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A diagram of dental implant at Periodontal Associates. Dental implants are a highly effective solution for lost teeth. Crowns mimic natural teeth in their form and function and titanium posts bond with and stimulate your jaw bone, allowing the Dental Implants to act just like a natural tooth would.

Unfortunately, implants can occasionally fail, and if this happens we will need you to come in so we can repair or replace them.

The Structure of an Implant


Most dental implants are made of a titanium post that is embedded in the jaw bone, a ceramic crown that acts as a replacement tooth and an abutment that connects the post and the crown. If one of these parts loosens or breaks, all three can become compromised.

Titanium is usually chosen for implants because it bonds with the jaw bone in a process known as osseointegration. If this process doesn't occur properly then you'll end up with an implant that isn't firmly in place. This will lead to problems later on.

Signs that an Implant May Fail


If the bone doesn't grow around the implant in the right way, mobility is often the primary signal that the implant may fail. This mobility is often very slight at first and usually only a dentist can see it, but as time goes on an implant that hasn't integrated properly can shift when you chew or speak. Implants that have failed completely with frequently.

Other warnings signs of impending failure include pain, inflammation, and infection, but these do not always occur. If Dr. Eshraghi notices that your implant is moving, he may conduct an x-ray to make sure the bone is growing. If the implant is failing, the x-ray may reveal considerable bone loss around the metal area.

Repair and Replacement


In cases where the implant crown becomes cracked or detached, it is an easy matter for us to attach a new, or make any other repairs if necessary. However, if the damage to the implant is too severe, we will need to remove and replace it.

It is easy for us to remove a failed dental implant, but we will need to use a local anesthetic for this procedure. Once the implant is removed Dr. Eshraghi will carefully clean the area. Then we can begin the process of inserting a new implant, making careful note of what went wrong the first time. If there is enough healthy bone in the same area, we won't need a bone graft.

However, in cases of significant bone loss, we may need to place a bone graft to improve the site of the removed implant before placing a new one. Once the bone graft is complete, your mouth may need several months to heal before we can put in a new implant. During the healing period, Dr. Eshraghi may ask you to quit smoking, postpone cancer treatment or make other lifestyle adjustments that will reduce the risk of the next implant failing as well.

Always remember to take good care of your implants by brushing and flossing daily. Also take care to eat a balanced diet and abstain from using your teeth as tools, as this can chip them. If you experience any problems with your Dental Implants, contact us right away.

If you have any other questions or concerns, please give us a call at (503) 620-2807.
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Home Smoking and Periodontal Disease Risks and Treatments

Smoking & Periodontal Disease Risks and Treatment Options



Woman smokingSmoking has serious consequences for your oral health—especially your gums. Smoking and periodontal disease are closely connected, with smokers facing a much higher risk of developing, accelerating, and poorly recovering from gum disease. At Periodontal Associates, we specialize in diagnosing and treating gum disease in smokers, offering personalized care to preserve your oral health.



The Link Between Smoking and Periodontal Disease



Nicotine and other tobacco chemicals have a powerful impact on gum health. One of the most immediate effects of smoking is the restriction of blood flow to gum tissue, caused by nicotine-induced vasoconstriction. This reduced circulation limits the gums’ ability to fight off infection and repair damage.

Smokers are far more likely to develop periodontitis compared to non-smokers. Studies consistently show that smoking causes gum disease by weakening the immune response and increasing the likelihood of bacterial buildup. What makes this worse is that smoking can mask common symptoms—such as bleeding gums—leading to a delay in diagnosis and treatment.

Without adequate blood supply and immune defense, the gums are less resilient, more prone to infection, and slower to heal, setting the stage for chronic inflammation and advanced periodontal breakdown.



How Smoking Worsens Periodontal Disease



Once gum disease has started, smoking acts as fuel to the fire. Smoking and periodontal disease together accelerate tissue destruction and bone loss.

Nicotine increases the presence of harmful bacteria while reducing beneficial microorganisms in the mouth. This imbalance encourages deeper periodontal pockets and quicker connective tissue breakdown. The toxins in tobacco interfere with cell function and collagen production, both of which are essential for healthy gums and successful treatment.

Treatment outcomes for smokers are often less favorable. Whether through non-surgical scaling or surgical intervention, healing tends to be delayed and complications more common. Compared to non-smokers, those who smoke are far more likely to experience continued gum deterioration—even after treatment.



Signs of Gum Disease in Smokers



Recognizing gum disease in smokers can be difficult, as some of the typical signs may be hidden by the effects of smoking. Reduced blood flow masks early symptoms like bleeding, which is often the first warning sign in non-smokers.

Here are the most common signs to watch for:

•  Receding Gums - Gums pull away from the teeth, exposing roots and causing sensitivity.

•  Persistent Bad Breath - Caused by bacteria buildup and gum infection.

•  Loose Teeth or Bite Changes - Indicate advanced tissue and bone loss.

•  Minimal Bleeding - Smoking restricts blood vessels, making bleeding less noticeable even when infection is present.

