Effect of Cigarette Smoking on Bone Crest 7 Years after Using Implant Fixture

Document Type : مقاله‌های پژوهشی

Authors

1 Dental Implants Research Center, Department of Oral and Maxillofacial Surgery, Dental Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.

2 Department of Oral and Maxillofacial Radiology, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran.

3 Student Research Committee, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran.

Abstract

Introduction: Considering the ever-increasing growth of smoking and its various complications, including dental and osseous problems, and considering the importance of bone in the dental implant, it seems research is needed to determine the rate and magnitude of the effects of cigarette smoking on dental implants. Given various reports from various works, the present study was undertaken to evaluate the effect of cigarette smoking on the resorption of the crest of the alveolar bone around implants.
Materials & Methods: In this retrospective cohort study, the patient's data were recorded in two groups, who were cigarette smoker and non-smokers. Twenty-five patients were randomly selected from each group. The subjects underwent panoramic radiographic examinations and the amount of bone loss was determined using the initial panoramic radiograph. Data were analyzed with descriptive statistical methods such as percentages and t-test using SPSS 22 (α = 0.05).
Results: TThe majority of the subjects were 40-45 years of age. Data showed no significant difference in the means of changes in the alveolar crest between the two groups (p value = 0.443). In addition, the results showed no significant difference between the mean values of alveolar crest changes between males and females (p value = 0.891).
Conclusion: The present study showed that the rate of the alveolar bone crest height in smokers was greater than that in non-smokers; however, the difference was not statistically significant.
Key words: Bone loss, Dental implant, Cigarette.

1. Adell R, Lekholm U, Rockler B, Brånemark PI. A 15-year study of osseointegrated implants in the treatment of the edentulous jaw. Int J Oral Surg 1981; 10(6): 387-416.
2. van Steenberghe D. A retrospective multicenter evaluation of the survival rate of osseointegrated fixtures supporting fixed partial prostheses in the treatment of partial edentulism. J Prosthet Dent 1989; 61(2): 217-23.
3. Kaur A, Kharbanda OP, Kapoor P, Kalyanasundaram D. A review of biomarkers in peri-miniscrew implant crevicular fluid (PMICF). Prog Orthod 2017; 18(1): 42.
4. Misch C. Rationale for dental implants. In: Misch CE. editor. Contemporary implant dentistry. 3rd ed. St Louis: Mosby; 2008. p. 3-21.
5. Khang Hong GD, Oh JH. Recent advances in dental implants. Maxillofac Plast Reconstr Surg 2017; 39(1): 33.
6. Tomar SL, Asma S. Smoking-attributable periodontitis in the United States: findings from NHANES III. National Health and Nutrition Examination Survey. J Periodontol 2000; 71(5): 743-51.
7. Bain CA. Implant installation in the smoking patient. Periodontol 2000 2003; 33: 185-93.
8. Geerts SO, Nys M, De MP, Charpentier J, Albert A, Legrand V, et al. System release of endotoxins induced by gentle mastication: association with periodontitis severity. J Periodontol 2002; 73(1): 73-8.
9. Romanos GF, Lakkos K, Nentwig GH. Is smoking a risk factor for implant long-term prognosis Clin Oral Impl Res 2004; 11: 1-2.
10. Strietzel FP, Reichart PA, Kale A, Kulkarni M, Wegner B, Küchler I. Smoking interferes with the prognosis of dental implant treatment: a systematic review and meta-analysis. J Clin Periodontol 2007; 34(6): 523-44.
11. Chrcanovic BR, Albrektsson T, Wennerberg A. Smoking and dental implants: a systematic review and meta-analysis. J Dent 2015; 43(5): 487-98.
12. Nitzan D, Mamlider A, Levin L, Schwartz-Arad D. Impact of smoking on marginal bone loss. Int J Oral Maxillofac Implants 2005; 20(4): 605-9.
13. Takamiya AS, Goiato MC, Gennari Filho H. Effect of smoking on the survival of dental implants. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub 2014; 158(4): 650-3.
14. Leow YH, Maibach HI. Cigarette smoking, cutaneous vasculature, and tissue oxygen. Clin Dermatol 1998; 16(5): 579-84.
15. .Rokn AR, Abedi F. Comparison of gingival health indices in smokers and nonsmokers with dental implants. Razi J Med Sci 2012; 19(98): 19-27. [In Persian].
16. Fransson C, Wennström J, Berglundh T. Clinical characteristics at implants with a history of progressive bone loss. Clin Oral Implants Res 2008; 19(2): 142-7.
17. Vervaeke S, Collaert B, Vandeweghe S, Cosyn J, Deschepper E, de Bruyn H. The effect of smoking on survival and bone loss of implants with a fluoride-modified surface: a 2-year retrospective analysis of 1106 implants placed in daily practice. Clin Oral Implants Res 2012; 23(6): 758-66.
18. Ketabi M, Mahabadi M. Effects of smoking on dental implant procedures. J Isfahan Dent Sch 2007; 3(3): 145-52. [In Persian].