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A dentist who knows you smoke can: Monitor your gum health more carefully, knowing that the absence of bleeding does not indicate absence of disease Perform more thorough soft tissue screening, specifically looking for leukoplakia, erythroplakia or other changes associated with tobacco use Advise you on smoking cessation resources, which are associated with significant and measurable improvements in gum health after as little as three months of quitting Monitor any soft tissue changes over time with appropriate follow-up rather than making assumptions about the cause Adjust treatment recommendations for example, advising that implant success rates are significantly lower in active smokers, and discussing whether quitting first would improve the prognosis There is no judgement in a dental consultation about smoking

So many things have happened this year, relationship and lifestyle change issues, brother's death, stepfathers death, brother moving in, kids moving out and on...and through it all...I have remained smoke free