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How smoking affects dental implants
مقاله تخصصی

How smoking affects dental implants

3 months ago
533 بازدید
Dr. Farin Shamshirgar

Dr. Farin Shamshirgar

Tehran

Specialist in dental prostheses

One of the problems faced by smokers for implants is the effect of smoking on dental implants. The effect of smoking on the implant is very serious and can even cause the loss and failure of this operation. It is very important for smokers to get the necessary information about the effect of smoking on dental implants before dental implants, so that they can do this in an informed manner. In the rest of this article, we will discuss the effect of smoking on dental implants.
> *“The Effect of Smoking on the Success of Dental Implants: A Meta-Analysis”\* Published in International Journal of Oral and Maxillofacial Surgery, February 2016. > his comprehensive study analyzed data from 15 articles, including both randomized and non-randomized clinical studies, to assess the effects of smoking on implant failure rates and marginal bone loss. > The findings revealed a statistically significant increase in implant failure rates and marginal bone loss among smokers compared to non-smokers. > Specifically, the odds ratio for implant failure was 1.96 (95% CI 1.68–2.30), indicating nearly double the risk of failure for smokers. Additionally, smokers experienced greater marginal bone loss, particularly in the maxilla.”*
> *«Smoking has a great negative impact on oral and dental health and can lead to the failure of dental implants. A comprehensive study published in the International Journal of Oral and Maxillofacial Surgery analyzed data from 15 articles, including randomized and non-randomized clinical trials, to assess the effects of smoking on implant failure rates and marginal bone loss.* > *The findings showed that there is a significant increase in the rate of implant failure and marginal bone loss among smokers compared to non-smokers. Specifically, the odds ratio for implant failure was 1.96 (95% CI 1.68–2.30), indicating an almost doubling of failure risk for smokers. > In addition, smokers experienced more marginal bone loss, especially in the maxilla.* > *This study provides valuable insights into the harmful effects of smoking on the success of dental implants and emphasizes the importance of smoking cessation for patients undergoing implant surgery.»* > > *Source: PubMed*
What is meant by dental implant?
Dental implant is known as the most efficient and popular method of replacing a missing tooth. The implant consists of a titanium-shaped base that is placed inside the jawbone, and after its complete connection, a crown or crown is placed on it. The implant has the same appearance and function as a person's natural teeth, and for this reason, many people go for this method to replace their lost teeth.
Is it possible to implant dental implants in smokers?
There is also the possibility of dental implants for smokers; But to do this requires changes in the lifestyle of smokers. Since the effect of smoking on dental implants can have destructive effects on the process of dental implants, smokers must stop smoking to get dental implants.
How smoking affects dental implants
Among the effects of smoking on dental implants are the following: ### Malfunction of salivary glands One of the reasons why smoking is so condemned is the destruction of salivary glands by smoking. This can cause tooth decay and gum problems; Because saliva plays an important role in fighting bacteria and cleaning the mouth. When the mouth becomes drier, there is a suitable environment for the growth of harmful bacteria and this issue can cause oral and dental problems. ### Increased symptoms after surgery Nicotine in cigarettes can narrow blood vessels and reduce oxygen supply to damaged tissues. This issue can make the healing process more difficult and intensify symptoms such as swelling, pain, bleeding and inflammation. ### The possibility of increasing infection after the implant Due to reasons such as lack of saliva and weak immune system, smokers are more exposed to local infections at the implant site. Infection can cause problems in the correct connection of the implant and cause the need to remove the implant. ### Promoting long-term gum disease Smoking can weaken the body's defense system against gum infections and create a suitable environment for the growth of harmful bacteria in the areas around teeth and implants. This problem can cause periodontitis, which contributes to the weakening of implant bases. Accelerated bone loss One of the effects of smoking on dental implants is the reduction of jaw bone density and bone loss over time, which can cause the instability of implants and their loosening and falling. ### Increased risk of peri-implantitis Peri-implantitis is a type of inflammation and infection around the implant, which