Volume 83, Issue 4 pp. 408-412
BRIEF COMMUNICATION

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

Geneva M. Wilson MPH, PhD

Corresponding Author

Geneva M. Wilson MPH, PhD

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

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

Correspondence

Geneva M. Wilson, Center of Innovation for Complex Chronic Healthcare (CINCCH), Edward Hines Jr. Veterans Affairs Hospital, 5000 S. 5th Ave, (151H) Bldg, 1, D304, Hines, IL 60141, USA.

Email: [email protected]

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Jessina C. McGregor PhD

Jessina C. McGregor PhD

Oregon State University College of Pharmacy, Portland, Oregon, USA

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Gretchen Gibson DDS, MPH

Gretchen Gibson DDS, MPH

Veterans Health Administration Office of Dentistry, Washington, District of Columbia, USA

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M. Marianne Jurasic DMD, MPH

M. Marianne Jurasic DMD, MPH

Veterans Health Administration Office of Dentistry, Washington, District of Columbia, USA

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

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Charlesnika T. Evans MPH, PhD

Charlesnika T. Evans MPH, PhD

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

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

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Katie J. Suda PharmD, MS, FCCP

Katie J. Suda PharmD, MS, FCCP

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

Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA

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First published: 05 September 2023

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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