Butt Out for Better All-on-4 Results
All-On-4® is a popular and effective tooth replacement solution involving placing four dental implants in the jaw to support a full arch of replacement teeth. However, for patients who smoke, the success and longevity of All-on-4 implants can be significantly compromised. Smoking is known to increase the risks of complications both during and after the All-on-4 procedure.
Our Rancho Cucamonga, CA, implant dentist, Dr. Jay Stockdale, explains how smoking can affect your all-on-4 implants. Read on to learn more about its effect.
Effects of Smoking on All-on-4 Implants
Increases Risk of Implant Failure
Smoking impairs blood flow and slows the healing process, leading to a higher risk of All-on-4 implant failure. Smokers also have a greater likelihood of developing infections around the implant sites while healing. Patients who smoke have up to a 10 percent increased risk of implant failure compared to non-smokers.
Increases Risk of Bone Loss Around Implants
Smoking interferes with bone integration and can decrease bone density over time. This makes the jawbone weaker and less capable of securely holding the implants in place. Gradually, implants may loosen and become unstable. Dr. Stockdale notes smokers tend to experience more bone loss and recession around implants.
Increases Risk of Peri-Implantitis
Peri-implantitis is a bacterial infection of the soft and hard tissues surrounding the implant. Smoking is a major risk factor for developing peri-implantitis, which can cause inflammation, bleeding, and further bone loss. Peri-implantitis is one of the leading causes of All-on-4 implant failure.
Worsens Esthetic Outcomes
Smokers who get All-on-4 implants are more prone to gum recession over time, which can expose the metal implant posts and make replacement teeth look unnatural. Smoking also causes a yellowing effect, increasing the chances of visible staining on replacement teeth constructed over implants.
Recommendations for Smokers Getting All-on-4
Dr. Stockdale and the team at Renaissance Dental Care provide tips for smokers:
- Quit smoking, even just a few weeks before the procedure can help reduce risks and support healing.
- To compensate for increased chances of bone loss, bone grafts or ridge augmentation procedures may be recommended.
- Close long-term monitoring is also advised to check for signs of implant failure or peri-implantitis.
- Diligent oral hygiene is extremely important for smokers with All-on-4 implants.
Frequently Asked Questions
Is secondhand smoke exposure risky if I live with a smoker?
Secondhand smoke exposure can impact healing after getting All-on-4 implants. We recommend you take measures to limit exposure through improved ventilation, smoking outside only, etc.
If I quit smoking, how long before I see improved implant success rates?
Studies show the failure rate steadily improves over time after quitting smoking. After five years smoke-free, implant success rates approach those of non-smokers. The longer one refrains from smoking, the better.
Can All-on-4 implants be placed if I'm unable to quit smoking?
It’s possible to get All-on-4 implants as a smoker, but you must accept substantially higher risks of complications. Close monitoring and diligent hygiene will be critical. Your implant dentist will determine whether you qualify for implant placements or need supplemental procedures to increase your candidacy.
How soon after getting All-on-4 implants can I start smoking again?
Your implant dentist recommends refraining from smoking for at least six months after getting All-on-4 implants to allow proper osseointegration and healing. Resuming smoking too soon greatly increases the risk of implant failure.
Take the First Step Towards Improved Oral Health
If you are a smoker considering All-on-4 dental implants, it’s strongly advised to begin quitting smoking to help ensure the best results from your dental treatment. Contact our Rancho Cucamonga office at (909) 581-8205 to schedule your consultation with Dr. Stockdale.
You can also book your appointment with our convenient online form, and one of our friendly staff members will assist you. We’re proud to provide services to new and returning patients in Rancho Cucamonga and the surrounding areas like Riverside, San Bernardino, and Diamond Bar, CA.