Smoking not only impacts the development of periodontal disease, but also the response to periodontal treatment. An average smoker is four times more likely to develop periodontal disease compared to non-smokers. Most smokers respond less favorably to non-surgical and surgical management of periodontal disease. That's because oral bacteria can be breathed into lungs, particularly in people with periodontal disease. If you are a smoker it would be wise to stop smoking or try cutting down, cigarette smoke contains so many toxins and is really bad for the gums and actually hinders the healing process in people with gum infections. Better off now to maintain your healthy smile and always remember that “A healthy smile" means a lot more today than simply having white, straight teeth. Oral health is directly related to general health.