Smoking affecting implants |Dental Implants and Tobacco

Tobacco was first introduced in
Europe by Spanish and Portuguese
explorers of America in the early
16th century.
The start of the spread of tobacco
from the Americas to the rest of the
world invariably seems to back to
1492, when Columbus was offered
dried tobacco leaves at the House
of the Arawaks, and took the plant
back with him to Europe.

Presumably, the technique of smoking was picked
up at the same time. The plant was named
‘nicotiana’ after the French ambassador to
Portugal. Today, India is the second largest
producer and consumer of tobacco in the
world.

Unfortunately, 4.83 million people
worldwide died in 2000 as a result of
their addiction to nicotine.
Smoking is a prevalent behaviour in the population
all over the world. Smoking has its influence on
general as well as oral health of an individual.
As far as oral health is concerned, it increases the risk
of periodontal disease, oral precancerous and
cancerous lesions, root caries, and peri-implantitis.

During cigarette smoking, there
are nearly 4000 different gases
that are released into the smoker.
Being the first point of contact for
these substances, the oral cavity is
obviously susceptible to these
destructive elements.
These gases include nitrogen,
carbon monoxide, carbon dioxide,
ammonia, hydrogen cyanide,
benzene, nicotine, nornicotine,
anatabine, and anabasine

Not only is healing slowed down, but immune defenses
are also lowered.
Nicotine is known to reduce the proliferation of red
blood cells, macrophages, and fibroblasts, which are
important elements of healing.
In addition, nicotine increases platelet adhesiveness,
which can lead to poor perfusion due to microclots.
Similarly, by stimulating the release of epinephrine and
norepinephrine, nicotine acts as a sympathomimetic and
causes increased vasoconstriction, which limits overall
tissue perfusion

Tobacco negatively affects postoperative healing for almost all
surgeries performed in the oral cavity.
Tobacco, along with all its byproducts, is a peripheral
vasoconstrictor, which means it constricts blood flow to the
smaller blood vessels and raises blood pressure.
It causes increased platelet adhesiveness, which, combined with
constricted blood vessels, heightens the risk of these smaller
blood vessels completely closing off.

Cigarette smoke has thousands of toxic and carcinogenic
compounds that negatively impact your health.
Most of this is well-known; lung cancer, cardiovascular
disease, and arterial disease are all commonly associated
with smoking. What many don’t realize is how smoking
affects your oral health, impacting your gums, tongue,
natural teeth, and dental implants.

Bad Breath
Discoloration of teeth and dental
restorationsbad
Taste and smell disorders
Impaired wound healing
Periodontal diseases
Short-term and long-term implant
success
Oral mucosal lesions such as smoker’s
melanosis and smoker’s palate,
Pre-malignant lesions and conditions
Oral cancer

The success of the
endosseous implant relies
primarily on bone wound
healing and the ability of
the alveolar bone to
remodel and secure the
titanium screw within the
newly built bone.
For an implant to succeed,
there has to be an
amalgamation of numerous
factors, right from a good
surgery to a good prosthesis
and its proper maintenance.

Successful osseointegration is a key requirement for
long-term survival of dental implants.
Osseointegration is a process in which dental implants
and bone join together by forming a rigid, clinically
asymptomatic fixation that is maintained during
functional loading.

Nicotine, regardless of how it’s introduced into the
body, is a significant factor in implant complication
and failure.
Nicotine constricts the superficial (peripheral) blood
vessels in the mouth and skin and everywhere else.
This restricts blood flow and oxygen to your oral
tissues and bones, where it’s needed most for healing.
Tobacco being a peripheral vasoconstrictor,
diminishes adequate blood flow and oxygen, and
without it your body cannot heal, suppression of the
immune system leaves you more susceptible to
infection and, maybe most importantly,
osseointegration may not occur.

 Osseointegration is the fusing together of bone and
implant. Success of this step is fundamental to the success
of your implant surgery. The failure rate of
osseointegration among smokers is considerably higher
than that of nonsmokers.

Patient should cease smoking at least 1 week prior
to surgery to allow reversal of the increased levels
of platelet adhesion and blood viscosity, as well as
the short-term effects associated with nicotine.
The patient should continue to avoid tobacco for at
least 2 months after implant placement, by which
time bone healing would have been established.

You need to get the following treatments done from your
respective dentist, designed to diagnose, treat, and prevent
oral health problems from occurring or getting worse:
Evaluation and diagnosis—The dental team will inspect
your teeth, gums, and oral tissue for signs of disease. Early
detection is key for smoking-related issues, including
various types of oral cancer.
Cleaning— Removal of plaque and years of built
up, nicotine and tobacco stains on your teeth, restoring the
appearance of your smile.
Treatment—If we detect any smoking-related problems
with your teeth, gums, or oral tissue, we’ll arrange a
treatment plan to help you tackle the problem and to
protect your health.

The Four D’s*
1. Drink Water – Water with crushed ice helps flush
nicotine out of your system faster and helps satisfy oral
cravings.
2. Deep Breathing – Take a “deep breath break” instead of a
cigarette break – Take 10 deep breaths and hold the last one
while lighting a match. Exhale slowly, and blow out the
match.
3. Delay – Each day, delay lighting your first cigarette by
one hour. When you have your next craving, delay for
another 15 or 30 minutes. Now YOU will be in control!
4. Do Something Different – When you have a craving,
change your activity. Get out of the situation that makes you
want to smoke.
Source from - “Tips To Help You Quit” – The Lung
Association

@dentalcoursesdelhi
drrajatsachdeva
drrajatsachdeva
drrajatsachdeva@surgicalmasterrajat

To book an appmt. contact
Dr.Rajat Sachdeva
Dr Sachdeva’s Dental
Aesthetic & Implant
Institute
I 101, Ashok Vihar Phase 1,
Delhi- 110052
Contact us at
Phone : +919818894041
01142464041

Smoking affecting implants |Dental Implants and Tobacco

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