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  • 1
    Electronic Resource
    Electronic Resource
    Copenhagen : Munksgaard International Publishers
    ISSN: 1600-0501
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: This retrospective study describes the effect of smoking on initial fixture failure before functional loading with fixed prosthetic restorations. Of 208 installed Brånemark fixtures in the mandible, only 1 failed (0.5%) and no detrimental effect of smoking on fixture survival could be detected. In the maxilla, 101244 fixtures failed (4%); 7778 fixtures failed in smokers and 31166 in nonsmokers. The failure rate before loading was 9% in smokers versus 1% in nonsmokers and was statistically significant, despite the fact that bone quality in both groups was comparable. Failed fixtures occurred in 31% of the smokers, despite often excellent bone quality, long fixture length or good initial stability. Only 4% of the nonsmokers had failures, in most cases related to poor bone quality. It is concluded that smoking is a significant although not the only important factor in the failure of implants prior to functional loading. Prospective studies are needed to assess the risk of implant failure in conjunction with smoking. In the mean time, patients should be informed of the adverse effect of smoking.
    Type of Medium: Electronic Resource
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