Dental Implants for Smokers:
Honest Risks, Real Options
Smoking affects implant success rates. We won't pretend it doesn't. But most smokers still achieve good outcomes with the right approach. Here's the straight talk.
88-93%
success rate for smokers
95-99%
success rate for non-smokers
From £28
per month with finance
No judgement. Just the facts.
If you smoke and you're looking into dental implants, you've probably read conflicting advice. Some sources say smoking makes implants impossible. Others gloss over the risks entirely. Neither is helpful.
The truth is straightforward: smoking increases the risk of implant failure, but most smokers still get successful results. The key is understanding the risks, following a modified protocol, and being realistic about what you can commit to around surgery.
We treat smokers regularly and will never refuse you treatment or lecture you about your choices. What we will do is give you an honest assessment and the best possible plan for your situation.
Smokers have a 7-12% higher risk of implant failure than non-smokers
That means 88-93% of implants in smokers still succeed. The risk is real but manageable. Temporary cessation around surgery, careful placement, and regular monitoring significantly close the gap.
Source: Journal of Dental Research
What Smokers Actually Want to Know
"Will you refuse to treat me because I smoke?"
Some clinics do decline smokers. Others don't mention the risks at all. Neither approach serves you well.
We treat smokers. We'll explain the risks honestly and modify our protocol to give you the best chance of success. We ask for a smoking cessation window around surgery (2 weeks before, 8 weeks after), but we won't turn you away.
"I can't quit smoking. Is there any point?"
Quitting isn't easy, and some patients feel that if they can't quit permanently, there's no benefit to trying.
Even temporary cessation helps significantly. Stopping for the 10-week window around surgery dramatically improves healing. Reducing consumption at any time improves outcomes. And many patients find that getting new teeth becomes motivation to quit for good.
"How do I know if the implant is failing?"
Smokers are understandably more anxious about complications. Signs of trouble can be subtle, and early intervention is critical.
We monitor smoking patients more closely. You'll have check-ups at 1, 3, 6, and 12 months after placement. Signs to watch for include persistent pain, swelling, or looseness. If caught early, most complications can be resolved without losing the implant.
"What about bone healing? I've heard smoking slows it down"
Nicotine restricts blood vessels, reducing blood flow to the surgical site. Less blood flow means slower delivery of nutrients needed for bone healing.
This is the main clinical concern, and it's why we modify the protocol. Wider implants increase initial stability. Longer healing periods allow for slower integration. And the cessation window around surgery coincides with the most critical healing phase.
How Smoking Status Affects Outcomes
| Quit Completely | Reduce + Cessation Window | Continue Smoking |
|---|---|---|
Implant success rate | ||
| 95-99% | 90-95% | 85-90% |
Healing time | ||
| Standard (3-6 months) | Slightly longer | Longer, more monitoring needed |
Risk of peri-implantitis | ||
| Low | Moderate | Higher |
Long-term prognosis | ||
| Excellent | Good | Fair, requires careful maintenance |
Our recommendation | ||
| Best outcome possible | Strongly recommended minimum | We'll still treat you, with honest risk counselling |
| Quit Completely | Reduce + Cessation Window | Continue Smoking | |
|---|---|---|---|
Implant success rate | 95-99% | 90-95% | 85-90% |
Healing time | Standard (3-6 months) | Slightly longer | Longer, more monitoring needed |
Risk of peri-implantitis | Low | Moderate | Higher |
Long-term prognosis | Excellent | Good | Fair, requires careful maintenance |
Our recommendation | Best outcome possible | Strongly recommended minimum | We'll still treat you, with honest risk counselling |
Modified Protocol for Smokers
How we adjust the process to maximise your chances
Consultation and honest risk assessment
We assess your oral health, bone density, and smoking history. You'll get a clear picture of your personal risk level and what we can do to reduce it. No judgement, just facts.
Pre-surgery cessation window
We ask you to stop smoking at least 2 weeks before implant placement. This allows blood flow to normalise and gum tissue to improve. We can provide information about nicotine replacement therapies to help.
Implant placement with modified approach
We may use wider or longer implants for additional stability. Placement technique accounts for potentially lower bone density. Sedation is available if the cessation period is making you anxious.
Post-surgery cessation window
The most critical healing phase. Continuing to avoid smoking during this period is the single biggest factor in your implant's success. We provide support and check-ins throughout.
Enhanced monitoring
More frequent check-ups than standard patients: at 1, 3, 6, and 12 months. Early detection of any issues means early intervention, which dramatically improves outcomes.
Total estimated treatment time: Same timeline as standard treatment, with added cessation windows and monitoring
Ready to Explore Your Options?
Quick, no-judgement assessment
Smoking and Implants: Your Questions Answered
Can smokers get dental implants?
Yes. Smoking increases the risk of implant complications but does not prevent treatment. Success rates for smokers are lower (88-93%) compared to non-smokers (95-99%), but the majority of smoking patients still achieve good outcomes with appropriate protocols.
Do I have to quit smoking before getting implants?
