quit than cigarettes. And one can of snuff delivers more nicotine than over 60 cigarettes.

Smokeless tobacco can irritate your gum tissue, causing it to recede or pull away from your teeth. Once the gum tissue recedes, your teeth roots become exposed, creating an increased risk of tooth decay. Exposed roots are also more sensitive to hot and cold or other irritants, making eating and drinking uncomfortable.

In addition, sugars, which are often added to enhance the flavor of smokeless tobacco, can increase your risk for tooth decay. A study published in the Journal of the American Dental Association showed that chewing tobacco users were four times more likely than nonusers to develop tooth decay.

Smokeless tobacco also typically contains sand and grit, which can wear down your teeth. 

Source: http://www.webmd.com/