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The Effect of Smoking on Early Bone Remodeling on Surface Modified Southern Implants®

Identifieur interne : 002216 ( Istex/Corpus ); précédent : 002215; suivant : 002217

The Effect of Smoking on Early Bone Remodeling on Surface Modified Southern Implants®

Auteurs : Stefan Vandeweghe ; Hugo De Bruyn

Source :

RBID : ISTEX:45CCFADB01D158F351CD73E4259F700C0D73CA82

English descriptors

Abstract

Introduction: Smoking affects the survival of turned titanium implants. Although smoking has less impact on the failure rate of rough surface implants, the effect on bone loss on rough surface implants has not been studied yet and may be an important factor in biological stability.

Url:
DOI: 10.1111/j.1708-8208.2009.00198.x

Links to Exploration step

ISTEX:45CCFADB01D158F351CD73E4259F700C0D73CA82

Le document en format XML

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<head>ABSTRACT</head>
<p>
<hi rend="bold">Introduction:</hi>
Smoking affects the survival of turned titanium implants. Although smoking has less impact on the failure rate of rough surface implants, the effect on bone loss on rough surface implants has not been studied yet and may be an important factor in biological stability.</p>
<p>
<hi rend="bold">Aim:</hi>
To determine the effect of smoking on early implant failures and bone remodeling around moderately rough implants (Southern Implants®, Southern Implants, Irene, South Africa).</p>
<p>
<hi rend="bold">Materials and Methods:</hi>
Three hundred twenty‐nine patient records, containing information on 712 installed implants, were scrutinized retrospectively and periapical radiographs were analyzed for interproximal bone level. Mann‐Whitney
<hi rend="italic">U</hi>
‐test and Fisher's exact test were performed to compare bone level and implant survival in smokers and nonsmokers. Only implants with at least 6 months of function time were analyzed for bone level changes.</p>
<p>
<hi rend="bold">Results:</hi>
The overall survival rate was 98.3%. Implants in smokers had a threefold higher failure rate compared with nonsmokers (5/104 = 4.8% vs 7/608 = 1.2%). This was statistically significant on implant level (
<hi rend="italic">p</hi>
 = .007) but not on patient level (1/41 vs 7/288,
<hi rend="italic">p</hi>
 = .997). Readable radiographs from 363 implants in 169 patients were available with a mean follow‐up of 12 months (SD 5.11; range 6–28). The mean interproximal bone level was 1.36 mm (
<hi rend="italic">n</hi>
 = 363; SD 0.41; range 0.48–3.70). Bone levels were independent of jaw location. Sixty implants from 21 smokers lost statistically significantly (
<hi rend="italic">p</hi>
 = .001) more bone (mean 1.56; SD 0.53; range 0.75–3.22) than the 303 implants in 148 nonsmokers (mean 1.32 mm; SD 0.38; range 0.48–3.7). The maxilla is especially prone to bone loss compared with the mandible (1.70 mm vs 1.26 mm,
<hi rend="italic">p</hi>
 < .001).</p>
<p>
<hi rend="bold">Conclusion:</hi>
The Southern Implants® system demonstrated a high absolute survival rate. Although smokers are not more prone to implant loss, more pronounced peri‐implant bone loss was observed, especially in the maxilla. Whether this affects future biological complications remains to be investigated in prospective long‐term studies.</p>
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<correspondenceTo>Dr. Hugo De Bruyn, Dental School, Department of Periodontology and Oral Implantology, Faculty of Medicine and Health Sciences, University of Ghent, De Pintelaan 185, 9000 Ghent Belgium; e‐mail:
<email>hugo.debruyn@ugent.be</email>
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<title type="main">The Effect of Smoking on Early Bone Remodeling on Surface Modified Southern Implants®</title>
<title type="shortAuthors">Clinical Implant Dentistry and Related Research, Volume 13, Number 3, 2011</title>
<title type="short">Effect of Smoking on Early Bone Remodeling</title>
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<personName>
<givenNames>Stefan</givenNames>
<familyName>Vandeweghe</familyName>
<degrees>DDS</degrees>
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<unparsedAffiliation>Dentist, PhD student, Dental School, Department of Periodontology and Oral Implantology, Faculty of Medicine and Health Sciences, University of Ghent, De Pintelaan, Ghent, Belgium;</unparsedAffiliation>
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<unparsedAffiliation>professor and chairman, Dental School, Department of Periodontology and Oral Implantology, Faculty of Medicine and Health Sciences, University of Ghent, De Pintelaan, Ghent, Belgium</unparsedAffiliation>
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<keywordGroup xml:lang="en">
<keyword xml:id="k1">bone loss</keyword>
<keyword xml:id="k2">dental implant</keyword>
<keyword xml:id="k3">implant success</keyword>
<keyword xml:id="k4">implant survival</keyword>
<keyword xml:id="k5">modified surface</keyword>
<keyword xml:id="k6">smoking</keyword>
