Many patients ask: “I smoke” or “I have diabetes” — can I still have implants? The key distinction is between a contraindication, meaning implants are not suitable, and a risk factor, meaning implants are possible but complications are more likely and closer preparation and follow-up are needed.
Smoking: a risk factor, not an absolute barrier
Research links smoking with a higher chance of implant failure and inflammation around implants, because it affects blood supply and healing of gum and bone. This does not automatically exclude smokers, but it means:
- Your dentist will explain the risks clearly before you decide.
- Stopping or reducing smoking before and after surgery is strongly advised.
- Regular reviews and good oral hygiene matter even more.
Diabetes: control is what matters
People with well-controlled diabetes can usually have implants after assessment. Poorly controlled diabetes increases the risk of slow healing, infection and implant failure. Your dentist may ask for a recent test showing your diabetes control, and sometimes coordinates with your physician before surgery.
Other conditions to mention
- Osteoporosis medications (such as bisphosphonates or denosumab).
- Previous radiotherapy to the head and neck.
- Blood thinners and heart conditions.
- Pregnancy, as elective surgery is usually postponed.
These are not necessarily contraindications, but they change planning and precautions. Never stop a medication on your own.
In summary
The decision follows a consultation and assessment of your medical history, X-rays, gum and bone condition, and habits, so you understand the chances of success and the risks specific to you before you start.
This page offers general information and does not replace an examination. The right treatment is decided after assessing each case.