I was never told that no, and I have read up since, and like, the most current advice I could find on the subject was don't do bone work in the jaw unless the patient has stopped smoking for 6 months prior. I think it has a lot to do with bone weakness plus bloodflow and healing.
Most dentists tell you not to smoke or vape afterward, but like, seriously I think that's more about suction.
I have lots of things NOT going for me, including lithium that causes dry mouth AND gum loss generally, so not a great thing, and when I did them the initial TIME I lost an implant not right out of the gate, but it got exposed and I decided to do the upper ones while I was at it and my bone denture whatever specialty it's called these days told me it was better to wait, but somehow infection got down in there and then he offered to replace it for free and etc.
I don't really know what options I had though (lithium vaping or not) because there is a 1 in 4 failure rate PERIOD for implants, I had 8 and only failed one, and they've held up pretty well for over a year now.
I'm somewhat convinced that I lost the "male or female" lead of the implant, not the implant itself, because it's the one the oral surgeon tightens up every time I see him. It must be something to do with the architecture of my mouth. I'm just gonna go see him every 5 months from now on to get it tightened.
I also got this HORRENDOUS bone jaw infection UNRELATED to the implants and not actually attached to anything, but something must have got in there SMOMEWHERE and like, I was swollen up like a chipmunk and I did two rounds of clindamycin and the oral surgeon was freaking out (as was I) since despite going in to my jaw and drilling out a LOT and I mean A LOT of infected bone, well, I was still swollen like crazy and up and behind my EAR. That's when the idea of an ENT was mentioned, but my dentist gave me Augmentin and I was HIGHLY SUSPICIOUS of its efficacy but that is also when I found out Clindamycin does not work for me, ever (it also failed to fix my pneumonias on several occasions.)
So we were BOTH HAPPY. LOL. Me and the oral surgeon.
But I mean, ex smoker or not, lithium or not, what was I going to do? Life was UNTENABLE as it was, I'd had dentures a LONG time and the bone loss wasn't stopping. I still say "go for it" if you can, and yea, probably a judicious time without vaping or smoking would be good, but implants STABILIZE your jaw, they STRENGTHEN it, provided you can actually get the bone to adhere to the titanium, so despite all my risk factors I did it, since I knew that regardless things would only get more dire and awful.
If I wind up with 3 implants not four well that will be what it is. They're less imperative up top anyway because you have your palate for your dentures to adhere to.
I would just find someone competent, read up, and decide. Even with one totally USELESS implant ATM I am still glad I got them. And would do it all over again.
I will note it is not typical for an oral surgeon to replace an implant, but like, at one point (he was super nice and doing most of the work at cost minus insurance that and I was AWAKE the whole time, plus he was from PA and I get along with PA dudes, I am married to one) well, I got the office and him a bunch of giftcards for lunches because they had been so awesome.
He has NEVER charged me a single cent since that time, LOL, even though I have tried to pay EVERY time. So if you have complexities, try for that sort of a situation,, although you also have to kind of luck into it.
I can't replace the implant NOW even if I wanted to (upcoming jobs etc.) and I WILL have dental insurance again at some point although by the time you are getting into IMPLANT territory, it doesn't do you much good. 2K which is the MAXIMUM dental insurance I have ever seen gets you like 1.5 implants. Etc.
I still don't regret it and even if someone could tell me for sure lithium was hastening the death o my implants, well, I would STILL take it.
I sure miss polygrip though, everything was fine until THAT was yanked from the market, it WORKED. I miss it so much I was looking on the web for recipes for it where you add the zinc back in, only then I was like ,well, it apparently causes cognitive problems too much zinc maybe I should NOT go that route, LOL, although there are times....
Sorry for the ah, novel there.
Anna