PMID: 17323728Feb 28, 2007Paper

The effect of smoking on osseointegrated dental implants. Part I: implant survival

The International Journal of Prosthodontics
Stephelynn DeLucaGeorge Zarb


Recent studies implicate smoking as a significant factor in the failure of dental implants. The purpose of this long-term retrospective study was to evaluate the survival of Brånemark endosseous dental implants in relation to cigarette smoking. The sample consisted of 464 consecutively treated completely and partially edentulous patients who had a total of 1852 implants placed between 1979 and 1999, and who were part of a surgical/prosthodontic prospective treatment outcomes study. The effect of cigarette smoking on implant survival in relation to the time of implant failure, gender, age, surgeon, date and site of implant placement, implant length and diameter, prosthesis design, and occlusal loading considerations was assessed in bivariate and multivariate survival analyses. The overall implant failure rate was 7.72%. Patients who were smokers at the time of implant surgery had a significantly higher implant failure rate (23.08%) than nonsmokers (13.33%). Multivariate survival analysis showed early implant failure to be significantly associated with smoking at the time of stage 1 surgery and late implant failure to be significantly associated with a positive smoking history. Short implants and implant placement in the maxilla ...Continue Reading

Related Concepts

Endosseous Implant Procedure
Dental Stress Analysis
Retrospective Studies
Cigar smoker
Dental Prostheses, Surgical
Survival Analysis
Dental Prosthesis Design
Dental Prosthesis, Implant-Supported
Dental Restoration Failure

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