How does Smoking, Vaping, and Marijuana use effect Dental Implants?

All-On-4: The Truth About Cost

The cost of an All-On-4 dental implant treatment iin Houston varies significantly from $12,500 to over $20,000 which can be confusing to many patients who visit our office for consultation.


The financial aspects of treatment are important and as a patient, it’s understandable to expect that All-On-4 pricing should be the same wherever you go because the treatment is the same since it’s just 4 implants holding a full set of teeth


So why the huge differences in price?  Given the disparity of the advertised costs how does one make a fair price comparison?


The first thing a prospective patient needs to understand is that the treatment has two parts.  first, there is the surgical placement of the dental implants, where 4 implants are placed in the jaw.


The second and equally important part is the prosthetic teeth that are secured to the implants.  As a patient this is arguably the most important part as this is what give you your smile back as well as restores your chewing ability.  It is the second part that impacts the price of All-On-4 Dental Implants in Houston.


There are several methods to make the teeth that are secured to the dental implants as well as many different materials.


The lower price point, $12,500 and under typically includes a temporary tooth bridge that will need replacing to a more permanent version after the implants have healed and attached to the bone.  Permanent teeth in this price range are typically made of plastic and are prone to fracture and wear. 


In contrast, the more expensive options, $18K and over, include a state-of-the-art permanent set of teeth milled in one piece from high strength ceramic which studies have shown to be the strongest type of material for esthetic tooth replacement available.  




Dental implants have changed the field in dentistry by providing long-lasting and natural looking solution for patients with missing teeth.  However, certain lifestyle choices, such as smoking, vaping, and marijuana use can detrimentally effect dental implants.  In this article, we will explore the effects of these habits on the initial and long term success of dental implants and the importance of maintaining good health practices.

1.  Smoking and Dental Implants:

Smoking has been recognized as a major risk factor for health problems such as cancer and emphysema  Studies have also shown that smoking can significantly interfere with the healing process of dental implants and compromise the overall success rate.  There are harmful chemicals in tobacco smoke such as nicotine and tar when will starve the oxygen supply to bone and soft tissue surrounding the implant site.  This lack of adequate oxygen to the cells in this area can impede proper healing as well as delay the fusion of the implant to the surrounding bone and increase the risk of early implant failure.

In the long term smoking also weakens the overall immune system which makes the body less capable of fighting infections.  Peri-implantitis, which is a chronic infection of the bone and surrounding tissues which leads to bone loss and eventual failure of the dental implant.

2.  Vaping and Dental Implants   

Vaping which is the use of electronic cigarettes (e-cigarettes) has gained popularity recently. Vaping is marketed as a safer alternative to cigarette smoking although there is little data to support this claim.  Data is lacking regarding the relationship between vaping and potential harm to dental implants however the presence of various chemicals such as nicotine and aerosols may be considered as potential contributors to implant failure.

E-cigarette aerosols which contain nicotine, flavoring, and other additives have been associated with gum inflammation and can potentially delay the healing process after implant placement.  They also can cause mouth dryness which alters the balance or normal oral bacteria thereby increasing the possibility of peri-implantitis and its associated complications.

3.  Marijuana Use and Dental Implants

Marijuana is another substance that can be detrimental to dental implants primarily related to the method consumption.  Smoking marijuana involves the inhalation of hot smoke in a similar way as cigarette smoking.  Oral tissue are exposed the the products of combustion which can decrease healing and increase the the risk of implant failure.

Marijuana use is also associated with dry mouth (xerostomia).  This reduction of saliva can negatively effect the normal bacterial biome and lead to an increase risk of gum disease associated with natural teeth as well as peri-implantitis.  Studies have shown that marijuana can also decrease bone density which could detrimentally effect the fusion of bone to dental implants.

Maintaining good oral health is necessary to the success and long term prognosis of dental implants.  Smoking, Vaping, and Marijuana use can all detrimentally effect dental implants by interfering with the healing process as well as increasing the risk of infection which could lead to loss of implant stability.  When considering implant treatment, it is important to consider the potential consequences of these habits and consider reducing or eliminating continued usage.

Ignoring the consequences of these bad habits can be detrimental to your overall health and its important to discuss these issues with our office so we can support your effort to change so we will have the best opportunity to give you the beautiful smile you deserve!