PMID- 31334101 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220409 IS - 2234-7550 (Print) IS - 2234-5930 (Electronic) IS - 1225-1585 (Linking) VI - 45 IP - 3 DP - 2019 Jun TI - Proton pump inhibitor intake negatively affects the osseointegration of dental implants: a retrospective study. PG - 135-140 LID - 10.5125/jkaoms.2019.45.3.135 [doi] AB - OBJECTIVES: This study sought to investigate the association between the systemic intake of proton pump inhibitors (PPI) and the early failure of dental implants. MATERIALS AND METHODS: A retrospective cohort study involving 1,918 dental implants in 592 patients (69 implants in 24 PPI users and 1,849 implants in 568 nonusers, respectively) was conducted. The effect of PPI intake on the osseointegration of dental implants was evaluated using patient- and implant-level models. RESULTS: Among 24 PPI users, two patients experienced implant failure, one of whom had three and the other of whom had one failed implant, respectively. Thus, the rate of failure for this population was 8.3%. Separately, 11 nonusers each experienced one implant failure, and the failure rate for these patients was 1.9%. Fisher's exact test revealed statistically significant differences between PPI users and nonusers at the implant level (P=0.002) but failed to show any significance at the patient level (P=0.094). The odds of implant failure were 4.60 times greater among PPI users versus nonusers. Dental implants that were placed in patients using PPIs were found to be 4.30 times more likely to fail prior to loading. CONCLUSION: The findings of this study suggest that PPI intake may be associated with an increased risk of early dental implant failure. FAU - Altay, Mehmet Ali AU - Altay MA AUID- ORCID: 0000-0001-8886-4783 AD - Department of Oral and Maxillofacial Surgery, School of Dentistry, Akdeniz University, Antalya, Turkey. FAU - Sindel, Alper AU - Sindel A AUID- ORCID: 0000-0001-8760-5958 AD - Department of Oral and Maxillofacial Surgery, School of Dentistry, Akdeniz University, Antalya, Turkey. FAU - Ozalp, Oznur AU - Ozalp O AUID- ORCID: 0000-0003-4350-1975 AD - Department of Oral and Maxillofacial Surgery, School of Dentistry, Akdeniz University, Antalya, Turkey. FAU - Yildirimyan, Nelli AU - Yildirimyan N AUID- ORCID: 0000-0001-9860-5494 AD - Department of Oral and Maxillofacial Surgery, School of Dentistry, Akdeniz University, Antalya, Turkey. FAU - Kocabalkan, Burak AU - Kocabalkan B AUID- ORCID: 0000-0002-7717-3765 AD - Department of Oral and Maxillofacial Surgery, School of Dentistry, Akdeniz University, Antalya, Turkey. LA - eng PT - Journal Article DEP - 20190628 PL - Korea (South) TA - J Korean Assoc Oral Maxillofac Surg JT - Journal of the Korean Association of Oral and Maxillofacial Surgeons JID - 101580242 PMC - PMC6620305 OTO - NOTNLM OT - Dental implantation OT - Osseointegration OT - Proton pump inhibitors OT - Rehabilitation OT - Risk factors COIS- Conflict of Interest: No potential conflict of interest relevant to this article was reported. EDAT- 2019/07/25 06:00 MHDA- 2019/07/25 06:01 PMCR- 2019/06/01 CRDT- 2019/07/24 06:00 PHST- 2018/07/11 00:00 [received] PHST- 2018/08/05 00:00 [revised] PHST- 2018/08/08 00:00 [accepted] PHST- 2019/07/24 06:00 [entrez] PHST- 2019/07/25 06:00 [pubmed] PHST- 2019/07/25 06:01 [medline] PHST- 2019/06/01 00:00 [pmc-release] AID - 10.5125/jkaoms.2019.45.3.135 [doi] PST - ppublish SO - J Korean Assoc Oral Maxillofac Surg. 2019 Jun;45(3):135-140. doi: 10.5125/jkaoms.2019.45.3.135. Epub 2019 Jun 28.