Smoking is one of the biggest risk factors for gum/periodontal disease. It increases both risk and severity. Smokers have deeper pockets and more bone loss. This can all lead to loose teeth and tooth loss. As the nicotine affects the blood vessels in the gums, bleeding gums is not common in smokers.
Although smokers do still benefit from gum treatment, it has an effect on the predictability. To ensure optimal outcomes, an important part of gum treatment is helping smokers quit. There are specific programmes that can be implemented which triple the chance of stopping compared to trying alone/using over-the-counter products. We always take a team approach when treating gum/periodontal disease.