{"id":15065,"date":"2026-08-26T01:35:16","date_gmt":"2026-08-25T23:35:16","guid":{"rendered":"https:\/\/platondental.com\/tobacco-and-implants-why-smoking-ruins-your-osseointegration\/"},"modified":"2026-08-26T01:35:16","modified_gmt":"2026-08-25T23:35:16","slug":"tobacco-and-implants-why-smoking-ruins-your-osseointegration","status":"publish","type":"post","link":"https:\/\/platondental.com\/en\/tobacco-and-implants-why-smoking-ruins-your-osseointegration\/","title":{"rendered":"Tobacco and Implants: Why Smoking Ruins Your Osseointegration"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"15065\" class=\"elementor elementor-15065 elementor-14508 elementor-bc-flex-widget\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d3176931 e-flex e-con-boxed e-con e-parent\" data-id=\"d3176931\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-646a330a elementor-widget elementor-widget-text-editor\" data-id=\"646a330a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Imagine you have been waiting months for this moment: the implant is already placed, the surgeon has discharged you and you leave the clinic with the feeling that the hardest part is over. And then, in the car, you light a cigarette. It seems like an innocent gesture. You have been smoking for years; one cigarette is not going to sink a piece of titanium. Or so you think.<\/p><p>The clinical reality is considerably harsher. <strong>That cigarette \u2014 and the ones that follow during the weeks of healing \u2014 can be the difference between an implant that lasts decades and one that fails before the bone has fully embraced it.<\/strong> This is not an exaggeration: it is biology.<\/p><aside class=\"nseo-tldr\" style=\"background: #f5f5f5;padding: 16px;border-radius: 4px;margin: 0 0 1.5rem 0\">\n  <strong>Summary:<\/strong> Tobacco interferes with osseointegration through vasoconstriction, immunosuppression and tissue hypoxia. Studies place the implant failure rate in smokers far above that of non-smokers. The critical window is the eight weeks following placement: not smoking during that period is the most important decision you can make to protect your investment.\n<\/aside>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c3e33957 elementor-widget elementor-widget-image\" data-id=\"c3e33957\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/platondental.com\/wp-content\/uploads\/tabaco-e-implantes.jpg\" title=\"\" alt=\"Dental implant with osseointegration compromised by tobacco, contrast between healthy bone in blue and damaged bone in red.\" loading=\"lazy\">\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">The vasoconstriction caused by nicotine reduces the critical blood flow needed for bone healing around the implant during the first months.<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5482ed93 elementor-widget elementor-widget-heading\" data-id=\"5482ed93\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">What happens in your mouth during the weeks after placement<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5fd73941 elementor-widget elementor-widget-text-editor\" data-id=\"5fd73941\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Placing a dental implant is not like screwing a bolt into wood. It is a surgery that triggers a precise and delicate biological cascade. As soon as the titanium implant is anchored in the bone, the body begins working to integrate it: bone cells called osteoblasts migrate towards the implant surface and begin depositing new bone tissue that gradually surrounds and embraces the metal piece.<\/p><p>This process is called <strong>osseointegration<\/strong>, and it is the core of the entire treatment. The success of an implant requires good osseointegration, meaning a perfect union between the titanium and the bone. Without that solid union, the crown placed on top has no firm foundation and the implant, sooner or later, becomes loose.<\/p><p>In non-smoking patients with good oral health, the union of bone and implant generally requires a period of between one and three months after placement. During those months, the tissue is vulnerable. Any factor that interferes with blood supply or the local immune response can slow down or block that process.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bdbb7529 elementor-widget elementor-widget-heading\" data-id=\"bdbb7529\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">The mechanism: how tobacco sabotages poor healing<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2b713bc2 elementor-widget elementor-widget-text-editor\" data-id=\"2b713bc2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Here lies the core of the problem, and it deserves to be explained precisely because it is what many patients do not understand. Tobacco does not act in just one way: it acts on several fronts at once, and all of them point in the same direction: towards <strong>poor healing<\/strong>.