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Smoking is an important factor in the development of periodontitis. It is believed that it acts in two different ways: The heat of the smoke as well as the toxins play a role in your ability to combat periodontal disease, once again giving the opportunity for bacteria to do their damage.
Smoking increases the chances of the disease to grow and interfere with any treatments provided. Whether it is the treatment of periodontitis, an implant or a tissue graft, smoking reduces the chances of success.