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Why Smoking After Tooth Extraction Is a Bad Idea There are several reasons to avoid smoking after you have a tooth removed: The chemicals in the cigarettes may delay the healing of the extraction site, increasing your discomfort Sucking on a cigarette may lead to a painful condition called dry socketwhen a blood clot that is supposed to protect the extraction area is dislodged, you may deal with severe pain and inflammation If you decide to smoke shortly after the surgery, you may lengthen the recovery time and suffer from a toothache and swelling How Long Should You Avoid Smoking After Tooth Extraction On average, patients are advised to stay away from smoking for at least seventy-two hours after the tooth is extracted