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a472a03d elementor-widget elementor-widget-heading\" data-id=\"a472a03d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Vasoconstriction: the supply blackout<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6a44f6a5 elementor-widget elementor-widget-text-editor\" data-id=\"6a44f6a5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Nicotine causes vasoconstriction, meaning the narrowing of blood vessels, which reduces irrigation in the tissues and hinders healing after surgery. Think of it this way: the operated area needs a constant flow of blood rich in oxygen, nutrients and repair cells. Nicotine literally narrows the pipes through which that supply arrives.<\/p><p>Nicotine constricts the blood vessels of the gum; as less blood reaches the operated area, fewer nutrients and defence cells also arrive, which are indispensable for repairing tissues after surgery. It is like trying to build a house with half the materials and half the workers. The work progresses, but poorly and slowly.<\/p><p>To this is added the carbon monoxide from the smoke. Nicotine and carbon monoxide are the main culprits: both substances cause vasoconstriction and drastically limit the supply of oxygen and nutrients to the tissues. The result is localised <strong>tissue hypoxia<\/strong> right where the bone needs the most oxygen to regenerate.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1a654255 elementor-widget elementor-widget-heading\" data-id=\"1a654255\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Immunosuppression: the open door to infection<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-87cf4573 elementor-widget elementor-widget-text-editor\" data-id=\"87cf4573\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Smoking affects the immune system, which increases the likelihood of infections after surgery and can compromise the stability of the implant. A weakened immune system cannot contain bacterial colonisation around the surgical wound. And an infected wound does not heal; it inflames.<\/p><p>The toxic substances released when consuming tobacco reduce the effectiveness of the immune system, so it will not be able to fight off an infection. Smoking patients are more prone to suffering infections when the wound has not yet healed.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a0ca1f72 elementor-widget elementor-widget-heading\" data-id=\"a0ca1f72\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Direct cellular damage: fibroblasts in trouble<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fc3a8e18 elementor-widget elementor-widget-text-editor\" data-id=\"fc3a8e18\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>There is a third, less well-known mechanism that is equally relevant. Nicotine is a vasoconstrictor that has a negative impact on the synthesis of cellular proteins and reduces the adhesion capacity of fibroblasts, which directly and negatively interferes with wound healing.<\/p><p>Fibroblasts are the cells responsible for producing the connective tissue that seals and supports the gum around the implant. Nicotine affects the gingival fibroblasts that create the connective tissue around the teeth; the weakening of these fibroblasts reduces the body&#8217;s ability to provide new tissue that effectively supports the implant. Without that well-formed soft tissue, the implant is left exposed and vulnerable.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bbb1a03d elementor-widget elementor-widget-heading\" data-id=\"bbb1a03d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">The figures on implant failure in smokers<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-58ed0496 elementor-widget elementor-widget-text-editor\" data-id=\"58ed0496\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>So much for the biology. Now the numbers, because they put things in perspective in a way that no anatomical explanation can match.<\/p><p>A Spanish study carried out with 66 patients over five years showed that the failure rate of implants in smoking patients was 15.8%, while in non-smoking patients it was only 1.4%. That is not a marginal difference: it is eleven times the risk.<\/p><p>Recent studies indicate that smokers can have implant failure rates up to three times higher than those of non-smokers. And the fact of smoking is associated with a higher concentration of reactive oxygen that increases the process of bone resorption, which may partly explain the negative effect of smoking on the osseointegration process.<\/p><aside class=\"nseo-callout nseo-callout--importante\" style=\"background: #eff6ff;border-left: 4px solid #2563eb;padding: 12px 16px;margin: 1rem 0\">\n  <strong>Important:<\/strong> The habit of smoking has been associated with both early and late failures of <a title=\"dental implants\" href=\"https:\/\/platondental.com\/tratamientos\/implantes-dentales-mallorca\/implante-unitario-mallorca\/\">dental implants<\/a>, including failures that occur during the second surgical stage. The risk does not disappear once the initial phase has passed.