Can Smokers Get Dental Implants? Yes, But…

September 23, 2026

Patient putting out a cigarette

For many people, smoking is a coping mechanism—a habit formed out of a need for comfort. For others, it started as a social thing and grew into an addiction. Either way, it can make dental care of all kinds, especially dental implants, more complicated. That doesn’t mean you can’t still replace missing teeth; it just means there are real risks you should understand before moving forward.

Why Smoking Complicates Implant Success

Smoking (specifically nicotine) constricts blood vessels, replaces oxygen in red blood cells with carbon monoxide, and damages blood vessels. This restricts blood flow throughout your body, including your gums and jawbone.

Since implants depend on osseointegration—the process where the implant fuses with your jawbone—reduced blood flow can slow or even prevent proper healing. Smoking also weakens your immune system’s ability to fight infection, which raises the risk of complications like peri-implantitis. All of this is to say: smokers have an uphill battle when it comes to implant placement—but it’s not hopeless.

What You Can Do About It

While the success rate of dental implants drops noticeably in smoking patients, there are ways you can improve the odds.

  • Quit or Cut Back: The single most effective thing you can do to improve your chances of success as a smoker is to quit, or at least slow down in the weeks surrounding surgery. Many dentists recommend stopping smoking at least two weeks before and avoiding it for as long as possible during healing.
  • Improve Your Oral Care Routine: If quitting or cutting back is difficult, the next best thing you can do is to step up your oral hygiene game. Be sure to brush twice a day with fluoride toothpaste and floss every night before bed. If you have sensitive gums, a water flosser is a great alternative. You can also ask your dentist for a medicated mouth rinse to improve your oral biome.
  • Drink More Water: In addition to a better oral care routine, you should drink a lot of water throughout the day. This combats the effects of dry mouth that smoking can cause, washes away oral bacteria, and hydrates the cells in your body for improved healing.

Smoking doesn’t automatically disqualify you from getting dental implants, but it does raise the stakes. The best way to find out where you stand is to schedule a consultation and have an honest conversation with your dentist about your habits and options for improving your outcome.

About the Practice

At Dr. Rosenbaum & Associates, our skilled team provides start-to-finish dental implant care. We work closely with all of our patients to improve their candidacy. So, if you smoke, we’re here to help you find a path to success. Call (350) 200-0643 to schedule your dental implant consultation with us or visit our website to learn more.