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On the contrary, in younger patients (less than 40 years of age) with a history of periodontal disease, smoking had a big impact, with a 5.5-fold increased risk of failure, compared to young healthy individuals. Dr Pommer said that this effect was explained by the fact that with an early onset of periodontitis, it is commonly an aggressive variant or associated with harmful bacterial flora. He added that with these results at hand, the oral-healthcare team can inform patients about their individual implant-failure risk, as well as pointing to the consequences that smoking can have on the success of their implant. Importance of nutrition EFP secretary general Iain Chapple (University of Birmingham, UK) addressed the topic of nutrition and periodontal health, highlighting emerging evidence from epidemiological and intervention studies that nutrition may contribute to periodontal disease in susceptible individuals

[21] Identity received critical acclaim and was a moderate commercial success