Title |
Smoking and Dental Implant Treatment |
Clinical Question |
How does the prognosis for dental implant placement compare between smokers and nonsmokers? |
Clinical Bottom Line |
Evidence shows that the success of dental implant treatment is significantly affected by smoking. A smoker is two times more likely to experience an implant failure than a nonsmoker. (See Comments on the CAT below) |
Best Evidence |
|
PubMed ID |
Author / Year |
Patient Group |
Study type
(level of evidence) |
17509093 | Strietzel/2007 | Smokers and nonsmokers undergoing dental implant treatment. 35 studies out of 139 identified were included in this review. | Meta-analysis | Key results | Overall, the evidence indicates that smokers are two times more likely to experience implant failure than a nonsmoker (patient-related OR 2.25, implant-related 2.64). | |
Evidence Search |
PubMed Search: "Risk Factors"[Mesh] AND "Smoking"[Mesh] AND "Dental Implants"[Mesh] Limits: Meta-Analysis, English |
Comments on
The Evidence |
The definition of a smoker varied between the studies, so the authors decided to define a smoker as anyone who smokes. The explanation of the results might be more straightforward if they were expressed as a comparison of percent failures or successes. |
Applicability |
The results are relevant to any smoker seeking dental implant treatment. |
Specialty |
(General Dentistry) (Oral Surgery) (Periodontics) (Behavioral Science) |
Keywords |
Dental implants; smoking; risk factors; oral surgery; implant failure
|
ID# |
463 |
Date of submission |
01/04/2010 |
E-mail |
FrancisJ@uthscsa.edu |
Author |
Gregory R. Caldwell |
Co-author(s) |
J. Christian Francis |
Co-author(s) e-mail |
|
Faculty mentor |
Thomas Oates, DMD, PhD |
Faculty mentor e-mail |
OATES@uthscsa.edu |
|
|
Basic Science Rationale
(Mechanisms that may account for and/or explain the clinical question, i.e. is the answer to the clinical question consistent with basic biological, physical and/or behavioral science principles, laws and research?) |
None available | |
|
Comments and Evidence-Based Updates on the CAT
(FOR PRACTICING DENTISTS', FACULTY, RESIDENTS and/or STUDENTS COMMENTS ON PUBLISHED CATs) |
by Matt Orsatti (San Antonio, TX) on 04/09/2012 In March 2012, a PubMed search was completed. The publications listed in this CAT present the highest level of evidence and are up to date. | |