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How does tobacco influence dental implants?

Smokers have between 2.5 and 6 times more risk of presenting a loss of dental implants than non-smokers, as reported in the report "Smoking Cessation and Oral Health", conducted by the Spanish Society of Periodontics (Know) and the National Committee for the Prevention of Smoking (Cnpt).



Specifically, the results have shown that people who smoke before or after the placement of such implants could suffer between 35 and 70 percent risk of failure.



Thus, among other effects that tobacco has on oral health, is the appearance of consequences in implant therapy, which can result in a dental loss, worse quality of life and worsening of general health due to systemic implications. Enter from periodontitis.



Therefore, dental consultation experts recommend that patients "to start an implant it is essential to start the cessation of tobacco a week before and a few weeks later," said the president of the European Network for Smoking Prevention, Francisco. Rodriguez Lozano



Regarding this, the report states that "a smoking cessation protocol has been suggested to improve the implant success rate, advising the complete abandonment of tobacco for a week before and up to 8 weeks after implant placement. Although the sample size of this study is relatively small, it seems that the success rates in osseointegration of implants improved. "









As experts have pointed out during the press conference, and based on the report, tobacco has a negative influence on oral health. Thus, tobacco habit is one of the risk factors for the onset of oral cancer.



All this because "it has been proven that its incidence - that of tobacco - is higher in large smokers (more than 2 packets per day), which represent 85 percent of cases, with an increase in risk as the number of cigarettes smoked. Locations that demonstrate a greater association of tobacco use are the posterior lateral area of ​​the tongue and the floor of the mouth, "as stated in the report.



From a qualitative point of view, "its relationship with oral cancer is obviously the most serious adverse effect to be taken into account, as well as its relationship with other potentially malignant lesions of the oral mucosa," said the board member of the Board of Directors of Know, Regina Left.



But, quantitatively, its importance lies more in periodontitis, since this disease affects a significant percentage of the adult population, it is estimated that 8 out of 10 adults over 35 years in Spain have some periodontal disease.



Similarly, tobacco is also one of the risk factors for presenting different mucosal lesions, periodontal and peri-implant diseases.



"Smoking not only increases the risk of developing periodontitis, but also significantly affects the response of both surgical and non-periodontal therapy," said Cnpt president Regina Dalmau.



 Through different mechanisms, tobacco promotes the proinflammatory state that underlies periodontal disease, alters the natural barriers against infection and damages oral epithelial cells.









The Sepa-Cnpt Working Group has stressed that since tobacco is a modifiable risk factor, dentists have "an important role in preventing these harmful effects of tobacco."



Therefore, introducing smoking cessation techniques in dental practice should therefore be part of the treatments they implement, the group said.



 "The advice of a dentist has, without a doubt, a very favorable impact on the motivation of patients when it comes to changing their lifestyle," said the head of the Cnpt; but "if this advice is also accompanied by a positive message about the expected benefits of smoking cessation over oral health, its effectiveness will be even greater."



 In the dental consultation you can "educate about smoking cessation and apply simple and effective intervention strategies," said Izquierdo, although "it is important to emphasize that the entire dental team should be involved in this task."



Periodontists have insisted that all components of the oral team should be aware of the relationship between smoking and oral pathology, and should transmit and reinforce recommendations against tobacco and be involved in smoking cessation programs.

Dr. Armellini received her dental degree from the Central University of Venezuela. She received an MBA from the University of Michigan and embarked on a clinical fellowship in Implantology Prosthodontics at the Hospital for Sick Children in Toronto.


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