A retrospective analysis of dental implant survival in HIV patients
| Autor: | Alfonso Aguilera, Barbara MacNeill, Antonio Arbona, Jonathan Gelfond, Qianqian Liu, Wayne S. Gardner, Ahmed Sabbah, Jeffery L. Hicks |
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| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
HIV Infections 03 medical and health sciences 0302 clinical medicine Diabetes mellitus Internal medicine Medicine Humans 030212 general & internal medicine Dental Restoration Failure Retrospective Studies Dental Implants business.industry Confounding Dental Implantation Endosseous Retrospective cohort study 030206 dentistry Hepatitis C medicine.disease Survival Analysis Coinfection Periodontics Implant business Viral load Cohort study Follow-Up Studies |
| Zdroj: | Journal of clinical periodontology. 46(3) |
| ISSN: | 1600-051X |
| Popis: | AIM This 5 years retrospective cohort survival study compared failure rates of dental implants placed in HIV (+) and HIV (-) patients relative to several risk factors. MATERIALS AND METHODS Between 2006 and 2015, 484 implants placed in HIV (+) patients and 805 implants placed in HIV (-) patients were assessed for survival. The effects of HIV were estimated using propensity weighting. The effects of age, smoking status, diabetes, restoration status, gender, implant type, placement site, hepatitis C status, baseline CD4 count and CD4%, post-placement average CD4%, nadir CD4%, nadir CD4 count and antiviral therapy were analysed. RESULTS Implants placed in HIV (+) patients and HIV (-) patients had similar failure rates (HR = 1.4, p = 0.34). Increased failure rates were observed in HIV (+) patients with baseline CD4% ≤20 (HR = 2.72, p = 0.04), post-placement CD4% average ≤20% (HR = 2.71, p = 0.04), protease inhibitor administration (HR = 2.74, p = 0.04), smoking (HR = 2.61, p = 0.05) and anterior maxillary placement (HR = 5.82, p |
| Databáze: | OpenAIRE |
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