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J Clin Periodontol. 2007 Jun;34(6):523-44.

Smoking interferes with the prognosis of dental implant treatment: a systematic review and meta-analysis.

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1
Department of Oral Surgery and Dental Radiology, Campus Virchow Clinic, Centre for Dental Medicine, Charité Medical University Berlin, Berlin, Germany. frank.strietzel@charite.de

Abstract

AIM:

This systematic literature review was performed to investigate if smoking interferes with the prognosis of implants with and without accompanying augmentation procedures compared with non-smokers.

METHODS:

A systematic electronic and handsearch (articles published between 1989 and 2005; English and German language; search terms "dental or oral implants and smoking"; "dental or oral implants and tobacco") was performed to identify publications providing numbers of failed implants, related to the numbers of smokers and non-smokers for meta-analysis. Publications providing statistically examined data of implant failures or biologic complications among smokers compared with non-smokers were included for systematic review.

RESULTS:

Of 139 publications identified, 29 were considered for meta-analysis and 35 for systematic review. Meta-analysis revealed a significantly enhanced risk for implant failure among smokers [implant-related odds ratio (OR) 2.25, confidence interval (CI(95%)) 1.96-2.59; patient-related OR 2.64; CI(95%) 1.70-4.09] compared with non-smokers, and for smokers receiving implants with accompanying augmentation procedures (OR 3.61; CI(95%) 2.26-5.77, implant related). The systematic review indicated significantly enhanced risks of biologic complications among smokers. Five studies revealed no significant impact of smoking on prognosis of implants with particle-blasted, acid-etched or anodic oxidized surfaces.

CONCLUSION:

Smoking is a significant risk factor for dental implant therapy and augmentation procedures accompanying implantations.

[Indexed for MEDLINE]

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