\n<\/aside>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9f78ac2a elementor-widget elementor-widget-heading\" data-id=\"9f78ac2a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Peri-implantitis: the smoker's silent enemy<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3fd048f6 elementor-widget elementor-widget-text-editor\" data-id=\"3fd048f6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Even when initial osseointegration succeeds, tobacco does not stop acting. Peri-implantitis is an inflammation and infection of the tissues surrounding the implant that appears more frequently in smokers, and can cause bone loss and, in the worst case, implant failure.<\/p><p>Peri-implantitis is, in essence, the periodontitis of the implant. The bone surrounding the piece is gradually reabsorbed, without pain in many phases, until the implant loses support and becomes loose. Tobacco not only affects the beginning; in the long term it is responsible for the loss of bone support around fixed crowns or bridges if impeccable hygiene is not maintained.<\/p><p><strong>Peri-implantitis is a silent emergency<\/strong>: it progresses without noticeable symptoms for months, and by the time the patient notices something is wrong, the bone loss is already significant. In smokers, that progression is faster and more aggressive.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-70a491c9 elementor-widget elementor-widget-heading\" data-id=\"70a491c9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">What if I use an e-cigarette? The myth of \"safe\" vaping<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-27f8b3bf elementor-widget elementor-widget-image\" data-id=\"27f8b3bf\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/platondental.com\/wp-content\/uploads\/tabaco-e-implantes-y-si-uso-cigarrillo-electronico-el-mito-del-vapeo-seguro.jpg\" title=\"\" alt=\"E-cigarette and vasoconstriction: vaping is not safe for implants, nicotine continues to damage healing.\" loading=\"lazy\">\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">Although there is no combustion, the nicotine in vaping maintains the same vasoconstrictive effect as traditional tobacco, sabotaging the poor healing that requires constant oxygenation.<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-744dd829 elementor-widget elementor-widget-text-editor\" data-id=\"744dd829\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>This is one of the questions most frequently asked at Plat\u00f3n Dental Clinics, and the answer is not what many smokers expect to hear.<\/p><p>Although e-cigarettes do not generate the heat of conventional tobacco combustion, the vast majority of vaping liquids still contain nicotine. Therefore, they maintain the vasoconstrictive effect and continue to be harmful to implant healing.<\/p><p>The nicotine in e-cigarettes can cause blood vessels to constrict, which reduces blood flow to the gums and bone tissue surrounding dental implants; reduced circulation can slow implant healing and prevent bone from growing properly around it. The mechanism is identical to that of conventional tobacco because the active agent \u2014 nicotine \u2014 is the same.<\/p><aside class=\"nseo-callout nseo-callout--consejo\" style=\"background: #eff6ff;border-left: 4px solid #2563eb;padding: 12px 16px;margin: 1rem 0\">\n  <strong>Advice:<\/strong> If you are considering vaping as a temporary substitute during healing, speak to your implantologist before making that decision. Nicotine patches or gums without combustion or aerosol are an alternative that reduces some risk factors, although nicotine itself remains vasoconstrictive.\n<\/aside>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c45a2e9b elementor-widget elementor-widget-heading\" data-id=\"c45a2e9b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">The critical window: how long you should stop smoking<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bf2f0c4a elementor-widget elementor-widget-text-editor\" data-id=\"bf2f0c4a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>There is no single answer, but there is clinical consensus on the minimum periods that make a difference.<\/p><p>Stopping smoking at least two weeks before treatment improves blood circulation and platelet count. Afterwards, not smoking for the eight weeks following implant placement, which is the healing phase, is essential. Those eight weeks are the window in which osseointegration determines its future.