Quitting is strongly recommended but not strictly required. At minimum, we ask patients to stop smoking for 2 weeks before and 8 weeks after surgery. This cessation window significantly improves healing and implant integration. We can help connect you with smoking cessation resources.
How does smoking affect dental implants?
Smoking restricts blood flow to the gums and bone, which slows healing after surgery. It also increases the risk of peri-implantitis (infection around implants) and can reduce the bone's ability to fuse with the implant. The more you smoke, the higher the risk.
What if I can't quit smoking completely?
Reducing consumption helps. Patients who cut down to under 10 cigarettes per day have better outcomes than heavy smokers. We're honest about the risks but will work with you regardless. The temporary cessation around surgery is the most critical period.
Are there special implant protocols for smokers?
Yes. We may use wider or longer implants for additional stability, plan for slightly longer healing periods, and schedule more frequent monitoring appointments. Some smokers benefit from sedation to manage anxiety during the cessation window.
What about vaping and dental implants?
Vaping is less harmful than smoking for implant outcomes, but nicotine in any form still restricts blood flow and can affect healing. If you've switched to vaping, your implant prognosis is generally better than for cigarette smokers, but nicotine-free periods around surgery are still beneficial.
What Our Patients Say
Real stories from real patients who transformed their smiles with Dental By Design
Best dental practice in the world. From the outset total honesty great pricing and the warmest welcome ever. All information given well in advance and surgey advice aftercare excellent. Do not hesitate to contact them for a full examination where you get to see your own scans for an honest proffesional conversation about your dental needs. They are in the profession as they care about their paitents not how much they charge. The reception staff and practice manager are stars.
Response from Dental By Design
Thank you for your wonderful review. We are really glad you felt welcomed, well informed, and supported with clear advice and aftercare. Your kind words about our reception team and practice manager mean a lot to us.
10/17/2026
I spent the whole day with Dr Yasser and team, watching him work his magic on a patient who was having full mouth surgery. I am an implant dentist with over 25 years of experience. He is very approachable, It was a real pleasure chatting. He has a great knowledge with regards to implants. Thank you for sharing your experience and knowledge. Dr Thomas Olivelle
10/16/2026
What I loved was the expertise and honesty shown by the dentist who advised me.
Response from Dental By Design
Thank you, Sarah. We’re so pleased you appreciated Dr Yasser’s expertise and honest advice. Taking the time to explain your options clearly is important to us. We appreciate you sharing your experience at Dental by Design.
10/14/2026
Good Service Good Attitude with the Custome
Response from Dental By Design
Thank you, Manuel! We’re pleased you enjoyed the service and our team’s friendly approach. We look forward to welcoming you back to Dental by Design in Hammersmith, London!
10/14/2026
I was initially devastated when I discovered that one of my front teeth was becoming loose. Therefore, I was concerned about getting an implant that was not only strong and reliable but also looked as natural as possible. Despite my case being particularly challenging, Dr Yasser went above and beyond to achieve the best possible result, making sure I felt comfortable throughout the entire process. I genuinely cannot thank him and the entire Dental by Design team enough for their care. They turned what was initially a devastating situation into a much more positive experience. I honestly couldn’t have chosen a better dentist or clinic!
Response from Dental By Design
Thank you for such a heartfelt review! 💙 We’re so pleased Dr Yasser and the team helped turn a difficult and worrying situation into a positive experience, and that you felt comfortable throughout your care.
Thank you for placing your trust in us. We’ll make sure Dr Yasser and the whole team hear your lovely words!
The Dental by Design Team
10/10/2026
I had an excellent experience at Dental by Design with Luis, who is without doubt the best hygienist I have ever had. He was extremely professional, caring and gentle, and took the time to make sure I felt completely comfortable throughout my appointment. I am sending my entire family to him now. Thank you
Response from Dental By Design
Thank you for your lovely review, Mehrnaz! 💙 We’re delighted that Luis’s gentle, caring approach helped you feel comfortable throughout your appointment. We’ll be sure to share your kind words with him.
Recommending us to your whole family means so much. We look forward to welcoming them too!
The Dental by Design Team
10/07/2026
Response from Dental By Design
Thank you for taking the time to leave us a rating Robert. We appreciate your feedback here at Dental by Design in Hammersmith, London!
10/07/2026
I saw Rob Jung this morning, he was highly professional and their dental practice is state of the art. Their X ray machine is the best I have experienced so far. No biting into metal objects in your mouth just a simple putting your chin on something and the machine takes a picture of your entire mouth in seconds. Very impressed and looking forward to having my implant. Highly recommend this practice.
Response from Dental By Design
Thank you, Naz. We are glad you had such a positive visit with Dr Rob Jung and that you were impressed by the technology and how comfortable the scan was. We look forward to supporting you with your implant and we appreciate the recommendation.Thank you, Naz. We are glad you had such a positive visit with Dr Rob Jung and that you were impressed by the technology and how comfortable the scan was. We look forward to supporting you with your implant and we appreciate the recommendation.
10/07/2026
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