Factors associated with dental implant loss/complications in the Veterans Health Administration, 2015–2019

Author:

Wilson Geneva M.12ORCID,McGregor Jessina C.3,Gibson Gretchen4,Jurasic M. Marianne45,Evans Charlesnika T.12,Suda Katie J.67

Affiliation:

1. Center of Innovation for Complex Chronic Healthcare (CINCCH) Edward Hines Jr. Veterans Affairs Hospital Hines Illinois USA

2. Department of Preventive Medicine, Center for Health Services and Outcomes Research Northwestern University Feinberg School of Medicine Chicago Illinois USA

3. Oregon State University College of Pharmacy Portland Oregon USA

4. Veterans Health Administration Office of Dentistry Washington District of Columbia USA

5. Boston University Henry M. Goldman School of Dental Medicine Boston Massachusetts USA

6. Center for Health Equity Research and Promotion VA Pittsburgh Heath Care System Pittsburgh Pennsylvania USA

7. Department of Medicine University of Pittsburgh School of Medicine Pittsburgh Pennsylvania USA

Abstract

AbstractObjectivesTwelve percent of the U.S. population has a dental implant. Although rare, implant loss/complications can impact quality of life. This study evaluated indicators for implant loss/complications.MethodsVeterans with dental implants placed between 2015 and 2019 were included. Implant loss/complications were defined as implant removal or peri‐implant defect treatment within 90 days. Binomial logistic regression identified factors associated with implant loss/complications.ResultsFrom 2015 to 2019, 48,811 dental implants were placed in 38,246 Veterans. Implant loss/complications was identified for 202 (0.4%) implants. In adjusted analyses, Veterans aged 50–64 years (OR = 1.92 (95% confidence interval (CI): 1.06, 3.46)) and ≥65 (OR = 2.01 (95% CI: 1.14, 3.53)) were more likely to have implant loss/complications. History of oral infection, tooth location, and number of implants placed all significantly increased the odds of loss/complications.ConclusionDental implant loss/complications are rare outcomes. Older age, location of implant, and the number of implants placed during a visit were significant predictors of loss/complication.

Funder

Health Services Research and Development

Publisher

Wiley

Subject

Public Health, Environmental and Occupational Health,General Dentistry

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