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You may notice or experience: Persistent gum tenderness or bleeding: Healing takes longer, and the gum tissue stays inflamed No gum reattachment: Clean root surfaces may not successfully reconnect with the tooth roots Recurrent infection: Tobacco creates an environment where harmful bacteria thrive in periodontal pockets Bad breath and dry mouth: Smoking dries oral tissues, an irritant to healing and a risk to oral hygiene Reduced success of future treatments: Bone loss and tooth loss may continue despite care When Can You Safely Smoke Again