Oral health professionals play a significant role in counseling patients concerning the harmful effects of tobacco, alcohol and recreational drugs. During the pregnancy, the consequences of these behaviors are profound. Multiple studies have demonstrated a clear association between maternal smoking and perinatal morbidity and mortality (6-10). Women who smoke are at increased risk for low birth weight babies, bleeding during pregnancy, premature labor and preterm rupture of membranes. Infant health risks associated with maternal smoking include sudden infant death syndrome, hospitalization and neurodevelopmental abnormalities