RE: [ACEsthetics] Implants in smokers

Again, the literature does not bear that out.  Like it or not, smoking has to be considered only a relative contraindication, not an absolute.

 

gary

 

From: acesthetics@googlegroups.com [mailto:acesthetics@googlegroups.com] On Behalf Of Ray Voller
Sent: Friday, August 30, 2013 10:57 AM
To: johnhighsmith@mac.com
Cc: jstivers@bellsouth.net; acesthetics@googlegroups.com
Subject: Re: [ACEsthetics] Implants in smokers

 

I disagree. I've had almost zero failures with implants in non-smokers & more in smokers. Not ALOT more but more. 

It's their responsibility ( smokers) if they fail .  My periodontist who places them will redo a failed implant in non-smokers, but will not in smokers. 

Ray

Sent from my iPhone

On Aug 30, 2013, at 9:10 AM, John Highsmith <johnhighsmith@mac.com> wrote:

Placing implants in smokers is not that big a deal. A 3 pack a day smoker, yes it's a problem. 2 packs, getting dicey. One pack, not a huge risk. Assuming you have good bone volume. 

Bone grafting in smokers is a different story. Suture lines tend to open up, which makes your graft run down the hall. Not good.

 

Consider that implants are widely done in Europe, where smoking is a lot more prevalent than here. Tells you something. 

 

 

John Highsmith DDS

Clyde, NC

AACD Accredited Dentist

LVI Clinical Instructor

Diplomate, ICOI

Fellow, Misch Implant Institute

DrHighsmith.com

 

On Aug 30, 2013, at 9:06 AM, John Stivers <jstivers@bellsouth.net> wrote:

Kathy,

I have an OMFS I have referred to who refuses to place implants on smokers. I have 2 periodontist I refer to who will place them.  One periodontist, who is probably the most well-read dentist I know, says the literature doesn't support not doing them.

I have had 6 implants placed in a heavy smoker (worked for -Brown & Williamson--they put the patent for their super-addictive tobacco in his name) over the past 10 years or so and no problems whatsoever.

John


8/29/2013 9:42 PM, Kathy Frazar wrote:

What does everyone think about implant placement in smokers. How many cigarettes a day if any.

What is the prognosis?

Kathy Frazar DDS
www.TheHoustonDentists.com

Sent from my iPad

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