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The effect of smoking on survival and bone loss of implants with a fluoride‐modified surface: a 2‐year retrospective analysis of 1106 implants placed in daily practice

Identifieur interne : 007549 ( Istex/Corpus ); précédent : 007548; suivant : 007550

The effect of smoking on survival and bone loss of implants with a fluoride‐modified surface: a 2‐year retrospective analysis of 1106 implants placed in daily practice

Auteurs : Stijn Vervaeke ; Bruno Collaert ; Stefan Vandeweghe ; Jan Cosyn ; Ellen Deschepper ; Hugo De Bruyn

Source :

RBID : ISTEX:ECD762E3B046D8918ABC78F8569011DAE840BB32

English descriptors

Abstract

Aim: To compare the survival and peri‐implant bone loss of implants with a fluoride‐modified surface in smokers and nonsmokers.

Url:
DOI: 10.1111/j.1600-0501.2011.02201.x

Links to Exploration step

ISTEX:ECD762E3B046D8918ABC78F8569011DAE840BB32

Le document en format XML

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<hi rend="bold">Aim: </hi>
To compare the survival and peri‐implant bone loss of implants with a fluoride‐modified surface in smokers and nonsmokers.</p>
<p>
<hi rend="bold">Materials and methods: </hi>
Patient files of all patients referred for implant treatment from November 2004 to 2007 were scrutinized. All implants were placed by the same experienced surgeon (B. C.). The only inclusion criterion was a follow‐up time of at least 2 years. Implant survival and bone loss were assessed by an external calibrated examiner (S. V.) comparing digital peri‐apical radiographs taken during recall visits with the post‐operative ones. Implant success was determined according to the international success criteria (
<ref type="bibl" target="#b2">Albrektsson et al. 1986</ref>
). Survival of implants installed in smokers and nonsmokers was compared using the log‐rank test. Both nonparametric tests and fixed model analysis were adopted to evaluate bone loss in smokers and nonsmokers.</p>
<p>
<hi rend="bold">Results: </hi>
One‐thousand one‐hundred and six implants in 300 patients (186 females; 114 males) with a mean follow‐up of 31 months (SD 7.15; range 24–58) were included. Nineteen implants in 17 patients failed, resulting in an overall survival rate of 98.3% at the implant level and 94.6% at the patient level. After a follow‐up period of 2 years, the cumulative survival rates was 96.7% and 99.1% with the patient and implant as the statistical unit, respectively. Implant survival was significantly higher for nonsmokers compared with smokers (implant level
<hi rend="italic">P</hi>
=0.025; patient level
<hi rend="italic">P</hi>
=0.017). The overall mean bone loss was 0.34 mm (
<hi rend="italic">n</hi>
=1076; SD 0.65; range 0–7.1). Smokers lost significantly more bone compared with nonsmokers in the maxilla (0.74 mm; SD 1.07 vs. 0.33 mm; SD 0.65;
<hi rend="italic">P</hi>
<0.001), but not in the mandible (0.25 mm; SD 0.65 vs. 0.22 mm; SD 0.5;
<hi rend="italic">P</hi>
=0.298).</p>
<p>
<hi rend="bold">Conclusion: </hi>
The present study is the first to compare peri‐implant bone loss in smokers and nonsmokers from the time of implant insertion (baseline) to at least 2 years of follow‐up. Implants with a fluoride‐modified surface demonstrated a high survival rate and limited bone loss. However, smokers are at a higher risk of experiencing implant failure and more prone to show peri‐implant bone loss in the maxilla. Whether this bone loss is predicting future biological complications remains to be evaluated.</p>
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De Pintelaan 185, 9000 Gent
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Vervaeke S, Collaert B, Vandeweghe S, Cosyn J, Deschepper E, De Bruyn H. The effect of smoking on survival and bone loss of implants with a fluoride‐modified surface: a 2‐year retrospective analysis of 1106 implants placed in daily practice.

