One of the most important thing for smokers and tobacco users to know is that they typically don’t experience classic symptoms of periodontal disease like non-smokers do.
Typically, periodontal infections cause redness, swelling, and bleeding when brushing or flossing. But people who smoke regularly tend to see tissues that are flat, smooth, and don’t bleed.
This phenomenon can create a “perfect storm” situation, where smokers may never realize they have periodontal disease until the infection is extremely aggressive (often to the point of tooth mobility and loss.) Or it may be that they see their dentist for a traditional checkup and cleaning, only to learn that they have extensive periodontal pocketing and bone loss around their teeth. As you might guess, the latter situation could cause the person to second-guess their dentist, especially if they do not exhibit other symptoms of periodontal disease.
Active periodontal disease increases your risk of cardiovascular disease, including high blood pressure, stroke, and heart attack. Smoking further complicates your health, predisposing you to a higher risk of medical complications. And both conditions can also contribute to respiratory disease.
If you currently smoke, it’s extremely important to see your dentist regularly for periodontal screenings and prophylactic cleanings. When symptoms of periodontitis develop, early treatment is key. Better yet, talk to your dentist or periodontist about a smoking cessation plan to improve your treatment results. Non-smokers are more likely to see a better outcome from their periodontal therapy than people who still use tobacco products. (1) Sadly in some instances, smokers do not see improvement of their condition at all.
Are you behind on your regular dental checkups? You’re not alone. Talk to your dentist or a periodontist today to find out how they can help.
1. Hilgers, K., Kinane, D. (2005). Smoking, periodontal disease and the role of the dental profession. International Journal of Dental Hygiene. 2(2)65-63.