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
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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
Great experience at Dental by Design. The reception staff are friendly and welcoming with lovely smiles. Dr. Yasser is brilliant at his job, very professional and gentle as was his assistant nurse, Adriana, so kind and reassuring when I got nervous. She put me at ease. My smile is back. Would definitely for sure recommend them. Thank you.
08/08/2026
The whole experience was even better than I expected. As someone who has always been afraid of visiting the dentist, Dr. Rob Jung immediately made me feel at ease. The professional care and attention I received from him and his entire team were truly exceptional. The smile that Dr. Rob gave me has genuinely changed my life, and I cannot thank him enough for his skill, kindness, and dedication. I am so grateful for the outstanding treatment and support I received throughout the process. I would highly recommend Dr. Rob Jung and his team to anyone looking for excellent dental care. Varsha Mehta
Response from Dental By Design
Thank you so much, Varsha. We are delighted to hear that your experience was even better than expected, especially knowing that visiting the dentist has not always been easy for you.
Dr Rob Jung and the whole team will be so pleased to know they helped you feel at ease and supported throughout your treatment. It means a great deal to hear that your new smile has made such a positive difference to your life.
Thank you again for your kind words and recommendation. We are truly grateful you chose Dental by Design.
08/06/2026
Response from Dental By Design
Thank you so much, Dagmara, for your 5-star review! We’re delighted you had a positive experience with the team at Dental by Design in Hammersmith, London. Your support means a lot to us.
08/04/2026
From the moment I entered I felt at east here. Having had a lot of dental issues since being young, Dr Nistor made me completely at ease. He talked me through the whole procedure and was reassuring and kind. His expertise shown through and his explanation of the procedure was excellent.
Response from Dental By Design
Thank you so much for your kind review, Kathleen. We understand how daunting dental treatment can feel, especially after experiencing dental problems from a young age, so we’re delighted that Dr Nistor helped you feel comfortable and reassured from the moment you arrived.
He will be very pleased to hear that his clear explanations, kindness and expertise made such a positive difference to your experience. Thank you for trusting Dental by Design in Hammersmith, London, with your care. We look forward to welcoming you back and supporting you throughout the rest of your treatment journey! 😊
08/01/2026
I was made to feel very comfortable from the start of my consultation. Robert was able to make me feel relaxed and talked me through all my options. Then on to the business manager Livi who was so kind and explained what the next steps were very patient with me while I was working everything out Look forward to my next visit where I won’t have to have teeth envy anymore cause I’ll be the one smiling from ear to ear .
Response from Dental By Design
Thank you so much for your lovely review, Susan. We’re delighted that Robert helped you feel relaxed and clearly explained all the options available to you, and that Livi made the next steps feel easier with her kindness and patience.
Everyone at Dental by Design in Hammersmith, London, is looking forward to welcoming you back and helping you achieve the smile you’ve been waiting for. It won’t be long before you’re the one smiling from ear to ear! 😊
07/30/2026
Since breaking most of my front teeth and damaging the rest as a teenager in Leeds and living around the country since leaving home in the late 70s, I’m pretty familiar with dentists! I discovered over a year ago that old implants had failed and become infected. I needed complete replacements (and more!). Two other practices I contacted failed me too: difficultly getting appointments, expensive and overly protracted processes - that didn’t really get anywhere . . . etc. But, they say you have to kiss a lot of frogs before you find your prince or princess - and I eventually found both, in Dr Yasser and nurse Adriana at Dental by Design! Complete double arch implant surgery and badly infected bone was never going to be easy - but the whole team, from reception and initial interview to surgery made it the smoothest-running dentistry I have ever experienced. Walking in, It’s more like a design office reception than a dental surgery! Dr Yasser is jovial, good-humoured, even avuncular - but there’s no nonsense. Definitely, no BS! I felt very confident I was in the right hands. Nurse Adriana clearly knew what she was doing and the two, working as a great team, maintained very good contact with me through the longest surgery I’d ever had. I came out exhausted but smiling, with my temporary bridges - fitted the same day. That was a week ago - and after-care has been great . . . I’m so glad I kissed those first two frogs before finding this place! Thank you.
Response from Dental By Design
Thank you so much for taking the time to share such a thoughtful and detailed review, Nick. We’re sorry your journey before finding us was so difficult, but we’re delighted that you finally felt confident and well cared for at Dental by Design.
Dr Yasser, Adriana and the entire team will be so pleased to hear your kind words. Complete double-arch dental implant surgery, particularly following failed implants and infection, can feel overwhelming, so it means a great deal to know that everything from your first consultation through to surgery and aftercare felt organised, reassuring and supportive.
We’re especially pleased that you left smiling with your temporary bridges fitted on the same day. Thank you for trusting our team in Hammersmith, London, with your care. We look forward to supporting you throughout the rest of your smile journey, and we’re very glad those frogs eventually led you to us!
07/29/2026
My experience of my consultation. I had a lovely experience at dental design although I was very nervous there was no need to be i was treated so well and given all the information I needed could not have been happier and so well inform of the whole process. Looking forward to returning for the treatment.
Response from Dental By Design
Thank you so much, Sarah! We’re delighted to hear that our team helped you feel comfortable and well informed during your consultation, especially as you were feeling nervous beforehand. We look forward to welcoming you back to Dental by Design in Hammersmith, London, and supporting you throughout your treatment journey.
07/29/2026
Felt very welcome all the journey, and the service done by Rob and Oleg was top notch ! Thank you
Response from Dental By Design
Thank you so much, Ederaldo! We’re delighted that you felt welcome throughout your journey with us. Rob and Oleg will be so pleased to hear your kind words. It was a pleasure looking after you at Dental by Design in Hammersmith, London, and we really appreciate your support.
07/27/2026
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