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Odontology. 2022 Jan 06; doi: 10.1007/s10266-021-00685-2. Epub 2022 Jan 06.

Effects of smoking on the bone alkaline phosphatase in peri-implant crevicular fluid and implant stability quotient around implants before loading.

Odontology

Gulay Tuter, Arzu Zeynep Yildirim, Ayse Nurcan Duman, Behruz Aliyev, Aysegul Atak-Yucel, Nihan Oruklu, Elifcan Kivrak

Affiliations

  1. Faculty of Dentistry, Department of Periodontology, Gazi University, Biskek Cad. 82. Sok. Emek, Ankara, Turkey. [email protected].
  2. Faculty of Dentistry, Department of Prosthodontics, Gazi University, Ankara, Turkey.
  3. Faculty of Dentistry, Department of Periodontology, Private Practice in Ankara, Former Research Assistant at Gazi University, Ankara, Turkey.
  4. Faculty of Medicine, Department of Immunology, Gazi University, Ankara, Turkey.

PMID: 34993689 DOI: 10.1007/s10266-021-00685-2

Abstract

We aimed to examine the implant stability quotient (ISQ), alveolar bone level measurements (ABL), and bone alkaline phosphatase (BALP) in peri-implant crevicular fluid (PICF) around implants in smokers and non-smokers before loading in 3 months. 44 dental implants were placed into smoker and non-smoker patients equally. ISQ was measured at baseline and 3 months after surgery. The levels of PICF BALP and alveolar bone were measured. ISQ values significantly increased in smokers and non-smokers in the 3rd month (p < 0.05). ABL measurements were lower at 3 months compared to baseline in both groups (p < 0.05). Although ISQ and ABL values were higher in non-smokers than smokers at 3 months, the difference between the groups did not show any statistical significance. The PICF BALP levels in the 3rd month changed in both groups. But, these differences were insignificant. Although some of the measurements presented differences between the groups during the assessment periods, they were not indicative of the hazardous effects of smoking on bone healing around implants after surgery till functional loading in 3 months. However, smoking is an important factor to be considered for osseo-integration outcomes. Further studies are needed to clarify the influence of smoking on osseo-integration.

© 2022. The Society of The Nippon Dental University.

Keywords: Dental implants; Nicotine; Osseointegration; Smoking

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