Gum Disease, Smokers, & Dental Implants

added on: October 24, 2013

Gum Disease, Smokers, & Dental Implants

Can patients with a previous history of gum disease and/or smoking be treated with dental implants?  This is a complicated question with a case by case risk assessment required.  I will try to answer this question by reviewing a very thorough review article published in the Journal of Periodontology.  Analysis of a large group of patients with dental implants showed the prevalence of peri-implantitis to be 18.8%.  Peri-implantitis is characterized by inflammation and bone loss around dental implants.  High risk patients included patients with a history of gum disease (bone loss) and smokers.  The previous history of gum disease sub-group showed a slight increase in prevalence of peri-implantitis 21.1% and the smokers sub-group showed a significant increase 36.3%.  Patients that are consistent with there home care and keeping up with cleanings are significantly less likely to have peri-implantitis.  Therefore, patients should be aware of the risks associated with failing implants, and reluctant about treatment with dental implants if they have only seen a dentist sporadically.  Dentist should be selective of who can be treated dental implants and not only concerned if they can pay the bill.

If you are interested in how dental implants can change your life,

Check out our Dental Implants Page.

The current case demonstrates a patient with a history of gum disease (bone loss) that has been stable for many years.  He has been a patient for approximately 20 years and dedicated to supportive maintenance.  A Straumann tissue level regular neck was surgically placed  and restored after bone integration.






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