gradually causes jaw bone degeneration and many problems for the implant. This disease reduces the immune and restorative responses of the body and increases the growth of bacteria in the mouth. ### Tooth decay and decay Although the implant does not decay; But as a result of smoking, the natural teeth adjacent to the implant are exposed to more damage and decay. Smoking makes the oral environment more acidic and disrupts the bacterial balance, and this issue can increase the bacteria that cause caries and affect the overall health of the mouth. ### Implant failure All the mentioned cases such as infection and bone loss and inflammation can increase the probability of dental implant failure. Statistics show that the rate of implant failure in smokers is twice or more higher than in non-smokers. ### Preventing the formation of blood clots necessary for wound healing The effect of smoking on dental implants is to prevent the formation of blood clots in the implant area. After the implant, the body naturally creates blood clots in the area to prevent food and bacteria from entering the area. Actions such as sucking, spitting and inhaling smoke can prevent the formation of these blood clots and cause painful conditions for the person. For this reason, people are advised to either completely quit smoking or refrain from doing so for four days after the implant.
How to reduce the effect of smoking on dental implants
In order to understand the effect of smoking on dental implants, it is very important to consider the following: ### Quit smoking even temporarily It is best for people to quit smoking at least a few weeks before the implant and two months after the implant surgery. This will help the wound to heal better and on the other hand, the success of the implant will increase. ### Reduce smoking If it is not possible for people to quit smoking, it is recommended to drastically reduce smoking. This is especially important after implant placement. ### Oral and dental hygiene It is very important for smokers to brush their teeth twice a day with a suitable toothbrush and use antibacterial mouthwash and dental floss. ### Drink a lot of water Since smoking can reduce saliva, by drinking more water, you can avoid dry mouth and creating a suitable environment for infection. ### Use of medical aids Certain medications or supplements, such as smoking cessation sprays or nicotine gum, can help you quit or reduce smoking and can be used in consultation with your dentist. ### Avoid alcohol consumption The simultaneous use of cigarettes and alcohol can multiply the negative effects of smoking, and for this reason, the simultaneous use of alcohol and cigarettes should be strictly avoided after the implant.
What are the consequences of implant planting in smokers?
Some people may insist on getting dental implants despite smoking. It should be known that this work has consequences, including the following: - Increased risk of implant failure - Delay in wound healing - Increase in postoperative infections - Faster analysis of the jaw bone Gum diseases (peri-implantitis)
Free consultation with Dr. Farin Shamshirgar, dental implant specialist in Zafaranieh
It is very important for people to go to specialist and experienced dentists for a successful implant. One of the dentists specialized and skilled in dental implants is called Dr. Farin Shamshirgar. He is a dental implant specialist in Zafaranieh, Tehran, and this helps to create the best possible result. To use the experience and knowledge and free consultation with Dr. Shamshirgar, you can visit his clinic in Zafaranieh. **final word** One of the things that may be a question for smokers before dental implants is the effects of smoking on implants. Smoking can have negative effects on the dental implant in different ways and cause the implant to fail. This issue makes dentists ask the person to quit smoking completely or for a short time before and after the dental implant. Observing this point is very important for implant results to come true, and people should definitely keep it in mind to have a successful result.
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Yes, smoking is one of the main factors in reducing the success of dental implants. Nicotine reduces the blood flow in the gums, which disrupts the healing process and fusion of the implant to the jaw bone.
Cigarette: It prevents proper blood supply to the gums. - Increases the risk of infection after surgery. - It slows down the process of ossification around the implant. - Increases the possibility of gum disease and bone loss.
No, but it has a higher risk of failure. The dentist may offer alternatives or specific recommendations based on your oral health status.
It is recommended to refrain from smoking at least \*2 weeks before and 2 months after the implantation\*. Ideally, it should be left out altogether.
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