Tabac et implantologie : aspects actuels, prise en charge du patient tabagique

Similarly to what is observed in periodontics, tobacco is a crucial risk factor in dental implantology. Despite a deficit of research concerning the relationships between tobacco and implantology, it remains possible to lean on the numerous studies achieved in the periodontics field to formulate pathogenic hypotheses that permit to explain the frequent implant failures observed in smoking patient. Among these, we may mention nicotinic affinity for some oral tissues, post-surgical healing delay or local inflammatory aftermaths of previous acute periodontal history. When dealing with such unfavorable clinical picture, the dental implantologist must avoid any exclusion attitude towards this category of patients and must privilege the largest possible information concerning the range of negative consequences potentially generated by tobacco intoxication.