Dental Implants and smoking

by michelle
(columbus, ms, usa)

Dental Implants and smoking

I'm jumping the gun here because right now I still have my lower left first molar. I am experiencing pain in this tooth and saw my dentist today. She referred me to a periodontist to check for a possible crack. This tooth was crowned 14 months ago with a porcelain crown. Several months later I was still experiencing dull pain so sought out a new dentist who performed a root canal.

On the xray today there was a small dark spot between the two roots. The Dr. Said its either endo failing or a crack. Just looking ahead and wondering how badly smoking impacts healing of implants as I'm afraid I'm heading in the direction of removal of the tooth.

Also any other recommendations or possible causes/solutions are appreciated. I'm currently on a z pack and 7.5 lortab which doesn't even touch the pain. Pain is constant but severity of the pain is not. The peaks lasts sometimes hours and the valleys the same. I do not eat on that side because of the pain but it also is very sore/tender feeling constantly. Oh, and what can I expect the periodontist to do at my first visit? How will he check under gums?

Thanks in advance.

Comments for Dental Implants and smoking

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Smoking and Implants
by: Sharon B., RDH

Hello Michelle,

To answer your first question about dental Implants and smoking: yes, smoking can influence the success of an implant. The reason is that when you smoke it causes the blood vessels in the gum tissue to atrophy. Then nutrients and healing capabilities are not able to reach the tissue around the teeth, affecting healing time or diminishing healing altogether. I would highly advise that if you wanted to invest in an implant that you stop smoking completely. As an RDH I also have to advise that it isn't healthy and can cause oral/esophageal/lung cancer (but I know you already know this).

As far as a fractured tooth...fractured teeth are very very difficult to treat because many times the fracture cannot be seen on an x-ray and is only diagnosed through symptoms. If the tooth has had a root canal then it should not be having any symptoms, but the gums around the tooth may be tender due to a fracture. A black spot on the x-ray between the roots of the teeth would most likely indicate severe bone loss around the tooth. Once bone loss extends down into the furcation of the tooth roots it is difficult to control and in the long run the tooth is usually lost.

Try asking your MD about a prescription for Chantix to aid you in discontinuing your smoking habit.

The Smoking Connection NEW
by: Phil/Orlando, FL

How many medical professionals have you met that have not advised you to quit smoking? Of that number, how many have advised you that smoking is not good for you? Great! Now we've established that you haven't been living in a cave...

Actually going to the dentist will give you cancer! Don't believe me? Let's look at the stats... I'll bet every person who has ever died of cancer has been to the dentist. Therefore, it must be logically concluded that going to the dentist has a direct connection on their cancer.

Silly, isn't it? Just get the implants and live your life; you could be hit by an automobile tomorrow. I wonder if there is a direct connection to drinking water...

Dental Implants and Smoking NEW
by: Anonymous

I am a smoker and had an implant in 2007 that did just fine. Another was placed 2 1/2 years ago, and right after the titanium rod was placed, I had pain in my sinuses for six weeks. Soon after I had a sinus infection about every three months. Then in October, my gums started to bubble and I started tasting a metal taste. My implant was infected. I have been on antibiotics numerous times, and the oral surgeon just did a procedure to clean the infection from my gums. I have some bone loss they are watching. I fear I may have to get it removed and have a bone graft. If you feel as if you have something stuck in your gumline, chances are you have an infection. Go to a Maxiofacial surgeon and get exrays, and treatment.

Dental Implants and Smoking NEW
by: Anonymous

I am a smoker and had an implant in 2007 that did just fine. Another was placed 2 1/2 years ago, and right after the titanium rod was placed, I had pain in my sinuses for six weeks. Soon after I had a sinus infection about every three months. Then in October, my gums started to bubble and I started tasting a metal taste. My implant was infected. I have been on antibiotics numerous times, and the oral surgeon just did a procedure to clean the infection from my gums. I have some bone loss they are watching. I fear I may have to get it removed and have a bone graft. If you feel as if you have something stuck in your gumline, chances are you have an infection. Go to a Maxiofacial surgeon and get exrays, and treatment.

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