Abstract
This study aimed to estimate and compare the clinical, radiographic, and restorative parameters around short tuberosity implants (STIs) placed in cigarette smokers (CS) and never smokers (NS). In this 60-month follow-up retrospective study, a total of 50 (37 males + 13 females) individuals who had received 82 dental implants were included. These participants were categorized into two groups as follows: (i) Group-1: 25 self-reported systemically healthy CS with 43 STIs; and (ii) Group-2: 25 self-reported systemically healthy NS with 39 STIs. In both groups, peri-implant plaque index (PI), probing depth (PD), bleeding on probing (BOP), and crestal bone loss (CBL) and restorative parameters were measured at 12 and 60 months of follow-up. Group comparisons were performed utilizing the Kruskal–Wallis test. The significance level was set at p < 0.05. In CS and NS, the mean age of participants was 58.5 and 60.7 years, respectively. No statistically significant differences were observed in the overall mean levels of PD and CBL around STIs among CS and NS. However, a statistically significant increase was observed in the mean scores of BOP and PI around STIs in the NS and CS at 12 and 60 months follow-up, respectively. In both groups, the loosening of the implant was the most frequently encountered type of STI failure. The outcomes of the present study suggest that STIs placed in maxillary tuberosity can show reliable clinical, radiographic, and restorative stability among cigarettes smokers and non-smokers. However, the role of smoking status and oral hygiene cannot be disregarded in this scenario.
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Blanco J, Suárez J, Novio S, Villaverde G, Ramos I, Segade LAG. Histomorphometric assessment in human cadavers of the peri-implant bone density in maxillary tuberosity following implant placement using osteotome and conventional techniques. Clin Oral Implant Res. 2008;19:505–10.
Lundgren S, Cricchio G, Hallman M, Jungner M, Rasmusson L, Sennerby L. Sinus floor elevation procedures to enable implant placement and integration: techniques, biological aspects and clinical outcomes. Periodontol. 2000;2017(73):103–20.
Tabassum A, Meijer GJ, Wolke JG, Jansen JA. Influence of the surgical technique and surface roughness on the primary stability of an implant in artificial bone with a density equivalent to maxillary bone: a laboratory study. Clin Oral Implant Res. 2009;20:327–32.
Traini T, Assenza B, San Roman F, Thams U, Caputi S, Piattelli A. Bone microvascular pattern around loaded dental implants in a canine model. Clin Oral Invest. 2006;10:151–6.
Goiato MC, Dos Santos D, Santiago JJ, Moreno A, Pellizzer EP. Longevity of dental implants in type IV bone: a systematic review. Int J Oral Maxillofac Surg. 2014;43:1108–16.
Chiapasco M. Early and immediate restoration and loading of implants in completely edentulous patients. Int J Oral Maxillofac Implant. 2004;19:76–91.
Attard NJ, Zarb GA. Implant prosthodontic management of partially edentulous patients missing posterior teeth: the Toronto experience. J Prosthet Dent. 2003;89:352–9.
An JH, Park SH, Han JJ, Jung S, Kook MS, Park HJ, et al. Treatment of dental implant displacement into maxillary sinus. Maxillofac Plast Reconstr Surg. 2017;39:35.
Kumar M, Chopra S, Das D, Gupta M, Memoalia J, Verma G. Direct maxillary sinus floor augmentation for simultaneous dental implant placement. Ann Maxillofac Surg. 2018;8:188–92.
Jemt T, Nilsson M, Olsson M, Stenport VF. Associations between early implant failure, patient age, and patient mortality: a 15 year follow-up study on 2566 patients treated with implant-supported prostheses in the edentulous jaw. Int J Prosthodont. 2017;30:189–97.
Del Fabbro M, Testori T, Kekovic V, Goker F, Tumedei M, Wang HL. A systematic review of survival rates of osseointegrated implants in fully and partially edentulous patiets following immediate loading. J Clin Med. 2019;8:2142.
