E- Cigarettes and dental implants?

Perhaps against current World Health Organization advice, I encourage patients who smoke and have little prospect of stopping smoking, to try E-cigarettes for a couple of months prior to implant installation. What is the consensus on complication/ failure rate of E-Cigarette use vs. non smoking, and how many months should you wait before proceeding with implant installation?

15 Comments on E- Cigarettes and dental implants?

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CRS
9/7/2014
This is a great question I don't know much about e cigarettes. However if the only difference is the method of generating the delivery of nicotine vapor vs heat and smoke I would think the effects on implants would be the same minus the heat. What is in the tobacco product? Carcinogens, chemicals that decrease blood supply to the mucosa? This is an excellent question. I ask the patient to quit with their MDs help or use a nicotine dermal patch. I would look at it as bathing the implant mucosa in chemicals. I am developing a special consent for smokers.
Alejandro Berg
9/9/2014
As Nicotine goes, e-cigarettes are nothing but an alternative delivery system. The final effect is the same, the reduction of blood flow to terminal irrigation areas (maxillary and mandibular areas are considered terminal, but mainly the maxillary) and concentrated in the splacnic or mesenteric areas, depriving of oxygen and nutrients our beloved osteocytes, hence less or no new bone. There is not a study yet ( to my knowledge) that compares e-cigs and regular cigs or non smokers in relation to integration. I tell my patients to stop poisoning my implant areas and that the failure rate skyrockets with every cigs they put in their lungs (Just remember that nicotine is actually a vegetable poison that is the most powerful available to men). Having said that I don't think that they are worse intrinsically, bu they are worse because patients don't realize they are still poisoning themselves, the look it as cool, modern and advanced ( that used to be the way they looked at regular smoking) in a non toxic way and that is a mistake of colossal proportions. cheers
Richard Simons
9/10/2014
Ok- so the thesis is that it is the Nicotine that is the 'primary toxin' I was unclear whether it was the other toxins derived from smoking e.g. (CO) that did the most damage; in terms of delivery system, I suppose there may be a marginal 'topical' effect, but otherwise is there a difference between these and the nicotine patches in terms of implant toxicity?
Baker
9/10/2014
From a healing perspective, yes. The nitrosamines are what causes cancer. Bv
Dr Tony Collins AM
9/10/2014
My understanding is that nicotine closes down capillaries = restriction in bloodflow=oxygen-deprivation during the period the nicotine is acting. Depriving any tissues of their oxygen will have negative effects. E-cigarettes and most nicotine patches still supply nicotine. Try NICOBREVIN - a non-nicotine patch.
Richard Simons
9/10/2014
The Nicotine is presumably metabolized relatively quickly, so longer lasting effects of smoking must be due to other factors?
nailesh gandhi
9/10/2014
I agree with Berg that final effect is same.But a new item worth including in consent form.
Baker
9/11/2014
Why make the suggestion if you are uninformed? Apparently this perspective is not popular, but that is simply "sloppy medicine". B Vinci
CRS
9/11/2014
I did a little research and found that there a lot of brands of liquid nicotine with various chemical additives not universally controlled. So I think that newly healing bone and mucosa are happier with warm saline rinses, maybe a little peridex but no liquid nicotine vapors! However I do have smokers who have implants heal but the perio condition always seem to be compromised somewhat. As long as our patients accept and understand this. I think the advertising of this product makes it seem less harmful. Very hard habit and addiction, perhaps the lesser of two evils!
JS
9/20/2014
While Nicotine has several averse effects, including the potential to be a Carcinogen, it is more likely that the majority of toxicity is derived from: CO, Benzene, Formaldehyde, and Vinyl Chloride. These later chemicals are usually not seen with E-cigs, though there are other less-than-benign chemicals that no doubt comprise the fluid cartridge solution. Thus Nicotine patches and E-cigs are preferable to the traditional cigarette/cigar use after surgery.
CRS
9/21/2014
Anyway you slice it or smoke it Nicotine is an addictive poison. Not good for oral health!
avanti
5/25/2016
Is there any supportive evidence that dental implant failure is related to e-cigarette use?
Chris Silves
4/27/2018
I did a dental implant today, I smoke cannabis medically everyday for chronic pain and mental health issues anyways i know smoking is bad for implants I have CBD Vapes and was wondering If vaping CBD e-juice or just e-juice with NO nicotine will it have no effect on my implant? Or should ai just wait it out?
Martin Frazer
6/2/2018
Hey everyone, just a quick question. I recently got a dental implant bridge installed for my 3 front missing upper teeth. I am just wondering, there are certain E-Liquids that have no nicotine in them. I know nicotine is bad for oral health but what about the E liquids that have no nicotine (0mg nicotine) in them would they have any effect at all on my bridge/gum/bone? Any advice would be helpful as i bought an E-Cig today.
Chris
6/2/2018
Honestly I didnt get the same surgery as you I got a sinus lift, bone graft and implant done all in the same time my best advise is wait I waited 3 maybe 4 weeks before I started using my vape pen and i still dont really smoke or use it and i only sometimes use CBD e-juice with 0mg of nicotine but not always, rarely. I dont smoke cigarettes but only medical cannabis and i still haven't smoked and its been over a month cuz I'm just so scared to mess up the implant in anyway what I read is to wait a full 2 months or so before smoking even then id take it easy with cigarettes or anything with nicotine as nicotine in any form isnt good but its the suction motion that moves implants so id say wait at least 2/3 weeks but again no 2 mouths are the same

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