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Abstract
Introduction: Dental implant therapy is a treatment of choice in the absence of teeth. However, certain conditions such as smoking, hypertension and diabetes have a negative influence on the success of dental implants. Nicotine can cause osteoclastic changes. The present study was carried out to assess the relationship between nicotine and implant failure.
Materials and methods: The present retrospective study included 2570 patients of both sexes. They were divided into two groups. Group I consisted of 1250 patients with a history of smoking and group II non-smokers and 1320 patients. The presence of pain, mobility and inflammation was considered a positive sign for implant failure.
Results: The results showed that in group I, men had 6.13% and women, 5%, dental implant failure. The overall failure rate in group I was 5.56%. In group II, males had 2.98% and females, 0.9% of failure. The general failure rate in group II was 2.35%. The difference between the two groups was statistically significant (P <0.05). In group I, maximum (56), and in group II, 18 patients had a habit> 10 years of smoking. The maximum number of patients had a consumption habit> 20 cigarettes / day (Group I) and Group II had only 10 patients with this frequency. Maximum failures were observed in the dental implant in the maxillary arch (70) than in the mandibular arch (32). The difference was statistically significant (P <0.05).
Conclusion: Smoking influences the survival rate of dental implants. Thus, the patient must be educated to stop the habit before placing the implant.
References
2. MacFarlane GD, Herzberg MC, Wolff LF, Hardie NA. Refractory periodontitis associated with abnormal polymorphonuclear leukocyte phagocytosis and cigarette smoking. J Periodontol. 1992;63:908–13.
3. Siana JE, Rex S, Gottrup F. The effect of cigarette smoking on wound healing. Scand J Plast Reconstr Surg Hand Surg. 1989;23:207–9
4. Friberg B, Jemt T, Lekholm U. Early failures in 4,041 consecutively placed Brånemark dental implants: A study from stage I surgery to the connection of prosthesis. Int J Oral Maxillofac Implants. 1991;6:142–6.
5. Strietzel FP, Reichart PA, Kale A, Kulkarni M, Wegner B, Küchler I, et al. Smoking interferes with the prognosis of dental implant treatment: A systematic review and meta-analysis. J Clin Periodontol. 2007;34:523–44
6. Bain CA, Moy PK. The association between the failure of dental implants and cigarette smoking. Int J Oral Maxillofac Implants. 1993;8:609–15.
7. Alsaadi G, Quirynen M, Komárek A, van Steenberghe D. Impact of local and systemic factors on the incidence of late oral implant loss. Clin Oral Implants Res. 2008;19:670–6
8. Haas R, Haimböck W, Mailath G, Watzek G. The relationship of smoking on peri-implant tissue: A retrospective study. J Prosthet Dent. 1996;76:592–6.
9. Balshe AA, Eckert SE, Koka S, Assad DA, Weaver AL. The effects of smoking on the survival of smooth – And rough-surface dental implants. Int J Oral Maxillofac Implants. 2008;23:1117–22.
10. Kumar A, Jaffin RA, Berman C. The effect of smoking on achieving osseointegration of surface-modified implants: A clinical report. Int J Oral Maxillofac Implants. 2002;17:816–9
11. Twito D, Sade P. The effect of cigarette smoking habits on the outcome of dental implant treatment. PeerJ. 2014;2:e546
12. Peleg M, Garg AK, Mazor Z. Healing in smokers versus nonsmokers: Survival rates for sinus floor augmentation with simultaneous implant placement. Int J Oral Maxillofac Implants. 2006;21:551–9.
13. Arora A, Reddy MM, Mhatre S, Bajaj A, Gopinath PV, Arvind P. Comparative evaluation of effect of smoking on survival of dental implant. J Int Oral Health. 2017;9:24–7
14. Henemyre CL, Scales DK, Hokett SD, Cuenin MF, Peacock ME, Parker MH, et al. Nicotine stimulates osteoclast resorption in a porcine marrow cell model. J Periodontol. 2003;74:1440–6
15. Ma L, Zwahlen RA, Zheng LW, Sham MH. Influence of nicotine on the biological activity of rabbit osteoblasts. Clin Oral Implants Res. 2011;22:338–42
16. Lindquist LW, Carlsson GE, Jemt T. Association between marginal bone loss around osseointegrated mandibular implants and smoking habits: A 10-year follow-up study. J Dent Res. 1997;76:1667–74
17. Patrick D, Zosky J, Lubar R, Buchs A. Longitudinal clinical efficacy of core-vent dental implants: A five-year report. J Oral Implantol. 1989;15:95–103.
18. Goodacre CJ, Bernal G, Rungcharassaeng K, Kan JY. Clinical complications with implants and implant prostheses. J Prosthet Dent. 2003;90:121–32
19. Truhlar RS, Orenstein IH, Morris HF, Ochi S. Distribution of bone quality in patients receiving endosseous dental implants. J Oral Maxillofac Surg. 1997;55:38–45
20. DeLuca S, Habsha E, Zarb GA. The effect of smoking on osseointegrated dental implants. Part I: Implant survival. Int J Prosthodont. 2006;19:491–8.
21. Schwartz-Arad D, Samet N, Samet N, Mamlider A. Smoking and complications of endosseous dental implants. J Periodontol. 2002;73:153–7.
22. César-Neto JB, Benatti BB, Sallum EA, Casati MZ, Nociti FH., Jr The influence of cigarette smoke inhalation and its cessation on the tooth-supporting alveolar bone: A histometric study in rats. J Periodontal Res. 2006;41:118–23.
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