Papaspyridakos P, Barizan Bordin T, Kim YJ, DeFuria C, Pagni SE, Chochlidakis K, et al. Implant survival rates and biologic complications with implant-supported fixed complete dental prostheses: a retrospective study with up to 12 year follow-up. Clin Oral Implant Res. 2018;29:881–93.
da Silva V, Santiago J Jr, Panzarini S, Pellizzer E. Placement of dental implants in the maxillary tuberosity: a systematic review. Int J Oral Maxillofac Surg. 2015;44:229–38.
Ikebe K, Wada M, Kagawa R, Maeda Y. Is old age a risk factor for dental implants? Japanese Dent Sci Rev. 2009;45:59–64.
Noguerol B, Munoz R, Mesa F, de Dios Luna J, O’Valle F. Early implant failure. Prognostic capacity of Periotest: retrospective study of a large sample. Clin Oral Implant Res. 2006;17:459–64.
Wood MR, Vermilyea SG. A review of selected dental literature on evidence-based treatment planning for dental implants: report of the committee on research in fixed prosthodontics of the academy of fixed prosthodontics. J Prosthet Dent. 2004;92:447–62.
Masri D, Chaushu L, Nissan J, Naishlos SA, Chaushu G. Is there an age limit for implant dentistry? Stoma Edu J. 2020;7:102–7.
Moy PK, Medina D, Shetty V, Aghaloo TL. Dental implant failure rates and associated risk factors. Int J Oral Maxillofac Implant. 2005;20:569–77.
Kennedy KS, Matteson Jones E, Kim D-G, McGlumphy EA, Clelland NL. A prospective clinical study to evaluate early success of short implants. Int J Oral Maxillofac Implant. 2013;28:170–7.
Khayat P, Nader N. The use of osseointegrated implants in the maxillary tuberosity. Prac Periodont Aesthet Dent. 1994;6:53–61.
Bahat O. Osseointegrated implants in the maxillary tuberosity: report on 45 consecutive patients. Int J Oral Maxillofac Implant. 1992;7:459–67.
Renouard F, Nisand D. Impact of implant length and diameter on survival rates. Clin Oral Implants Res. 2006;17:35–51.
Esfahrood ZR, Ahmadi L, Karami E, Asghari S. Short dental implants in the posterior maxilla: a review of the literature. J Korean Assoc Oral Maxillofac Surg. 2017;43:70–6.
Renouard F, Nisand D. Short implants in the severely resorbed maxilla: a 2 year retrospective clinical study. Clin Implant Dent Relat Res. 2005;7:s104–10.
Thoma DS, Cha J-K, Jung U-W. Treatment concepts for the posterior maxilla and mandible: short implants versus long implants in augmented bone. J Periodont Implant Sci. 2017;47:2–12.
Grant B-TN, Pancko FX, Kraut RA. Outcomes of placing short dental implants in the posterior mandible: a retrospective study of 124 cases. J Oral Maxillofac Surg. 2009;67:713–7.
Sahrmann P, Naenni N, Jung R, Held U, Truninger T, Hämmerle C, et al. Success of 6-mm implants with single-tooth restorations: a 3 year randomized controlled clinical trial. J Dent Res. 2016;95:623–8.
Mertens C, Meyer-Bäumer A, Kappel H, Hoffmann J, Steveling HG. Use of 8-mm and 9-mm implants in atrophic alveolar ridges: 10 year results. Int J Oral Maxillofac Implant. 2012;27:1501–8.
Deporter D, Pharoah M, Yeh S, Todescan R, Atenafu EG. Performance of titanium alloy sintered porous-surfaced (SPS) implants supporting mandibular overdentures during a 20 year prospective study. Clin Oral Implant Res. 2014;25:e189–95.
Papaspyridakos P, Mokti M, Chen CJ, Benic GI, Gallucci GO, Chronopoulos V. Implant and prosthodontic survival rates with implant fixed complete dental prostheses in the edentulous mandible after at least 5 years: a systematic review. Clin Implant Dent Relat Res. 2014;16:705–17.
Javed F, Näsström K, Benchimol D, Altamash M, Klinge B, Engström PE. Comparison of periodontal and socioeconomic status between subjects with type 2 diabetes mellitus and non-diabetic controls. J Periodontol. 2007;78:2112–9.
