Evidence-Based Critical Assessment of the Success Rate of Dental Implants in Smokers: An Umbrella Systematic Review

Overview

Journal Cureus

Specialty Biomedical Engineering

Date 2024 Oct 25

PMID 39449874

Authors

Ujjaini Banerjee

Pankaj Dhawan

Sapna Rani

Neha Jain

Affiliations

Soon will be listed here.

Abstract

The aim of this umbrella systematic review is to evaluate the success rate and osseointegration of dental implants in patients with a smoking habit. Electronic database searches of PubMed/Medline, Google Scholar, ScienceDirect, Cochrane Library, and EBSCOhost were done from 2006 until August 2024, using medical subject headings (MeSH) terms. Systematic reviews and meta-analyses (SRMAs) investigating the association between smoking and the rate of success of dental implants based on dental implant failure, marginal bone loss, survival, and peri-implant parameters were deemed eligible. The Assessment of Multiple Systematic Reviews Tool 2 (AMSTAR 2) was used to assess the quality of the included SRMAs. Seventeen systematic reviews have been included. In the reviews, 10 studies included meta-analyses (MAs) that evaluated implant failure rate and marginal bone loss. According to the AMSTAR 2 checklist, one review was scored "high," seven reviews were scored "moderate," seven reviews were scored "low," and two reviews were scored "critically low" quality. The strength of evidence suggests a low level of success and high rate of failure of osseointegration of dental implants in smokers. However, the influence of smoking on the rate of dental implant failure seems to be associated with various factors such as peri-implant inflammatory markers, post-operative infections, etc. Inherently, the conclusion of this review is based on a limited number of systematic reviews.

References

Silva H . Tobacco Use and Periodontal Disease-The Role of Microvascular Dysfunction. Biology (Basel). 2021; 10(5). PMC: 8156280. DOI: 10.3390/biology10050441. View

Moraschini V, Porto Barboza E . Success of dental implants in smokers and non-smokers: a systematic review and meta-analysis. Int J Oral Maxillofac Surg. 2015; 45(2):205-15. DOI: 10.1016/j.ijom.2015.08.996. View

Chrcanovic B, Albrektsson T, Wennerberg A . Smoking and dental implants: A systematic review and meta-analysis. J Dent. 2015; 43(5):487-98. DOI: 10.1016/j.jdent.2015.03.003. View

Turri A, Orlato Rossetti P, Canullo L, Grusovin M, Dahlin C . Prevalence of Peri-implantitis in Medically Compromised Patients and Smokers: A Systematic Review. Int J Oral Maxillofac Implants. 2016; 31(1):111-8. DOI: 10.11607/jomi.4149. View

Alfadda S . Current Evidence on Dental Implants Outcomes in Smokers and Nonsmokers: A Systematic Review and Meta-Analysis. J Oral Implantol. 2018; 44(5):390-399. DOI: 10.1563/aaid-joi-D-17-00313. View

Page M, McKenzie J, Bossuyt P, Boutron I, Hoffmann T, Mulrow C . The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. Syst Rev. 2021; 10(1):89. PMC: 8008539. DOI: 10.1186/s13643-021-01626-4. View

Farronato D, Azzi L, Giboli L, Maurino V, Tartaglia G, Farronato M . Impact of Smoking Habit on Peri-Implant Indicators following Different Therapies: A Systematic Review. Bioengineering (Basel). 2022; 9(10). PMC: 9598905. DOI: 10.3390/bioengineering9100569. View

Mustapha A, Salame Z, Chrcanovic B . Smoking and Dental Implants: A Systematic Review and Meta-Analysis. Medicina (Kaunas). 2022; 58(1). PMC: 8780868. DOI: 10.3390/medicina58010039. View

Telleman G, Raghoebar G, Vissink A, den Hartog L, Huddleston Slater J, Meijer H . A systematic review of the prognosis of short (<10 mm) dental implants placed in the partially edentulous patient. J Clin Periodontol. 2011; 38(7):667-76. DOI: 10.1111/j.1600-051X.2011.01736.x. View

10.

Caggiano M, Gasparro R, DAmbrosio F, Pisano M, Di Palo M, Contaldo M . Smoking Cessation on Periodontal and Peri-Implant Health Status: A Systematic Review. Dent J (Basel). 2022; 10(9). PMC: 9497918. DOI: 10.3390/dj10090162. View

11.

Akram Z, Javed F, Vohra F . Effect of waterpipe smoking on peri-implant health: A systematic review and meta-analysis. J Investig Clin Dent. 2019; 10(3):e12403. DOI: 10.1111/jicd.12403. View

12.

Bojcic R, Todoric M, Puljak L . Adopting AMSTAR 2 critical appraisal tool for systematic reviews: speed of the tool uptake and barriers for its adoption. BMC Med Res Methodol. 2022; 22(1):104. PMC: 8996416. DOI: 10.1186/s12874-022-01592-y. View

13.

Strietzel F, Reichart P, Kale A, Kulkarni M, Wegner B, Kuchler I . Smoking interferes with the prognosis of dental implant treatment: a systematic review and meta-analysis. J Clin Periodontol. 2007; 34(6):523-44. DOI: 10.1111/j.1600-051X.2007.01083.x. View

14.

Ghanem A, Abduljabbar T, Akram Z, Vohra F, Kellesarian S, Javed F . A systematic review and meta-analysis of pre-clinical studies assessing the effect of nicotine on osseointegration. Int J Oral Maxillofac Surg. 2017; 46(4):496-502. DOI: 10.1016/j.ijom.2016.12.003. View

15.

Naseri R, Yaghini J, Feizi A . Levels of smoking and dental implants failure: A systematic review and meta-analysis. J Clin Periodontol. 2020; 47(4):518-528. DOI: 10.1111/jcpe.13257. View

16.

Chambrone L, Preshaw P, Ferreira J, Rodrigues J, Cassoni A, Shibli J . Effects of tobacco smoking on the survival rate of dental implants placed in areas of maxillary sinus floor augmentation: a systematic review. Clin Oral Implants Res. 2013; 25(4):408-16. DOI: 10.1111/clr.12186. View

17.

Hinode D, Tanabe S, Yokoyama M, Fujisawa K, Yamauchi E, Miyamoto Y . Influence of smoking on osseointegrated implant failure: a meta-analysis. Clin Oral Implants Res. 2006; 17(4):473-8. DOI: 10.1111/j.1600-0501.2005.01244.x. View

18.

Shea B, Reeves B, Wells G, Thuku M, Hamel C, Moran J . AMSTAR 2: a critical appraisal tool for systematic reviews that include randomised or non-randomised studies of healthcare interventions, or both. BMJ. 2017; 358:j4008. PMC: 5833365. DOI: 10.1136/bmj.j4008. View