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How do different levels of smoking affect dental implants?

Anne C Devlin¹, Patrick A Fee²

¹Dundee Dental Hospital and School, Dundee, Scotland, UK.

Evidence-Based Dentistry

|March 27, 2021

Summary

This summary is machine-generated.

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Smoking increases dental implant failure rates. Even smoking fewer than 10 cigarettes daily elevates risks, with higher consumption leading to significantly greater failure rates in dental implant patients.

Area of Science:

Dental Implantology
Public Health
Epidemiology

Background:

Smoking is a known risk factor for various health issues, including poor wound healing.
The impact of smoking dose on dental implant survival rates requires further clarification.

Purpose of the Study:

To systematically review and synthesize evidence on the association between smoking and dental implant failure.
To determine if a dose-response relationship exists between cigarette consumption and implant failure.

Main Methods:

A comprehensive literature search was conducted across PubMed, EMBASE, Web of Science, and Scopus databases up to January 2019.
Included studies were randomized controlled trials, cohort studies, case-control studies, and case series reporting dental implant failures in smokers.

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Data extraction and quality assessment (Newcastle-Ottawa scale) were performed, with subgroup analysis based on daily cigarette consumption.

Main Results:

Smokers of fewer than 10 cigarettes per day exhibited a higher implant failure rate compared to non-smokers (p = 0.046).
Patients smoking more than 10 cigarettes daily demonstrated significantly higher failure rates than those smoking fewer than 10 cigarettes per day (p < 0.001).
A clear dose-dependent relationship between smoking and increased dental implant failure was observed.

Conclusions:

Increased smoking consumption directly correlates with a higher incidence of dental implant failure.
Smoking fewer than 10 cigarettes daily may be considered a threshold for acceptable risk regarding dental implant survival.