Procedures,  Q&A

Smoking After Tooth Extraction?

This article is a part of our Q&A series in which we give detailed answers to our readers' questions. Have a question? Don't hesitate and send it to us to get a detailed answer!

Tooth extraction is a common dental procedure. After undergoing this procedure, it’s crucial to follow specific aftercare instructions to promote proper healing and prevent complications. One of the most critical aspects of post-extraction care is avoiding smoking. We explain why it’s essential to refrain from smoking after tooth extraction and offers advice for managing the recovery process.

How Long to Wait Before Smoking

While it’s best to quit smoking altogether, if you are a smoker, it’s recommended that you refrain from smoking for at least 48 to 72 hours after tooth extraction. However, waiting even longer reduces the risk of complications.

Understanding the Risks of Smoking After Tooth Extraction

Delayed Healing

  • Smoking causes constriction of the blood vessels, which can impair the blood flow to the healing site. This restricted blood flow can delay the healing process.
  • Tobacco smoke contains harmful toxins that can cause further irritation to the extraction site and hinder the body’s ability to heal effectively.

Dry Socket

  • After a tooth is extracted, a blood clot forms in the socket as a natural part of the healing process. This clot is essential as it protects the bone and nerves underneath.
  • When you smoke, the sucking motion and the chemicals in tobacco can dislodge this blood clot. Without the clot, the socket is exposed, leading to a painful condition known as dry socket.


Smoking weakens the immune system. Combined with the toxins in tobacco, this makes smokers more susceptible to infection after tooth extraction.

Tips for Managing the Recovery Process as a Smoker

  • Plan Ahead: Before undergoing the tooth extraction, make plans to help you refrain from smoking for as long as possible. This might include using nicotine patches, speaking to a doctor about medications that can help you quit, or enlisting the support of friends or support groups.
  • Keep Your Mouth Clean: While you should not directly rinse or spit vigorously for 24 hours after the extraction, keeping your mouth clean is crucial. After 24 hours, you can start rinsing your mouth gently with a warm saltwater solution (1/2 teaspoon of salt in 8 ounces of warm water) several times a day to reduce inflammation and bacteria.
  • Follow All Post-Extraction Care Instructions: Follow all the care instructions provided by your dentist. This might include taking prescribed medications, avoiding certain foods, and refraining from strenuous physical activity for a few days.
  • Seek Medical Attention if Necessary: If you experience severe pain, swelling, or any signs of infection such as pus or foul smell, seek dental care immediately.

Bottom Line

Smoking after tooth extraction can significantly increase the risk of complications and delay the healing process. It’s highly recommended that you refrain from smoking for at least 48 to 72 hours after the procedure, though waiting longer is even better. Proper post-extraction care, which includes avoiding smoking, is crucial for a smooth and complication-free recovery. If you’re struggling to quit smoking, consider speaking with your healthcare provider about strategies and resources to help.

This Q&A series article is complete and was published on July 16, 2023, and last updated on July 16, 2023.

Leave a Reply

Your email address will not be published. Required fields are marked *