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Implant-prosthetic rehabilitation (both the surgical step of inserting dental implants and also the stage of creating the implant-supported prosthetic restorations) in smokers patients poses particular problems not only for the medical team but also for the patients (and here we refer in particular to the average number of cigarettes smoked daily). Purpose. In this paper we have attempted to present a multitude of factors both theoretical and practical, which can intervene in the implant-prosthetic rehabilitation of heavy smoker patients. Material and method. The study was conducted between April 2018 and November 2018 by applying a questionnaire with 6 questions. The 31 subjects enrolled in the study were aged between 29 to 67years old, specialists and/or primary doctors of general dentistry, dental prosthodontics or dental surgery. Results and discussions. Centralized results have been processed to provide a clearer picture of the current attitude towards heavy smokers for oral rehabilitation with the implant-supported restorations. Conclusions. The insertion of dental implants and subsequent creation of implant-supported restorations are not an interdiction for heavy smokers (up to 60 cigarettes a day) but requires the involvement of both the medical team and especially the patients in the follow-up care period to increase long-term success of dental implants and prosthetic restorations made thereon. [ABSTRACT FROM AUTHOR]

Gingival integration, also known as epithelio-conjunctive integration, together with bone integration, is one of the main processes involved in the tissue integration of dental implants. Unfortunately, many practitioners treat this gingival integration with great superficiality, considering it to be an insignificant factor in this highly complex process of tissue integration of dental implants. Purpose. In this study, we intend to define very precisely the concept of "gingival integration" or "epithelial-conjunctive integration" and to introduce it as a specialized term in the basic vocabulary of implantologists. Material and method. A questionnaire based on 5 questions was used to carry out this study. The study group was composed of 64 implantologist (all subjects are holders of a degree after following a competence program in oral implantology in Bucharest). The study was conducted between October 2015 and November 2018. Results and discussions. The responses of the 64 practitioners have been analyzed and structured for a simple understanding, being extremely important for future research directions. Conclusions. Following the analysis of the results of this study we consider that the concept of "gingival integration" of dental implants requires more attention from practitioners, which will be reflected in the long-term success of dental implants. [ABSTRACT FROM AUTHOR]