<\/p><p>Why two weeks before and not just after? Because scientific evidence recommends quitting tobacco at least 48\u201372 hours before the procedure to reduce carbon monoxide levels in the blood and improve tissue oxygenation, although the real benefit in tissue quality begins to be felt with a longer period of prior abstinence.<\/p><p>What is clear is that <strong>the first 24\u201348 hours after surgery are the most critical<\/strong>. Smoke alters the blood clot that protects the wound and the chemicals can penetrate directly into the freshly treated bone area. That clot is the first shield of healing; destroying it in the hours following surgery is a very serious mistake.<\/p><table class=\"nseo-comparison\" style=\"border-collapse: collapse;width: 100%;margin: 1.5rem 0\">\n  <caption style=\"caption-side: top;text-align: left;font-weight: 600;padding: 8px 0\">Risk comparison: active smoker vs. perioperative abstinence<\/caption>\n  <thead>\n    <tr>\n      <th scope=\"col\" style=\"border: 1px solid #ddd;padding: 8px 12px;background: #f5f5f5;text-align: left\">Factor<\/th>\n      <th scope=\"col\" style=\"border: 1px solid #ddd;padding: 8px 12px;background: #f5f5f5;text-align: left\">Active smoker<\/th>\n      <th scope=\"col\" style=\"border: 1px solid #ddd;padding: 8px 12px;background: #f5f5f5;text-align: left\">Abstinence \u2265 8 weeks post-surgery<\/th>\n    <\/tr>\n  <\/thead>\n  <tbody>\n    <tr>\n      <td style=\"border: 1px solid #ddd;padding: 8px 12px\">Implant failure rate<\/td>\n      <td style=\"border: 1px solid #ddd;padding: 8px 12px\">Up to 11 times higher than in non-smokers<\/td>\n      <td style=\"border: 1px solid #ddd;padding: 8px 12px\">Significantly reduced risk<\/td>\n    <\/tr>\n    <tr>\n      <td style=\"border: 1px solid #ddd;padding: 8px 12px\">Speed of osseointegration<\/td>\n      <td style=\"border: 1px solid #ddd;padding: 8px 12px\">Slower and with lower bone density<\/td>\n      <td style=\"border: 1px solid #ddd;padding: 8px 12px\">Comparable to non-smoking patient<\/td>\n    <\/tr>\n    <tr>\n      <td style=\"border: 1px solid #ddd;padding: 8px 12px\">Risk of peri-implantitis<\/td>\n      <td style=\"border: 1px solid #ddd;padding: 8px 12px\">Elevated throughout the life of the implant<\/td>\n      <td style=\"border: 1px solid #ddd;padding: 8px 12px\">Reduced if rigorous hygiene is maintained<\/td>\n    <\/tr>\n    <tr>\n      <td style=\"border: 1px solid #ddd;padding: 8px 12px\">Soft tissue healing<\/td>\n      <td style=\"border: 1px solid #ddd;padding: 8px 12px\">Slow, with greater exposure to bacteria<\/td>\n      <td style=\"border: 1px solid #ddd;padding: 8px 12px\">Normal or close to normal<\/td>\n    <\/tr>\n  <\/tbody>\n<\/table>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2e535bee elementor-widget elementor-widget-heading\" data-id=\"2e535bee\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Can I get an implant if I am a smoker?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a83e2598 elementor-widget elementor-widget-text-editor\" data-id=\"a83e2598\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Yes. Dental implants are not contraindicated in smoking patients, as long as they understand that there is a greater risk of failure or rejection due to tobacco. At Plat\u00f3n Dental Clinics we evaluate each case individually, assessing the amount of available bone, the periodontal condition and the smoking history before planning treatment.<\/p><p>That said, being a smoker requires a real commitment. It is not about signing a consent form and forgetting about it. It is about understanding that <strong>compromised osseointegration is not an abstract possibility: it is the most likely scenario if you smoke during healing<\/strong>. And a failed implant does not only mean losing the piece: it means losing bone, time and money, and starting from scratch with fewer resources.<\/p><p>Being a smoker does not automatically disqualify you from recovering your teeth, but it does require a health commitment. That commitment begins well before surgery and extends, at a minimum, two months after it.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f26210f7 elementor-widget elementor-widget-heading\" data-id=\"f26210f7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">What you can do to protect your implant if you are a smoker<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0a73f678 elementor-widget elementor-widget-text-editor\" data-id=\"0a73f678\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Clinical information without practical action is not much use. These are the specific measures that demonstrably reduce risk:<\/p><ul>\n  <li><strong>Stop smoking at least two weeks before surgery.<\/strong> It improves circulation and the quality of the tissue that will receive the implant.<\/li>\n  <li><strong>Do not smoke during the eight weeks following placement.<\/strong> This is the critical window for osseointegration. Every cigarette during that period is a step backwards.<\/li>\n  <li><strong>Do not replace tobacco with vaping during healing.