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

IF 1.8 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Journal of public health dentistry Pub Date : 2023-09-05 DOI:10.1111/jphd.12584

Geneva M. Wilson MPH, PhD, Jessina C. McGregor PhD, Gretchen Gibson DDS, MPH, M. Marianne Jurasic DMD, MPH, Charlesnika T. Evans MPH, PhD, Katie J. Suda PharmD, MS, FCCP

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Abstract

Objectives

Twelve 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.

Methods

Veterans 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.

Results

From 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.

Conclusion

Dental 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.

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2015-2019年退伍军人健康管理局中与种植牙缺失/并发症相关的因素

目标美国有 12% 的人口种植了牙齿。种植体脱落/并发症虽然罕见，但会影响生活质量。本研究评估了种植体缺失/并发症的指标。方法纳入在 2015 年至 2019 年期间植入过牙科植入物的退伍军人。种植体脱落/并发症定义为 90 天内种植体移除或种植体周围缺损治疗。二项逻辑回归确定了与种植体缺失/并发症相关的因素。结果从 2015 年到 2019 年，共为 38246 名退伍军人植入了 48811 个牙科植入体。发现有 202 个（0.4%）种植体脱落/并发症。在调整分析中，年龄在 50-64 岁（OR = 1.92（95% 置信区间 (CI)：1.06, 3.46））和≥65 岁（OR = 2.01（95% 置信区间 (CI)：1.14, 3.53））的退伍军人更有可能发生种植体缺失/并发症。口腔感染史、牙齿位置和植入种植体的数量都会显著增加种植体缺失/并发症的几率。结论牙种植体缺失/并发症是罕见的结果。高龄、种植体位置和就诊时植入的种植体数量是导致种植体缺失/并发症的重要预测因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of public health dentistry 医学-公共卫生、环境卫生与职业卫生

CiteScore

3.80

自引率

4.30%

发文量

审稿时长

6-12 weeks

期刊介绍： The Journal of Public Health Dentistry is devoted to the advancement of public health dentistry through the exploration of related research, practice, and policy developments. Three main types of articles are published: original research articles that provide a significant contribution to knowledge in the breadth of dental public health, including oral epidemiology, dental health services, the behavioral sciences, and the public health practice areas of assessment, policy development, and assurance; methods articles that report the development and testing of new approaches to research design, data collection and analysis, or the delivery of public health services; and review articles that synthesize previous research in the discipline and provide guidance to others conducting research as well as to policy makers, managers, and other dental public health practitioners.