Dental Implants: Q&A
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Smoking and Dental Implants with and Without Bone Grafts
How long after a patient quits smoking can implant treatment begin? 2 without bone grafting and 2 with. Thanks for your time.
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6 Doctor Answers |
Asked by
butterflyinthewind
in Ramona Ca San Diego County
+2
Smoking and dental implants
To ensure proper healing following implant surgery, studies have shown that one must refrain from smoking for 2 weeks prior to surgery.
Toronto Cosmetic Dentist
+1
How does smoking influence dental implants or grafting
Smoking is clearly a risk factor and I advise my patients to avoid it at least a week before and then at least a month after any kind of oral surgery. While it can have adverse effects on health, oral health, and implant success whenever people smoke, I believe the most detrimental effect is during the healing phase. Once the implant is healed and functional, it may not be a significant factor. But this is largely unknown. My best advice is to protect your health and implants by stopping...
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+1
Treatment can be done as soon as you quit smoking
The same goes for any surgery of course. Any surgeon will have you quit smoking before and after any surgical procedure to aid in the healing process. If you are spending a lot of money on the implants then why would you want to hinder their success. Quiting is very difficult but this could be a great incentive for you to quit.
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Best to stop smoking
There are many things that contribute to implant failure and smoking is a big one. The nice thing about smoking is that you can stop (and you should for other health reasons, but you should know that). Diabetes, autoimmune diseases, and periodontitis lower the success rate also, but they can only be controlled and not stopped like smoking.
It is fine to have the implants placed even if you are smoking because some of them can still be successful, but you need to know that...
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Smoking is certainly negatively correlated with dental implants
However studies show that stopping the smoking as little as two weeks in advance will possibly decrease the negative effects. On the other hand, it does take up to 5 years to eliminate all the nicotine which taken in from smoking. Thus, there is no definite answer, as long as you understand that the percentage of success is reduced than the success in non smokers.
New York Cosmetic Dentist
+1
Short waiting period to place implants after smoking cessation
I would say if a person stopped smoking then go ahead and place the implants. Smoking negatively affects blood flow to the bone and tissues surrounding the gums and teeth, which impairs bone healing.
I would tell a smoker to quit for 1 month prior to implant placement and to not start back smoking until they are healed. No one stage placement or immediates. Bury implant for healing and place extra implants in arch, eg., if you planned on 6 then place 8. If patient is a heavy smoker,...
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I would challenge any of the dentists who have posted here to reference one article where there is a significant difference between success with non smokers vs. smokers. To me significant is like there is a 25% greater chance of implant failure in smokers vs. nonsmokers.
Some of the studies will go like this - nonsmoker 2 implants failed - smoker 4 implants failed. Conclusion - There is a 50% greater chance of implant failure for smokers vs. non smokes.
To me the smoking issue is used as an excuse - if the implant fails and you smoke - then the reason the implant failed was because you smoked. Maybe it was and maybe it wasn't.
Sure it is better for your health in general if you don't smoke. Cutting back or quitting a few days before and after surgery can't hurt.
But to say an implant failed because you smoke and only because you smoked is not will documented in the literature.