<\/strong> The nicotine in e-cigarettes produces the same vasoconstrictive effect.<\/li>\n  <li><strong>Maintain impeccable oral hygiene.<\/strong> Brushing, flossing and using an irrigator around the implant reduce bacterial colonisation that tobacco facilitates.<\/li>\n  <li><strong>Attend check-ups without fail.<\/strong> Peri-implantitis progresses silently; only periodic clinical examination allows it to be detected before it causes irreversible damage.<\/li>\n  <li><strong>Tell your implantologist your actual consumption.<\/strong> Not what you think they want to hear: the real figure. Treatment planning depends on that information.<\/li>\n<\/ul><aside class=\"nseo-callout nseo-callout--data\" style=\"background: #eff6ff;border-left: 4px solid #2563eb;padding: 12px 16px;margin: 1rem 0\">\n  <strong>Key fact:<\/strong> According to data from the Spanish Society of <a title=\"periodontics\" href=\"https:\/\/platondental.com\/periodoncia-que-es-causas-sintomas-y-riesgos\/\">Periodontics<\/a> and Osseointegration (SEPA), in 98% of cases implants are carried out successfully. Tobacco is one of the main factors that moves a patient away from that 98% and closer to the failure margin.\n<\/aside><section class=\"nseo-faq\">\n  <h2>Frequently asked questions<\/h2>\n  <details>\n    <summary>How many cigarettes a day are &#8220;too many&#8221; for an implant?<\/summary>\n    <p>There is no safe threshold. Between the first and third month, the basal bone begins to bond to the implant; in heavy smokers \u2014 more than ten cigarettes a day \u2014 this bond tends to be of lower density and quality. But even moderate smokers present vasoconstriction and increased risk. The clinical recommendation is total abstinence during healing, not reduction.<\/p>\n  <\/details>\n  <details>\n    <summary>Is implant failure caused by tobacco reversible?<\/summary>\n    <p>It depends on when it is detected. If compromised osseointegration is identified early, re-implantation can be attempted after a period of abstinence and bone recovery. If there is already significant bone loss due to peri-implantitis, a prior bone graft may be necessary. In any case, the process is longer, more costly and with less guarantee of success than the original treatment.<\/p>\n  <\/details>\n  <details>\n    <summary>Can I smoke after the implant is already integrated?<\/summary>\n    <p>Tobacco promotes the appearance of peri-implantitis, meaning bone loss around the already integrated implant. Initial osseointegration is not a permanent shield. A well-integrated implant can lose bone support over the years if the periodontal environment deteriorates, and tobacco is one of the main accelerators of that deterioration.<\/p>\n  <\/details>\n  <details>\n    <summary>Does tobacco affect implants in the upper jaw the same as in the lower jaw?<\/summary>\n    <p>The upper jaw generally has lower bone density than the lower jaw, which already requires more careful osseointegration. Tobacco aggravates that disadvantage. In patients who have needed prior bone grafts, there are significant differences in implant survival between non-smokers (82%) and smokers (65%). If your implant is in the upper jaw and has required bone regeneration, the risk from tobacco is multiplied.<\/p>\n  <\/details>\n  <details>\n    <summary>When can I start smoking again after an implant?<\/summary>\n    <p>The honest answer is: the later, the better. The minimum clinically accepted to reduce the risk of implant failure is not smoking for the eight weeks following surgery. After that period, the risk of implant loss decreases, although tobacco remains a risk factor for peri-implantitis in the long term. If you are considering quitting smoking definitively, implant surgery is a moment of real motivation: use it.<\/p>\n  <\/details>\n<\/section><section class=\"nseo-sources\"><h2>Sources<\/h2><ul><li><a href=\"https:\/\/www.dentaly.org\/es\/implantes-dentales\/riesgo-fumadores\/\" target=\"_blank\" rel=\"noopener\">Opinions of smokers after an implant: risk of rejection<\/a><\/li><li><a href=\"https:\/\/ve.scielo.org\/scielo.php?script=sci_arttext&amp;pid=S0001-63652008000200019\" target=\"_blank\" rel=\"noopener\">How cigarettes affect dental implants: Literature review<\/a><\/li><li><a href=\"https:\/\/www.belodonte.es\/tabaco-cicatrizacion-cirugia-oral-como-influye\/\" target=\"_blank\" rel=\"noopener\">Tobacco and healing in oral surgery: How does it influence?<\/a><\/li><li><a href=\"https:\/\/www.dentalmedics.es\/tiempo-sin-fumar-despues-de-un-implante-dental\/\" target=\"_blank\" rel=\"noopener\">Dental implants and tobacco: how long without smoking<\/a><\/li><li><a href=\"https:\/\/www.dentalgarciaherrera.es\/como-afecta-el-tabaco-a-los-implantes-dentales\/\" target=\"_blank\" rel=\"noopener\">How does tobacco affect dental implants? \u2013 Cl\u00ednica Dental Garc\u00eda Herrera<\/a><\/li><\/ul><\/section><p>{&quot;@context&quot;:&quot;https:\/\/schema.org&quot;,&quot;@type&quot;:&quot;FAQPage&quot;,&quot;inLanguage&quot;:&quot;en&quot;,&quot;mainEntity&quot;:[{&quot;@type&quot;:&quot;Question&quot;,&quot;name&quot;:&quot;How many cigarettes a day are \\&quot;too many\\&quot; for an implant?