Katz J, Bhattacharyya I, Farkhondeh-Kish F, Perez F, Caudle R, Heft M. Expression of the receptor of advanced glycation end products in gingival tissues of type 2 diabetes patients with chronic periodontal disease: a study utilizing immunohistochemistry and RT-PCR. J Clin Periodontol. 2005;32:40–4.
Yu S, Li H, Ma Y, Fu Y. Matrix metalloproteinase-1 of gingival fibroblasts influenced by advanced glycation end products (AGEs) and their association with receptor for AGEs and nuclear factor-κB in gingival connective tissue. J Periodontol. 2012;83:119–26.
Zhang W, Fang M, Song F, Windsor LJ. Effects of cigarette smoke condensate and nicotine on human gingival fibroblast-mediated collagen degradation. J Periodontol. 2011;82:1071–9.
Katz J, Caudle RM, Bhattacharyya I, Stewart CM, Cohen DM. Receptor for advanced glycation end product (RAGE) upregulation in human gingival fibroblasts incubated with nornicotine. J Periodontol. 2005;76:1171–4.
Abduljabbar T, Al-Hamoudi N, Al-Sowygh ZH, Alajmi M, Javed F, Vohra F. Comparison of peri-implant clinical and radiographic status around short (6 mm in length) dental implants placed in cigarette-smokers and never-smokers: six-year follow-up results. Clin Implant Dent Relat Res. 2018;20:21–5.
Akram Z, Vohra F, Bukhari IA, Sheikh SA, Javed F. Clinical and radiographic peri-implant parameters and proinflammatory cytokine levels among cigarette smokers, smokeless tobacco users, and nontobacco users. Clin Implant Dent Relat Res. 2018;20:76–81.
Giro G, Tovar N, Marin C, Bonfante EA, Jimbo R, Suzuki M, et al. The effect of simplifying dental implant drilling sequence on osseointegration: an experimental study in dogs. Int J Biomater. 2013;2013:230310. https://doi.org/10.1155/2013/230310.
Bin Shabaib M, ALHarthi SS, Akram Z, Khan J, Rahman I, Romanos GE, et al. Clinical periodontal status and gingival crevicular fluid cytokine profile among cigarette-smokers, electronic-cigarette users and never-smokers. Arch Oral Biol. 2019;102:212–7.
Javed F, Al-Kheraif AA, Rahman I, Millan-Luongo LT, Feng C, Yunker M, et al. Comparison of clinical and radiographic periodontal status between habitual water-pipe smokers and cigarette smokers. J Periodontol. 2016;87:142–7.
Lang NP, Berglundh T, Periodontology WGotSEWo. Periimplant diseases: where are we now?—Consensus of the seventh European workshop on periodontology. J Clin Periodontol. 2011;38:178–81.
Khocht A, Janal M, Harasty L, Chang K-M. Comparison of direct digital and conventional intraoral radiographs in detecting alveolar bone loss. J Am Dent Assoc. 2003;134:1468–75.
Buser D, Weber HP, Brägger U. The treatment of partially edentulous patients with ITI hollow-screw implants: presurgical evaluation and surgical procedures. Int J Oral Maxillofac Implant. 1990;5:165–75.
Alrabiah M, Al Deeb M, Alsahhaf A, AlFawaz YF, Al-Aali KA, Vohra F, Abduljabbar T. Clinical and radiographic assessment of narrow-diameter and regular-diameter implants in the anterior and posterior jaw: 2 to 6 years of follow-up. J Periodont Implant Sci. 2020;50:97.
Javed F, Abduljabbar T, Vohra F, Malmstrom H, Rahman I, Romanos GE. Comparison of periodontal parameters and self-perceived oral symptoms among cigarette smokers, individuals vaping electronic cigarettes, and never-smokers. J Periodontol. 2017;88:1059–65.
Javed F, Al-Kheraif AA, Al Amri MD, Alshehri M, Vohra F, Al-Askar M, et al. Periodontal status and whole salivary cytokine profile among smokers and never-smokers with and without prediabetes. J Periodontol. 2015;86:890–8.
