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Tobacco was first introduced in Europe by
Spanish and Portuguese explorers of America
in the early 16th century.
The start of the spread of tobacco from the
Americas to the rest of the world invariably
seems to back to 1492, when Columbus was
offered dried tobacco leaves at the House of
the Arawaks, and took the plant back with him
to Europe.
Presumably, the technique of smoking was
picked up at the same time.
The plant was named “NICOTIANA” after the
French ambassador of Portugal.
Today, India is the second largest producer
and consumer of tobacco in the world.
Unfortunately, 4.83 million people worldwide
died in 2000 as a result of their addiction to
nicotine.
Smoking is a prevalent behavior in the
population all over the world.
Smoking has its influence on general as well
as oral health of an individual.
As far as oral health is concerned, it
increases the risk of periodontal disease,
oral precancerous and cancerous lesions,
root caries, and peri-implantitis.
During cigarette smoking, there are nearly
4000 different gases that are released into
the smoker.
Being the first point of
contact for these
substances, the oral
cavity is obviously
susceptible to these
destructive elements.
These gases include nitrogen, carbon
monoxide, carbon dioxide, ammonia,
hydrogen cyanide, benzene, nicotine,
nornicotine, anatabine, and anabasine
Not only is healing slowed down, but immune
defenses are also lowered.
Nicotine is known to reduce the proliferation of
red blood cells, macrophages, and fibroblasts,
which are important elements of healing.
In addition, nicotine increases platelet
adhesiveness, which can lead to poor perfusion
due to microclots.
Similarly, by stimulating the release of
epinephrine and norepinephrine, nicotine acts
as a sympathomimetic and causes increased
vasoconstriction, which limits overall tissue
perfusion.
Tobacco negatively affects postoperative
healing for almost all surgeries performed in the
oral cavity.
Tobacco, along with all its byproducts, is a
peripheral vasoconstrictor, which means it
constricts blood flow to the smaller blood vessels
and raises blood pressure.
It causes increased platelet adhesiveness,
which, combined with constricted blood vessels,
heightens the risk of these smaller blood vessels
completely closing off.
Cigarette smoke has thousands of toxic and
carcinogenic (cancer-causing) compounds that
negatively impact your health.
Most of this is well-known; lung cancer,
cardiovascular disease, and arterial disease are
all commonly associated with smoking.
What many don’t realize is how smoking
affects your oral health, impacting your gums,
tongue, natural teeth, and dental implants
This includes common and rare conditions, from
benign to life-threatening diseases such as :
Bad Breath
Discoloration of teeth and dental restorationsbad
Taste and smell disorders
impaired wound healing
periodontal diseases
short-term and long-term implant success
oral mucosal lesions such as smoker’s
melanosis and smoker’s palate,
pre-malignant lesions and conditions
oral cancer
The success of the endosseous implant
relies primarily on bone wound healing and the
ability of the alveolar bone to remodel and
secure the titanium screw within the newly built
bone.
For an implant to succeed, there has to be an
amalgamation of numerous factors, right from a
good surgery to a good prosthesis and its
proper maintenance
Successful osseointegration is a key requirement for
long-term survival of dental implants.
Osseointegration is a process in which dental
implants and bone join together by forming a rigid,
clinically asymptomatic fixation that is maintained
during functional loading.
Nicotine
Regardless of how it’s introduced into the
body , is a significant factor in implant
complication and failure.
Nicotine constricts
the superficial
(peripheral) blood
vessels in the mouth
and skin and
everywhere else.
This restricts blood
flow and oxygen to
your oral tissues and
bones, where it’s
needed most for
healing.
Tobacco being a peripheral vasoconstrictor,
diminishes adequate blood flow and oxygen, and
without it your body cannot heal, suppression of
the immune system leaves you more susceptible
to infection and, maybe most importantly,
osseointegration may not occur.
Osseointegration is the fusing together of bone
and implant.
Success of this step is fundamental to the
success of your implant surgery.
Requisite for smokers
Patient should cease smoking at least 1 week
prior to surgery to allow reversal of the increased
levels of platelet adhesion and blood viscosity, as
well as the short-term effects associated with
nicotine.
The patient should continue to avoid tobacco
for at least 2 months after implant placement, by
which time bone healing would have been
established.
We at Dr.Sachdeva Dental Institute will get the
following treatments and care designed to
diagnose, treat, and prevent oral health
problems from occurring or getting worse.
Evaluation and diagnosis—Our dental team
will inspect your teeth, gums, and oral tissue for
signs of disease.
Early detection is key for smoking-related
issues, including various types of oral cancer.
Cleaning—Our dental team can remove plaque
and years of built-up nicotine and tobacco stains
on your teeth, restoring the appearance of your
smile.
Treatment—If we detect any smoking-related
problems with your teeth, gums, or oral tissue,
we’ll arrange a treatment plan to help you tackle
the problem and to protect your health.
nicotine out of your system faster and helps satisfy
oral cravings.
2. Deep Breathing – Take a “deep breath break” instead
of a cigarette break – Take 10 deep breaths and hold the
last one while lighting a match. Exhale slowly, and blow
out the match.
3. Delay – Each day, delay lighting your first cigarette by
one hour. When you have your next craving, delay for
another 15 or 30 minutes. Now YOU will be in control!
4. Do Something Different – When you have a craving,
change your activity. Get out of the situation that makes
you want to smoke.
Source from - “Tips To Help You Quit” – The Lung
Association
@surgicalmasterrajat
@dentalcoursesdelhi
drrajatsachdeva
drrajatsachdeva
drrajatsachdeva
To book an appmt.
contact :
Dr.Rajat Sachdeva
Dr Sachdeva’s Dental
Aesthetic & Implant Institute
I 101, Ashok Vihar Phase 1,
Delhi- 110052

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Effects of Smoking on Oral Health and Dental Implants

  • 1.
