{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T13:49:32Z","timestamp":1784814572209,"version":"3.55.0"},"reference-count":61,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,3,24]],"date-time":"2024-03-24T00:00:00Z","timestamp":1711238400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clin Implant Dent Rel Res"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Approximately, 5.5 million dental implants are estimated to be surgically placed in the United States yearly, with an anticipated long\u2010term failure rate ranging from 3% to 10%. At the Salt Lake City Dental Clinic within the Department of Veterans Affairs (VHA), specific protocols have been established to mandate that clinicians present every dental implant case for review by a committee. To understand the effectiveness of this approach, a comparative data analysis was undertaken to compare local dental implant failure data against national VHA data.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Leveraging electronic health records of veterans spanning from 2000 to 2021, we gathered procedural records related to dental implant placement or failure, demographic information, and medical history for individuals who received dental care at various dental clinics within the nationwide VHA network. Subsequently, statistical analyses were conducted using mixed\u2010effects Poisson regression models with cluster\u2010robust standard errors. Incident rate ratios (IRRs) for Utah\u2010specific and nationwide cohorts were ascertained.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The Utah VHA dental clinical data showed that there was a slightly lower prevalence of implant failure at 6.7% compared to the national cohort, which had a rate of 6.9%. The implant level failure rates were also low, with 4.20 (confidence interval [CI]: 3.68, 4.81) per 1000 implant placements per year for Utah cohorts. The adjusted IRR indicated a relative 16% reduction in risk among Utah Veterans (IRR 0.84, 95% CI [0.76\u20130.92]; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The stringent protocols in place at Salt Lake City, which integrate evidence\u2010based practices and expert opinion for evaluating patient suitability for dental implant placement and subsequent care, contributed to the reduced risk among Utah Dental Clinic veterans pool compared to veterans of other states.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cid.13320","type":"journal-article","created":{"date-parts":[[2024,3,25]],"date-time":"2024-03-25T06:34:30Z","timestamp":1711348470000},"page":"604-614","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Dental implant failures in Utah and US veteran cohorts"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-6286-2974","authenticated-orcid":false,"given":"Aaron John","family":"Miller","sequence":"first","affiliation":[{"name":"Research and Development George E. Wahlen Department of Veterans Affairs Medical Center  Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Layne Clair","family":"Brown","sequence":"additional","affiliation":[{"name":"Dental Clinic George E. Wahlen Department of Veterans Affairs Medical Center  Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guo","family":"Wei","sequence":"additional","affiliation":[{"name":"Division of Epidemiology, Department of Internal Medicine University of Utah School of Medicine  Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark Richards","family":"Durham","sequence":"additional","affiliation":[{"name":"Dental Clinic George E. Wahlen Department of Veterans Affairs Medical Center  Salt Lake City Utah USA"},{"name":"Division of Prosthodontics University of Utah School of Dentistry  Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Forest Norton","family":"Hulet","sequence":"additional","affiliation":[{"name":"Dental Clinic George E. Wahlen Department of Veterans Affairs Medical Center  Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sujee","family":"Jeyapalina","sequence":"additional","affiliation":[{"name":"Research and Development George E. 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