&quot;,&quot;acceptedAnswer&quot;:{&quot;@type&quot;:&quot;Answer&quot;,&quot;text&quot;:&quot;\\u003Cp\\u003EThere is no safe threshold. Between the first and third month, the basal bone begins to bond to the implant; in heavy smokers \u2014more than ten cigarettes a day\u2014, this bond tends to be of lower density and quality. But even moderate smokers present vasoconstriction and increased risk. The clinical recommendation is total abstinence during healing, not reduction.\\u003C\/p\\u003E&quot;}},{&quot;@type&quot;:&quot;Question&quot;,&quot;name&quot;:&quot;Is implant failure caused by tobacco reversible?&quot;,&quot;acceptedAnswer&quot;:{&quot;@type&quot;:&quot;Answer&quot;,&quot;text&quot;:&quot;\\u003Cp\\u003EIt depends on when it is detected. If compromised osseointegration is identified early, re-implantation can be attempted after a period of abstinence and bone recovery. If there is already significant bone loss due to peri-implantitis, a prior bone graft may be necessary. In any case, the process is longer, more costly and with less guarantee of success than the original treatment.\\u003C\/p\\u003E&quot;}},{&quot;@type&quot;:&quot;Question&quot;,&quot;name&quot;:&quot;Can I smoke after the implant is already integrated?&quot;,&quot;acceptedAnswer&quot;:{&quot;@type&quot;:&quot;Answer&quot;,&quot;text&quot;:&quot;\\u003Cp\\u003ETobacco promotes the appearance of peri-implantitis, meaning bone loss around the already integrated implant. Initial osseointegration is not a permanent shield. A well-integrated implant can lose bone support over the years if the periodontal environment deteriorates, and tobacco is one of the main accelerators of that deterioration.\\u003C\/p\\u003E&quot;}},{&quot;@type&quot;:&quot;Question&quot;,&quot;name&quot;:&quot;Does tobacco affect implants in the upper jaw the same as in the lower jaw?&quot;,&quot;acceptedAnswer&quot;:{&quot;@type&quot;:&quot;Answer&quot;,&quot;text&quot;:&quot;\\u003Cp\\u003EThe upper jaw generally has lower bone density than the lower jaw, which already requires more careful osseointegration. Tobacco aggravates that disadvantage. In patients who have needed prior bone grafts, there are significant differences in implant survival between non-smokers (82%) and smokers (65%). If your implant is in the upper jaw and has required bone regeneration, the risk from tobacco is multiplied.\\u003C\/p\\u003E&quot;}},{&quot;@type&quot;:&quot;Question&quot;,&quot;name&quot;:&quot;When can I start smoking again after an implant?&quot;,&quot;acceptedAnswer&quot;:{&quot;@type&quot;:&quot;Answer&quot;,&quot;text&quot;:&quot;\\u003Cp\\u003EThe honest answer is: the later, the better. The minimum clinically accepted to reduce the risk of implant failure is not smoking for the eight weeks following surgery. After that period, the risk of implant loss decreases, although tobacco remains a risk factor for peri-implantitis in the long term. If you are considering quitting smoking definitively, implant surgery is a moment of real motivation: use it.\\u003C\/p\\u003E&quot;}}]}<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Smoking compromises osseointegration through vasoconstriction, immunosuppression and tissue hypoxia. Learn why the 8 weeks after placement are critical for implant success.<\/p>\n","protected":false},"author":2,"featured_media":14506,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"content-type":"","_joinchat":[],"footnotes":""},"categories":[1],"tags":[],"class_list":["post-15065","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sin-categoria"],"acf":[],"_links":{"self":[{"href":"https:\/\/platondental.com\/en\/wp-json\/wp\/v2\/posts\/15065","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/platondental.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/platondental.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/platondental.com\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/platondental.com\/en\/wp-json\/wp\/v2\/comments?post=15065"}],"version-history":[{"count":0,"href":"https:\/\/platondental.com\/en\/wp-json\/wp\/v2\/posts\/15065\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/platondental.com\/en\/wp-json\/wp\/v2\/media\/14506"}],"wp:attachment":[{"href":"https:\/\/platondental.com\/en\/wp-json\/wp\/v2\/media?parent=15065"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/platondental.com\/en\/wp-json\/wp\/v2\/categories?post=15065"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/platondental.com\/en\/wp-json\/wp\/v2\/tags?post=15065"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}