SynthesisPloS one2013
Smoking, radiotherapy, diabetes and osteoporosis as risk factors for dental implant failure: a meta-analysis.
Synthesis in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 72 papers, 5 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
72 citing papers in PubMed, 5 syntheses or guidelines pooled it, 221 citations in OpenAlex.
- MRONJ Risk Related to Dental Implants in Osteoporosis Treated With Denosumab: A Systematic Review.Oral diseases · 2026Pooled it
- Survival of dental implants in irradiated head and neck cancer patients compared to non-irradiated patients: An umbrella review.PloS one · 2025Pooled it
- Association ofInternational journal of environmental research and public health · 2021Pooled it
- Quality assessment of systematic reviews regarding dental implant placement on diabetic patients: an overview of systematic reviews.Medicina oral, patologia oral y cirugia bucal · 2019Pooled it
- Association between tumor necrosis factor-alpha G-308A polymorphism and dental peri-implant disease risk: A meta-analysis.Medicine · 2016Pooled it
- May dental implant macro and microgeometry modifications influence peri-implant bone repair in smokers? A randomized clinical trial.BMC oral health · 2024Trial
- Effect of Crown to Titanium Base Ratio and Force Angle on the Biomechanical Behavior of Dental Implants With CAD/CAM Zirconia and Lithium Disilicate Crowns: A Finite Element Analysis.Clinical and experimental dental research · 2026Article
- The Effect of Age and Use of Enamel Matrix Derivative on Implant Loss.Dentistry journal · 2026Article
- Low Intensity Thermal Stimulation to Enhance Early Osteointegration in Implants: A Preclinical Study in Rabbits.Clinical and experimental dental research · 2025Article
- Indications and Regenerative Techniques for Lateral Window Sinus Floor Elevation With Ridge Augmentation.Clinical implant dentistry and related research · 2025Review
- Materials and effects of intraoral device technologies for complication protection in head and neck cancer radiotherapy: a scoping review.BMC oral health · 2025Article
- Article
- Dental implant removal rates and related factors in older adults in Korea: a cross-sectional study using National Health Insurance Sharing Service database.Epidemiology and health · 2025Article
- Effect of osteopenia and osteoporosis on failure of first and second dental implants: a retrospective observational study.International journal of implant dentistry · 2024Observational
- Challenges and Pitfalls of Research Designs Involving Magnesium-Based Biomaterials: An Overview.International journal of molecular sciences · 2024Review
- Survival analysis of dental implants placed in a private practice. A multicenter prospective cohort study.Journal of clinical and experimental dentistry · 2024Article
- Outcomes and influencing factors of dental implants in fibula, iliac crest, and scapula free flaps: a retrospective case-control study.International journal of implant dentistry · 2024Article
- Review
- Evaluate the effects of low-intensity pulsed ultrasound on dental implant osseointegration under type II diabetes.Frontiers in bioengineering and biotechnology · 2024Article
- How Can Imbalance in Oral Microbiota and Immune Response Lead to Dental Implant Problems?International journal of molecular sciences · 2023Review
12 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere are conflicting reports as to the association between smoking, radiotherapy, diabetes and osteoporosis and the risk of dental implant failure. We undertook a meta-analysis to evaluate the association between smoking, radiotherapy, diabetes and osteoporosis and the risk of dental implant failure.
methodsA comprehensive research on MEDLINE and EMBASE, up to January 2013, was conducted to identify potential studies. References of relevant studies were also searched. Screening, data extraction and quality assessment were conducted independently and in duplicate. A random-effects meta-analysis was used to pool estimates of relative risks (RRs) with 95% confidence intervals (CIs).
resultsA total of 51 studies were identified in this meta-analysis, with more than 40,000 dental implants placed under risk-threatening conditions. The pooled RRs showed a direct association between smoking (n = 33; RR = 1.92; 95% CI, 1.67-2.21) and radiotherapy (n = 16; RR = 2.28; 95% CI, 1.49-3.51) and the risk of dental implant failure, whereas no inverse impact of diabetes (n = 5; RR = 0.90; 95% CI, 0.62-1.32) on the risk of dental implant failure was found. The influence of osteoporosis on the risk of dental implant failure was direct but not significant (n = 4; RR = 1.09; 95% CI, 0.79-1.52). The subgroup analysis indicated no influence of study design, geographical location, length of follow-up, sample size, or mean age of recruited patients.
conclusionsSmoking and radiotherapy were associated with an increased risk of dental implant failure. The relationship between diabetes and osteoporosis and the risk of implant failure warrant further study.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.