  • 2. Tobacco was first introduced in Europe by Spanish and Portuguese explorers of America in the early 16th century. The start of the spread of tobacco from the Americas to the rest of the world invariably seems to back to 1492, when Columbus was offered dried tobacco leaves at the House of the Arawaks, and took the plant back with him to Europe.
  • 3. Presumably, the technique of smoking was picked up at the same time. The plant was named “NICOTIANA” after the French ambassador of Portugal. Today, India is the second largest producer and consumer of tobacco in the world.
  • 4. Unfortunately, 4.83 million people worldwide died in 2000 as a result of their addiction to nicotine. Smoking is a prevalent behavior in the population all over the world. Smoking has its influence on general as well as oral health of an individual.
  • 5. As far as oral health is concerned, it increases the risk of periodontal disease, oral precancerous and cancerous lesions, root caries, and peri-implantitis.
  • 6.
  • 7. During cigarette smoking, there are nearly 4000 different gases that are released into the smoker. Being the first point of contact for these substances, the oral cavity is obviously susceptible to these destructive elements.
  • 8. These gases include nitrogen, carbon monoxide, carbon dioxide, ammonia, hydrogen cyanide, benzene, nicotine, nornicotine, anatabine, and anabasine
  • 9. Not only is healing slowed down, but immune defenses are also lowered. Nicotine is known to reduce the proliferation of red blood cells, macrophages, and fibroblasts, which are important elements of healing. In addition, nicotine increases platelet adhesiveness, which can lead to poor perfusion due to microclots.
  • 10. Similarly, by stimulating the release of epinephrine and norepinephrine, nicotine acts as a sympathomimetic and causes increased vasoconstriction, which limits overall tissue perfusion.
  • 11. Tobacco negatively affects postoperative healing for almost all surgeries performed in the oral cavity. Tobacco, along with all its byproducts, is a peripheral vasoconstrictor, which means it constricts blood flow to the smaller blood vessels and raises blood pressure. It causes increased platelet adhesiveness, which, combined with constricted blood vessels, heightens the risk of these smaller blood vessels completely closing off.
  • 12.
  • 13. Cigarette smoke has thousands of toxic and carcinogenic (cancer-causing) compounds that negatively impact your health. Most of this is well-known; lung cancer, cardiovascular disease, and arterial disease are all commonly associated with smoking. What many don’t realize is how smoking affects your oral health, impacting your gums, tongue, natural teeth, and dental implants
  • 14. This includes common and rare conditions, from benign to life-threatening diseases such as : Bad Breath Discoloration of teeth and dental restorationsbad Taste and smell disorders impaired wound healing periodontal diseases short-term and long-term implant success oral mucosal lesions such as smoker’s melanosis and smoker’s palate, pre-malignant lesions and conditions oral cancer
  • 15. The success of the endosseous implant relies primarily on bone wound healing and the ability of the alveolar bone to remodel and secure the titanium screw within the newly built bone. For an implant to succeed, there has to be an amalgamation of numerous factors, right from a good surgery to a good prosthesis and its proper maintenance
  • 16. Successful osseointegration is a key requirement for long-term survival of dental implants. Osseointegration is a process in which dental implants and bone join together by forming a rigid, clinically asymptomatic fixation that is maintained during functional loading.
  • 17. Nicotine Regardless of how it’s introduced into the body , is a significant factor in implant complication and failure.
  • 18. Nicotine constricts the superficial (peripheral) blood vessels in the mouth and skin and everywhere else. This restricts blood flow and oxygen to your oral tissues and bones, where it’s needed most for healing.
  • 19. Tobacco being a peripheral vasoconstrictor, diminishes adequate blood flow and oxygen, and without it your body cannot heal, suppression of the immune system leaves you more susceptible to infection and, maybe most importantly, osseointegration may not occur. Osseointegration is the fusing together of bone and implant. Success of this step is fundamental to the success of your implant surgery.
  • 20. Requisite for smokers Patient should cease smoking at least 1 week prior to surgery to allow reversal of the increased levels of platelet adhesion and blood viscosity, as well as the short-term effects associated with nicotine. The patient should continue to avoid tobacco for at least 2 months after implant placement, by which time bone healing would have been established.
  • 21. We at Dr.Sachdeva Dental Institute will get the following treatments and care designed to diagnose, treat, and prevent oral health problems from occurring or getting worse. Evaluation and diagnosis—Our dental team will inspect your teeth, gums, and oral tissue for signs of disease. Early detection is key for smoking-related issues, including various types of oral cancer.
  • 22. Cleaning—Our dental team can remove plaque and years of built-up nicotine and tobacco stains on your teeth, restoring the appearance of your smile. Treatment—If we detect any smoking-related problems with your teeth, gums, or oral tissue, we’ll arrange a treatment plan to help you tackle the problem and to protect your health.
  • 23. nicotine out of your system faster and helps satisfy oral cravings. 2. Deep Breathing – Take a “deep breath break” instead of a cigarette break – Take 10 deep breaths and hold the last one while lighting a match. Exhale slowly, and blow out the match. 3. Delay – Each day, delay lighting your first cigarette by one hour. When you have your next craving, delay for another 15 or 30 minutes. Now YOU will be in control! 4. Do Something Different – When you have a craving, change your activity. Get out of the situation that makes you want to smoke. Source from - “Tips To Help You Quit” – The Lung Association
  • 25. To book an appmt. contact : Dr.Rajat Sachdeva Dr Sachdeva’s Dental Aesthetic & Implant Institute I 101, Ashok Vihar Phase 1, Delhi- 110052