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<p>
<b>Aim: </b>
To compare the survival and peri‐implant bone loss of implants with a fluoride‐modified surface in smokers and nonsmokers.</p>
<p>
<b>Materials and methods: </b>
Patient files of all patients referred for implant treatment from November 2004 to 2007 were scrutinized. All implants were placed by the same experienced surgeon (B. C.). The only inclusion criterion was a follow‐up time of at least 2 years. Implant survival and bone loss were assessed by an external calibrated examiner (S. V.) comparing digital peri‐apical radiographs taken during recall visits with the post‐operative ones. Implant success was determined according to the international success criteria (
<link href="#b2">Albrektsson et al. 1986</link>
). Survival of implants installed in smokers and nonsmokers was compared using the log‐rank test. Both nonparametric tests and fixed model analysis were adopted to evaluate bone loss in smokers and nonsmokers.</p>
<p>
<b>Results: </b>
One‐thousand one‐hundred and six implants in 300 patients (186 females; 114 males) with a mean follow‐up of 31 months (SD 7.15; range 24–58) were included. Nineteen implants in 17 patients failed, resulting in an overall survival rate of 98.3% at the implant level and 94.6% at the patient level. After a follow‐up period of 2 years, the cumulative survival rates was 96.7% and 99.1% with the patient and implant as the statistical unit, respectively. Implant survival was significantly higher for nonsmokers compared with smokers (implant level
<i>P</i>
=0.025; patient level
<i>P</i>
=0.017). The overall mean bone loss was 0.34 mm (
<i>n</i>
=1076; SD 0.65; range 0–7.1). Smokers lost significantly more bone compared with nonsmokers in the maxilla (0.74 mm; SD 1.07 vs. 0.33 mm; SD 0.65;
<i>P</i>
<0.001), but not in the mandible (0.25 mm; SD 0.65 vs. 0.22 mm; SD 0.5;
<i>P</i>
=0.298).</p>
<p>
<b>Conclusion: </b>
The present study is the first to compare peri‐implant bone loss in smokers and nonsmokers from the time of implant insertion (baseline) to at least 2 years of follow‐up. Implants with a fluoride‐modified surface demonstrated a high survival rate and limited bone loss. However, smokers are at a higher risk of experiencing implant failure and more prone to show peri‐implant bone loss in the maxilla. Whether this bone loss is predicting future biological complications remains to be evaluated.</p>
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<abstract>Aim: To compare the survival and peri‐implant bone loss of implants with a fluoride‐modified surface in smokers and nonsmokers.</abstract>
<abstract>Materials and methods: Patient files of all patients referred for implant treatment from November 2004 to 2007 were scrutinized. All implants were placed by the same experienced surgeon (B. C.). The only inclusion criterion was a follow‐up time of at least 2 years. Implant survival and bone loss were assessed by an external calibrated examiner (S. V.) comparing digital peri‐apical radiographs taken during recall visits with the post‐operative ones. Implant success was determined according to the international success criteria (Albrektsson et al. 1986). Survival of implants installed in smokers and nonsmokers was compared using the log‐rank test. Both nonparametric tests and fixed model analysis were adopted to evaluate bone loss in smokers and nonsmokers.</abstract>
<abstract>Results: One‐thousand one‐hundred and six implants in 300 patients (186 females; 114 males) with a mean follow‐up of 31 months (SD 7.15; range 24–58) were included. Nineteen implants in 17 patients failed, resulting in an overall survival rate of 98.3% at the implant level and 94.6% at the patient level. After a follow‐up period of 2 years, the cumulative survival rates was 96.7% and 99.1% with the patient and implant as the statistical unit, respectively. Implant survival was significantly higher for nonsmokers compared with smokers (implant level P=0.025; patient level P=0.017). The overall mean bone loss was 0.34 mm (n=1076; SD 0.65; range 0–7.1). Smokers lost significantly more bone compared with nonsmokers in the maxilla (0.74 mm; SD 1.07 vs. 0.33 mm; SD 0.65; P<0.001), but not in the mandible (0.25 mm; SD 0.65 vs. 0.22 mm; SD 0.5; P=0.298).</abstract>
<abstract>Conclusion: The present study is the first to compare peri‐implant bone loss in smokers and nonsmokers from the time of implant insertion (baseline) to at least 2 years of follow‐up. Implants with a fluoride‐modified surface demonstrated a high survival rate and limited bone loss. However, smokers are at a higher risk of experiencing implant failure and more prone to show peri‐implant bone loss in the maxilla. Whether this bone loss is predicting future biological complications remains to be evaluated.</abstract>
<subject lang="en">
<genre>keywords</genre>
<topic>bone loss</topic>
<topic>dental implant</topic>
<topic>implant survival</topic>
<topic>smoking</topic>
</subject>
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<title>Clinical Oral Implants Research</title>
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<identifier type="ISSN">0905-7161</identifier>
<identifier type="eISSN">1600-0501</identifier>
<identifier type="DOI">10.1111/(ISSN)1600-0501</identifier>
<identifier type="PublisherID">CLR</identifier>
<part>
<date>2012</date>
<detail type="volume">
<caption>vol.</caption>
<number>23</number>
</detail>
<detail type="issue">
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<number>6</number>
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<extent unit="pages">
<start>758</start>
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<total>9</total>
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<identifier type="istex">ECD762E3B046D8918ABC78F8569011DAE840BB32</identifier>
<identifier type="ark">ark:/67375/WNG-H92L7WV4-Q</identifier>
<identifier type="DOI">10.1111/j.1600-0501.2011.02201.x</identifier>
<identifier type="ArticleID">CLR2201</identifier>
<accessCondition type="use and reproduction" contentType="copyright">Copyright © 2012 John Wiley & Sons A/S© 2011 John Wiley & Sons A/S</accessCondition>
<recordInfo>
<recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-L0C46X92-X">wiley</recordContentSource>
<recordOrigin>Blackwell Publishing Ltd</recordOrigin>
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