Smoking and Pulpitis

As specialists in prosthodontics, we at the Oyster Bay Family Dentists have seen a lot of damage caused by smoking. We’ve provided prosthetic face pieces as well as teeth for people suffering from oral cancer. Recently, scientists uncovered evidence of even more oral health hazards caused by smoking: the disappearance of immune system mechanisms in dental pulp.

When dental pulp becomes inflamed, it is said to have “pulpitis.” This can be due to an injury, but is usually because bacteria have decayed the surrounding enamel and acid is leaking in. The pulp within our teeth depends on antimicrobial peptides to defend it from infection. Smoking is known to weaken the immune system, making smokers more vulnerable to gum infections, and now it appears that smoking can wipe out the pulp’s antimicrobial peptides.

Pulp infections make teeth extremely sensitive. They can also spread into the bloodstream or into surrounding tissues, causing sepsis. We can treat pulp infections with a root canal, although the odds of success for smokers are lower. If necessary, we may talk to the patient about removing and replacing the tooth. However, it is important to note that the researchers also found that defense mechanisms can return after the patient quits smoking.

Drs. Denise VeyVoda and Robert G. West operate The Oyster Bay Family Dentists at 123 South Street, Oyster Bay, New York, 11771. To schedule an appointment, call 516-922-5730 or visit Oyster Bay Dentists and fill out a contact sheet.