<keyword xml:id="k7">Southern Implants®</keyword>
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<title type="main">ABSTRACT</title>
<p>
<b>Introduction:</b>
Smoking affects the survival of turned titanium implants. Although smoking has less impact on the failure rate of rough surface implants, the effect on bone loss on rough surface implants has not been studied yet and may be an important factor in biological stability.</p>
<p>
<b>Aim:</b>
To determine the effect of smoking on early implant failures and bone remodeling around moderately rough implants (Southern Implants®, Southern Implants, Irene, South Africa).</p>
<p>
<b>Materials and Methods:</b>
Three hundred twenty‐nine patient records, containing information on 712 installed implants, were scrutinized retrospectively and periapical radiographs were analyzed for interproximal bone level. Mann‐Whitney
<i>U</i>
‐test and Fisher's exact test were performed to compare bone level and implant survival in smokers and nonsmokers. Only implants with at least 6 months of function time were analyzed for bone level changes.</p>
<p>
<b>Results:</b>
The overall survival rate was 98.3%. Implants in smokers had a threefold higher failure rate compared with nonsmokers (5/104 = 4.8% vs 7/608 = 1.2%). This was statistically significant on implant level (
<i>p</i>
 = .007) but not on patient level (1/41 vs 7/288,
<i>p</i>
 = .997). Readable radiographs from 363 implants in 169 patients were available with a mean follow‐up of 12 months (SD 5.11; range 6–28). The mean interproximal bone level was 1.36 mm (
<i>n</i>
 = 363; SD 0.41; range 0.48–3.70). Bone levels were independent of jaw location. Sixty implants from 21 smokers lost statistically significantly (
<i>p</i>
 = .001) more bone (mean 1.56; SD 0.53; range 0.75–3.22) than the 303 implants in 148 nonsmokers (mean 1.32 mm; SD 0.38; range 0.48–3.7). The maxilla is especially prone to bone loss compared with the mandible (1.70 mm vs 1.26 mm,
<i>p</i>
 < .001).</p>
<p>
<b>Conclusion:</b>
The Southern Implants® system demonstrated a high absolute survival rate. Although smokers are not more prone to implant loss, more pronounced peri‐implant bone loss was observed, especially in the maxilla. Whether this affects future biological complications remains to be investigated in prospective long‐term studies.</p>
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<title>The Effect of Smoking on Early Bone Remodeling on Surface Modified Southern Implants®</title>
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<abstract>Introduction: Smoking affects the survival of turned titanium implants. Although smoking has less impact on the failure rate of rough surface implants, the effect on bone loss on rough surface implants has not been studied yet and may be an important factor in biological stability.</abstract>
<abstract>Aim: To determine the effect of smoking on early implant failures and bone remodeling around moderately rough implants (Southern Implants®, Southern Implants, Irene, South Africa).</abstract>
<abstract>Materials and Methods: Three hundred twenty‐nine patient records, containing information on 712 installed implants, were scrutinized retrospectively and periapical radiographs were analyzed for interproximal bone level. Mann‐Whitney U‐test and Fisher's exact test were performed to compare bone level and implant survival in smokers and nonsmokers. Only implants with at least 6 months of function time were analyzed for bone level changes.</abstract>
<abstract>Results: The overall survival rate was 98.3%. Implants in smokers had a threefold higher failure rate compared with nonsmokers (5/104 = 4.8% vs 7/608 = 1.2%). This was statistically significant on implant level (p = .007) but not on patient level (1/41 vs 7/288, p = .997). Readable radiographs from 363 implants in 169 patients were available with a mean follow‐up of 12 months (SD 5.11; range 6–28). The mean interproximal bone level was 1.36 mm (n = 363; SD 0.41; range 0.48–3.70). Bone levels were independent of jaw location. Sixty implants from 21 smokers lost statistically significantly (p = .001) more bone (mean 1.56; SD 0.53; range 0.75–3.22) than the 303 implants in 148 nonsmokers (mean 1.32 mm; SD 0.38; range 0.48–3.7). The maxilla is especially prone to bone loss compared with the mandible (1.70 mm vs 1.26 mm, p < .001).</abstract>
<abstract>Conclusion: The Southern Implants® system demonstrated a high absolute survival rate. Although smokers are not more prone to implant loss, more pronounced peri‐implant bone loss was observed, especially in the maxilla. Whether this affects future biological complications remains to be investigated in prospective long‐term studies.</abstract>
<subject lang="en">
<genre>keywords</genre>
<topic>bone loss</topic>
<topic>dental implant</topic>
<topic>implant success</topic>
<topic>implant survival</topic>
<topic>modified surface</topic>
<topic>smoking</topic>
<topic>Southern Implants®</topic>
</subject>
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