Vaping After Tooth Extraction

By Dr. Annie Macpherson
Updated: 2019-09-17


Vaping After Wisdom Tooth Pulled

Having a tooth removed at the dentist can be an unpleasant experience in the tooth. With 85% of us needing a wisdom tooth removal at some point in our lives, it’s something almost all of us will go through after tooth pulled [1].

After a tooth extraction, as the wound in your mouth heals after dental, you must take care to avoid developing an infection in the tooth after dental. If you vape, you will need to consider how long after a tooth extraction you wait before you start smoking again.

In this article,

  • We’ll discuss the potential complications that vaping might cause after dental or oral surgery, and how soon after a tooth extraction you are able to vape or smoke again.

Why Can’t You Smoke After a Tooth Extraction?

Avoid Smoke After Tooth Extraction

There are many reasons why you should avoid smoking after wisdom tooth removal. Nicotine substantially slows wound healing [2], and can inflame the wounded area causing further pain.

However, the biggest reason to avoid smoking after wisdom tooth removal is that the force of drawing on a cigarette – this can dislodge the clot that protects your empty socket, causing a nasty infection known as a dry socket.

How Can Vaping Affect Healing After a Tooth Extraction?

Effects of Vaping

Very little is known about the effects of vaping on a tooth extraction, but many of the issues associated with smoking after a tooth extraction also apply to vaping. New research also suggests that vaping is not entirely harmless in the context of oral health and can cause bacterial build up, leading to infections if you do not take care of your teeth [4].

Below are some issues that vapers must consider after a wisdom tooth extraction:

  • Dry mouth

    A very common short-term side effect of vaping is dry mouth. Low saliva levels leave your mouth more vulnerable to bacterial build up. You may increase your risk of infection if you experience a dry mouth from vaping whilst you are recovering from a tooth extraction.

  • Nicotine

    We also know that smoking slows the healing process of the extracted tooth socket [3], an effect partially caused by nicotine. If you are vaping with nicotine, it’s very likely you will slow down healing after your wisdom tooth removal. 

  • Dry Socket

    Just like smoking, drawing on an e-cigarette will generate a negative force within your mouth, which can pull out the protective clot covering your extraction, leaving you at risk of a nasty dry socket infection. Dry socket can be exceptionally painful, requiring further trips to the dentist and antibiotics to clear it up.

  • Increased Bacterial Build Up

    Recent research also shows that vaping can increase bacterial build up in your mouth and under your gums, in some cases more than smoking. Increased bacterial build-up will certainly increase your chances of an infection after a tooth extraction [4, 5].

How Long After Tooth Extraction Can You Vape?

Healing after Tooth Extraction

If you want to be certain that you’re not affecting your healing after wisdom tooth removal, it is best to follow the instructions in place for smoking.

  • – Wait at least four days before you vape, and longer if possible.

If you must vape, try and waitat least 24 hours, so your empty socket has a chance to develop a blood clot that seals and protects it from infection. Vape as gently as possible, as the negative force from pulling vapor into your mouth is likely the biggest risk to your healing process at this point. Follow your dentist’s instructions to make sure your oral hygiene is optimal for healing. The longer you can leave yourself without vaping, the less likely you will affect your healing process

  • Vaping with unflavored e-liquids will reduce the effect you have on your healing. If you are a heavy vaper, or use ultra-sweet flavours, it is probably best to wait until your socket is entirely healed before you continue.


If you can wait four days after your surgery before you vape, you will experience minimal interference in your healing process after wisdom tooth removal. At 24 hours post surgery, your empty socket will have a protective covering, but you risk dislodging this and developing a dry socket if you pull too hard on your e-cigarette.

It is best to switch to nicotine patches and wait until your socket has healed fully before you vape.

If you can rest, only vape when necessary, and follow your dentist’s instructions on keeping your mouth clean, it’s very likely you will not notice any effect of vaping on your healing time.



  1. Reasons for Wisdom Teeth Removal
    [accessed 19/12/2018]

  2. The American Journal of Medicine.
    Volume 93, Issue 1, Supplement 1, 15 July 1992, Pages S22-S24.
    Smoking and wound healing. Paul Silverstein M.D.

  3. Journal of Craniofacial Surgery.25(4):e397–e402, JUL 2014. The Effect of Cigarette Smoking on the Healing of Extraction Sockets: An Immunohistochemical Study Aydin Ozkan; Gurkan Rasit Bayar; Hasan Ayberk Altug; Metin Sencimen; Necdet Dogan; Yilmaz Gunaydin

  4. Purnima Kumar, BDS, MDS, PhD – Associate Professor, College of Dentistry.The Ohio State University. ‘Electronic Cigarettes Exacerbate Virulence Potential in the Disease-Naïve Subgingival Microbiome,” presented at the 95th General Session & Exhibition of the International Association for Dental Research in San Francisco in March 2017

  5. Kim, Shin Ae et al.“Cariogenic potential of sweet flavors in electronic-cigarette liquids” PloS one vol. 13,9 e0203717. 7 Sep. 2018

  6. 6 Ways to Prevent Dry Socket
  7. Vaping and Dental Surgery


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Dr. Annie Macpherson
Dr. Annie Macpherson

Annie has a PhD in Genome Stability from the University of Sussex. She has first-hand experience in cancer and human disease research. This allows her to provide us with new and unbiased insights into the ongoing research of the public and health effects of vaping. She loves an adventure, and has travelled through South East Asia and Australia working for Vaping Insider.