Even in the absence of bleeding, smokers should not ignore subtle signs of gum changes. Regular dental exams are critical for early diagnosis and effective intervention.



Periodontal Disease Treatment for Smokers



At Periodontal Associates, we offer specialized periodontal disease treatment tailored to the unique needs of smokers. Treatment focuses on removing bacteria, controlling infection, and supporting tissue regeneration.

Common treatment options include:

•  Scaling and Root Planing - Deep cleaning below the gum line to remove hardened plaque and bacteria.

•  Antibiotic Therapy - Topical or oral antibiotics used to treat persistent infections.

•  Periodontal Surgery - Flap surgery or grafting procedures for advanced tissue or bone loss.

•  Frequent Maintenance Visits - Cleanings every 3–4 months to monitor and maintain gum health.

Because healing may be slower in smokers, treatments are often performed over longer timelines and include closer follow-up care. Our team develops customized plans to support both healing and long-term gum stability.



How Quitting Smoking Improves Gum Health



Giving up tobacco is one of the most powerful steps you can take to protect your gums. Gum health after quitting smoking shows significant improvement, even in long-term smokers.

When smoking stops, blood circulation to the gums improves, and the immune system begins to recover. This boosts the body’s natural healing process and enhances the effectiveness of any periodontal treatments.

Benefits of quitting include:

•  Faster Healing - Enhanced response to deep cleanings and surgery.

•  Reduced Inflammation - Gums become less red, swollen, and tender.

•  Lower Risk of Tooth Loss - Progression of gum disease slows dramatically.

•  Improved Breath and Oral Comfort - Bacteria levels stabilize, and tissue health returns.

Research shows that within weeks of quitting, former smokers begin to see gum health improvements and a greater chance of reversing early gum disease.



Preventive Care for Smokers and Former Smokers



Whether you’ve quit recently or are still smoking, proper oral hygiene is essential to prevent further gum damage. Our dental team emphasizes at-home and in-office care that targets the specific challenges smokers face.

Preventive care tips include:

•  Brush Twice Daily - Use a soft-bristled toothbrush and fluoride toothpaste to avoid gum irritation.

•  Floss or Use Interdental Brushes - Remove plaque between teeth where gum disease often begins.

•  Antiseptic Mouthwash - Choose alcohol-free options like chlorhexidine to reduce bacteria without dryness.

•  Regular Dental Visits - See your dentist or periodontist every 3–4 months for cleanings and evaluations.

We may recommend additional tools like electric toothbrushes or special toothpaste for sensitive gums. Early intervention remains the most effective way to protect your oral health.



When to See a Dentist for Smoking-Related Gum Issues



If you notice changes in your gums, don’t wait for symptoms to worsen. Dental treatment for smokers should begin as soon as warning signs appear—or even earlier if you’re at high risk.

Here are signs it’s time to schedule a visit:

•  Persistent Bad Breath - A sign of bacterial overgrowth.

•  Gum Recession - Teeth appear longer or feel more sensitive.

•  Loose or Shifting Teeth - May signal advanced bone loss.

•  Gum Pain or Swelling - Can indicate infection even without bleeding.

At your visit, our team will conduct a comprehensive periodontal exam with X-rays and pocket measurements. From there, a personalized treatment plan will be created. In complex cases, we may refer you to a periodontist for advanced care.



Book an Appointment for Periodontal Care



If you're concerned about your gums and have a history of smoking, don’t delay care. At Periodontal Associates, we offer expert periodontal care for smokers that’s tailored to your unique oral health needs.

Our team will assess your condition, explain your options, and build a plan designed for better long-term outcomes—even if you’re still smoking. Early treatment offers the best chance for preserving your teeth and protecting your smile.

Call (503) 620-2807 to schedule a consultation and learn more about gum disease treatment for smokers.



FAQs



Can smoking cause gum disease even if I brush regularly?


Yes. While brushing and flossing help reduce plaque, smoking impairs blood flow and immune function, making it easier for gum disease to develop and harder for your body to fight it off—even with good hygiene.


Is gum disease reversible for smokers?


In early stages like gingivitis, gum disease can often be reversed with professional cleanings and improved home care. However, more advanced cases like periodontitis require ongoing treatment. Quitting smoking increases the success of any treatment.


How often should smokers see a dentist?


Smokers should visit the dentist every 3 to 4 months for cleanings and periodontal evaluations. Frequent visits help catch gum disease early and prevent progression.


Will quitting smoking stop gum disease from getting worse?


Yes. Quitting smoking improves blood flow, boosts immune response, and significantly slows the progression of gum disease. It also increases the effectiveness of treatment and reduces your risk of tooth loss.
Periodontal Associates in Beaverton, OR

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Smoking & Periodontal Disease Risks and Treatment Options
Discover how smoking impacts gum health and explore treatments for periodontal disease caused or worsened by smoking. Learn steps to protect your smile.
Periodontal Associates, 17895 NW Evergreen Pkwy, #150, Beaverton, OR 97006 | (503) 620-2807 | portlandimplantdentistry.com | 11/17/2025 | Page Phrases: dental implants Beaverton OR |