Can You Smoke with Braces? What About Aligners?

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Can You Smoke with Braces

Smoking with braces is a concern that often arises among individuals undergoing orthodontic treatment. Whether you have traditional braces or clear aligners, the impact of smoking on your oral health and the effectiveness of the treatment cannot be ignored. In this detailed guide, we will explore the implications of smoking with braces and aligners, providing insights into the risks, precautions, and alternatives.

Understanding the Impact of Smoking with Braces

 Teeth with braces
Teeth with braces

Smoking can have detrimental effects on oral health, and when coupled with braces, the consequences can be more pronounced. Let's delve into the specific concerns associated with smoking while undergoing orthodontic treatment.


Tobacco products, especially cigarettes, are notorious for causing teeth stains. With braces, maintaining oral hygiene is already challenging, and smoking exacerbates the issue, leading to unsightly stains on teeth and brackets.

Increased Plaque Buildup

Smoking contributes to the buildup of plaque and tartar on teeth. Braces create additional surfaces where plaque can accumulate, making it crucial to prioritize oral hygiene. Smoking further complicates this by promoting the growth of harmful bacteria.

Gum Disease

Braces make it easier for food particles and bacteria to get trapped around brackets and wires. Smoking, known for compromising the health of gums, increases the risk of developing gum disease during orthodontic treatment.

Delayed Healing

Smoking can impede the healing process. Individuals with braces may experience longer healing times for oral injuries or irritations caused by the brackets and wires.

Smoking Alternatives During Orthodontic Treatment

While it's highly advisable to quit smoking altogether during orthodontic treatment, we understand that it may be a challenging journey. Here are some alternatives to traditional smoking that may be considered:

Vaping with Braces

  • Vaping is often perceived as a less harmful alternative to smoking. However, it's not entirely risk-free, and caution should be exercised.
  • The aerosol produced by e-cigarettes can still contribute to teeth staining.
  • The heat generated by vaping devices may cause discomfort to individuals with braces, especially if they have sensitive oral tissues.

Smokeless Tobacco and Aligners

  • Smokeless tobacco, such as chewing tobacco or snuff, may seem like a viable option for those with aligners.
  • However, the risks include increased oral cancer risk, gum recession, and nicotine dependency.
  • Aligners can also be stained by the use of smokeless tobacco products, affecting their transparency.

Precautions for Smokers with Braces

While quitting smoking is the ideal solution for maintaining optimal oral health during orthodontic treatment, we understand that it's easier said than done. If you choose to continue smoking, consider the following tips to minimize the impact on your braces:

Maintain Rigorous Oral Hygiene

Brushing and flossing become even more critical when you're a smoker with braces. Invest in a high-quality toothbrush and dental floss, and be meticulous in cleaning around your brackets and wires.

Limit Smoking and Rinse Afterwards

Try to cut down on the frequency of smoking, and when you do smoke, rinse your mouth with water or an alcohol-free mouthwash immediately afterward. This can help reduce the accumulation of staining agents on your braces.

Regular Orthodontic Check-ups

Schedule regular check-ups with your US-licensed orthodontist. They can monitor the condition of your braces and address any issues promptly. Professional cleanings can also help minimize staining.

Stay Hydrated

Drinking water regularly can help flush out toxins from your body, including those from smoking. It can also aid in maintaining saliva production, which is crucial for oral health.

Aligners and Smoking: A Different Scenario

Removable aligners
Removable aligners

For those using aligners, the impact of smoking can be somewhat different compared to braces. Aligners are removable, providing a certain degree of flexibility when it comes to lifestyle choices.

Considerations for Smokers with Aligners

Staining on Aligners

Like with braces, smoking can cause staining on your aligners. However, the advantage here is that you can remove the aligners before smoking, reducing the direct exposure to tobacco products.

Maintaining Good Oral Hygiene

Regardless of the orthodontic treatment you choose, oral hygiene remains paramount. Clean your teeth thoroughly before putting your aligners back in to minimize the risk of trapping harmful substances.

Aligner Care and Replacement

Smoking with aligners might lead to a more rapid accumulation of stains. Ensure you follow the recommended cleaning routine for your aligners and replace them as advised by your orthodontist to maintain their transparency and effectiveness.

Consult with Your Orthodontist

Open communication is key. If you're a smoker considering aligners, discuss your smoking habits with your licensed orthodontist during the consultation. They can provide personalized advice based on your specific situation.

Quitting Smoking: A Step Towards a Healthier Smile

 woman smoking
A young woman smoking

While it may be challenging, quitting smoking offers numerous benefits, especially during orthodontic treatment.

Improved Treatment Outcome

Quitting smoking enhances the success of orthodontic treatment by promoting faster healing and reducing the risk of complications.

Healthier Gums and Teeth

The positive impact on oral health extends beyond orthodontic concerns. Quitting smoking contributes to healthier gums and teeth in the long run.

Reduced Staining

With smoking cessation, the risk of teeth staining is significantly reduced, allowing your braces to maintain a more aesthetic appearance.


Smoking with braces poses challenges and risks that can affect the overall success of your orthodontic treatment. While alternatives exist, they come with their own set of concerns. Prioritizing oral hygiene, taking precautions, and, ideally, quitting smoking altogether will contribute to a healthier smile and a more successful orthodontic journey.

Remember, the journey to a straighter smile is an investment in your long-term oral health, and minimizing habits like smoking will undoubtedly yield better results. If you find it challenging to quit smoking, consider seeking support from healthcare professionals who can provide guidance and resources to make the process more manageable. Your smile is worth the effort, and a tobacco-free lifestyle will contribute to a brighter, healthier future.


1. Can I smoke with braces?

It's not advisable. Smoking with braces can lead to staining, increased risk of cavities, delayed healing, and weakened gums. If possible, quitting or reducing smoking is recommended for optimal oral health during orthodontic treatment.

2. Will smoking affect my aligners?

Yes, smoking can stain aligners. However, since aligners are removable, you can reduce direct exposure by taking them out before smoking. Maintain good oral hygiene and follow your orthodontist's advice on aligner care to minimize staining.

3. Can I use tobacco products with braces?

Using tobacco products, including cigarettes, cigars, or pipes, is discouraged with braces. The chemicals can lead to discoloration, increased cavity risk, delayed healing, and weakened gums. Quitting or minimizing tobacco use is beneficial for successful orthodontic treatment.

4. How can I minimize staining while smoking with braces?

To minimize staining, maintain rigorous oral hygiene by brushing and flossing regularly. Limit smoking and rinse your mouth with water or an alcohol-free mouthwash immediately afterward. Regular orthodontic check-ups and professional cleanings can also help manage staining.

5. Is it okay to smoke while wearing aligners?

While it's possible to smoke with aligners, it's advisable to remove them before smoking to reduce staining. Ensure you clean your teeth thoroughly before putting the aligners back in and follow your orthodontist's recommendations for aligner care and replacement.

  • Meredith Barker

    Meredith Barker

    Content Contributor

    Meredith Barker is a dental consultant and writer known for her insightful contributions to since 2015. She earned her diploma from the University of Michigan School of Dentistry and has since been a prominent figure in dental research and education. Barker has over 20 years of experience in the... Read More

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  • Dr. Anas Athar

    Dr. Anas Athar

    Medical Reviewer

    Dr. Anas Athar has earned a reputation as a sought-after Orthodontist with nearly two decades of dentistry experience. He is known for being the only dual-trained Oral and Maxillofacial Radiologist and Orthodontist throughout Texas. His primary specialties include but are not limited to clear aligners, interceptive orthodontics, advanced dental imaging, dental sleep... Read More

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