ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM
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| 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 |
(you may view more info by clicking on the PubMed ID link) |
| PubMed ID |
Author / Year |
Patient Group |
Study type
(level of evidence) |
| #1) 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/Discipline |
(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/Co-author |
Thomas Oates, DMD, PhD |
| Faculty mentor/Co-author 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?) |
post a rationale |
| None available | |
|
Comments and Evidence-Based Updates on the CAT
(FOR PRACTICING DENTISTS', FACULTY, RESIDENTS and/or STUDENTS COMMENTS ON PUBLISHED CATs) |
post a comment |
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. | |
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