Ataoglu H, Alptekin NO, Haliloglu S, et al. Interleukin-1beta, tumor necrosis factor-alpha levels and neutrophil elastase activity in peri-implant crevicular fluid. Clin Oral Implant Res. 2002;13:470–6.
Javed F, Al-Hezaimi K, Salameh Z, et al. Proinflammatory cytokines in the crevicular fluid of patients with peri-implantitis. Cytokine. 2011;53:8–12.
Ghanem A, Abduljabbar T, Akram Z, et al. A systematic review and meta-analysis of pre-clinical studies assessing the effect of nicotine on osseointegration. Int J Oral Maxillofac Surg. 2017;46:496–502.
Barao VA, Ricomini-Filho AP, Faverani LP, et al. The role of nicotine, cotinine and caffeine on the electrochemical behavior and bacterial colonization to cp-Ti. Mater Sci Eng C Mater Biol Appl. 2015;56:114–24.
Salvi GE, Lang NP. Diagnostic parameters for monitoring peri-implant conditions. Int J Oral Maxillofac Implant. 2004;19:116–27.
Kumar V, Faizuddin M. Effect of smoking on gingival microvasculature: a histological study. J Indian Soc Periodontol. 2011;15:344–8.
Chowdhary R, Halldin A, Jimbo R, Wennerberg A. Influence of micro threads alteration on osseointegration and primary stability of implants: an FEA and in vivo analysis in rabbits. Clin Implant Dent Relat Res. 2015;17:562–9.
de Souza JGO, Bianchini MA, Ferreira CF. Relationship between smoking and bleeding on probing. J Oral Implantol. 2012;38:581–6.
Ramseier CA, Mirra D, Schütz C, Sculean A, Lang NP, Walter C, et al. Bleeding on probing as it relates to smoking status in patients enrolled in supportive periodontal therapy for at least 5 years. J Clin Periodontol. 2015;42:150–9.
Ata-Ali J, Flichy-Fernandez AJ, Alegre-Domingo T, et al. Impact of heavy smoking on the clinical, microbiological and immunological parameters of patients with dental implants: a prospective cross-sectional study. J Invest Clin Dent. 2016;7:401–9.
Javed F, Al-Rasheed A, Al-Hezaimi K, Almas K, Romanos GE. Effect of cigarette smoking on the clinical outcomes of periodontal surgical procedures. Am J Med Sci. 2012;343:78–84.
Chrcanovic BR, Kisch J, Albrektsson T, Wennerberg A. A retrospective study on clinical and radiological outcomes of oral implants in patients followed up for a minimum of 20 years. Clin Implant Dent Relat Res. 2018;20:199–207.
Attin T, Hornecker E. Tooth brushing and oral health: how frequently and when should tooth brushing be performed? Oral Health Prev Dent. 2005;3:135–40.
AlSowygh ZH, Ghani SM, Sergis K, Vohra F, Akram Z. Peri-implant conditions and levels of advanced glycation end products among patients with different glycemic control. Clin Implant Dent Relat Res. 2018;20(3):345–51.
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The authors are grateful to the Researchers supporting project at King Saud University for funding through Researchers supporting project No. (RSP-2019-44).
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AMA, AM and SM: Data collection, study design, manuscript writing, manuscript revisions. FKA, AA and MA: Manuscript revisions, manuscript drafting, Resources, Validation and conceptualization. FV and TJ: Data collection, study design, manuscript drafting, data analysis, and manuscript approval. EMA: Assistance in data collection, questionnaire design, manuscript revisions, data interpretation, conceptualization, visualization. EMA and PA: Data collection, data interpretation, writing, and editing and final manuscript approval.
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Alhenaki, A.M., Alrawi, .K., Mohamed, A. et al. Clinical, radiographic and restorative parameters for short tuberosity implants placed in smokers: a retrospective study with 5 year follow-up. Odontology 109, 979–986 (2021). https://doi.org/10.1007/s10266-021-00623-2
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DOI: https://doi.org/10.1007/s10266-021-00623-2