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Here is what smoking does to your gums after scaling and root planing: Reduces blood flow: Nicotine constricts blood vessels, limiting oxygen and nutrient delivery to healing tissues Delays tissue repair: Slower healing means longer exposure to infection risks in deep pockets Increases plaque and tartar buildup: Smoking encourages more tartar buildup, which reverses the benefits of the deep cleaning procedure Suppresses immune response: Your body becomes less capable of fighting off harmful bacteria, especially in cases of severe periodontitis Masks symptoms: Smoking can hide signs of gum disease progression, making it harder to detect worsening oral health What To Expect If You Smoke After the Procedure Smoking immediately after scaling and root planing can cause complications and limit results of the dental procedure