A retrospective analysis of dental implant survival in HIV patients

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