PMID- 32725908 OWN - NLM STAT- MEDLINE DCOM- 20210419 LR - 20221207 IS - 1943-3670 (Electronic) IS - 0022-3492 (Linking) VI - 92 IP - 2 DP - 2021 Feb TI - Effects of different antidepressant classes on dental implant failure: A retrospective clinical study. PG - 196-204 LID - 10.1002/JPER.19-0714 [doi] AB - BACKGROUND: Previous studies have suggested an association between taking antidepressants and dental implant failure. This study aimed to investigate the association of different antidepressant classes with dental implant failure. METHODS: This retrospective study included patients that received dental implants at the University of Florida from 2011 to 2016. The variables of implant failure, antidepressant use and classes (selective serotonin reuptake inhibitors [SSRI], serotonin-norepinephrine reuptake inhibitors [SNRI], tricyclic antidepressants [TCA], atypical antidepressants [AA], and monoamine oxidase inhibitors [MAOI]), age, sex, smoking, mild systemic diseases, and implant location were obtained from patients' records. Odds ratio (OR) and confidence interval (CI) of implant failure in patients taking different antidepressant classes, in relationship to non-antidepressant users, were estimated, and the influence of multiple variables on implant failure were investigated. RESULTS: A total of 771 patients and 1,820 implants were evaluated. The statistically significant predictors for implant failure included smoking (OR = 5.221), use of antidepressants (OR = 4.285), posterior maxilla location (OR = 2.911), mild systemic disease (OR = 2.648), and age (OR = 1.037) (P <0.05). The frequency of implant failure was 33.3% in TCA users, 31.3% in SNRI users, 6.3% in SSRI users, 5.2% in Atypical antidepressant users, and 3.9% in non-users. Significant associations were observed between the use of SNRI (OR: 11.07; 95% CI: 3.265 to 33.82) and TCA (OR: 12.16; 95% CI: 1.503 to 71.58) and implant failure (P <0.05). CONCLUSIONS: Users of antidepressants were at higher risk of implant failure than non-users. Patients taking SNRI and TCA were at the highest risk of implant loss, when compared with non-users. Conclusions about TCA, however, are based on a limited number of cases. CI - (c) 2020 American Academy of Periodontology. FAU - Hakam, Abeer Essam AU - Hakam AE AD - Department of Periodontology, College of Dentistry, University of Florida, Gainesville, FL, USA. FAU - Vila, Gabriela AU - Vila G AD - Department of Periodontology, College of Dentistry, University of Florida, Gainesville, FL, USA. FAU - Duarte, Poliana Mendes AU - Duarte PM AD - Department of Periodontology, College of Dentistry, University of Florida, Gainesville, FL, USA. FAU - Mbadu, Marcia Phemba AU - Mbadu MP AD - Department of Periodontology, College of Dentistry, University of Florida, Gainesville, FL, USA. FAU - Ai Angary, Dania Sulaiman AU - Ai Angary DS AD - Department of Periodontology, College of Dentistry, University of Florida, Gainesville, FL, USA. FAU - Shuwaikan, Hotoun AU - Shuwaikan H AD - Department of Periodontology, College of Dentistry, University of Florida, Gainesville, FL, USA. FAU - Aukhil, Ikramuddin AU - Aukhil I AD - Department of Periodontology, College of Dentistry, University of Florida, Gainesville, FL, USA. FAU - Neiva, Rodrigo AU - Neiva R AD - Department of Periodontology, College of Dentistry, University of Florida, Gainesville, FL, USA. FAU - da Silva, Helio Doyle Pereira AU - da Silva HDP AD - Department of Periodontology, Dental Research Division, Guarulhos University, Guarulhos, Sao Paulo, Brazil. FAU - Chang, Jia AU - Chang J AUID- ORCID: 0000-0003-0592-5750 AD - Department of Periodontology, College of Dentistry, University of Florida, Gainesville, FL, USA. LA - eng PT - Journal Article DEP - 20200814 PL - United States TA - J Periodontol JT - Journal of periodontology JID - 8000345 RN - 0 (Antidepressive Agents) RN - 0 (Antidepressive Agents, Second-Generation) RN - 0 (Dental Implants) RN - 0 (Serotonin Uptake Inhibitors) SB - IM MH - Antidepressive Agents/adverse effects MH - *Antidepressive Agents, Second-Generation MH - *Dental Implants/adverse effects MH - Humans MH - Retrospective Studies MH - Selective Serotonin Reuptake Inhibitors/adverse effects OTO - NOTNLM OT - atypical antidepressants OT - dental implants OT - monoamine oxidase inhibitors OT - selective serotonin reuptake inhibitors OT - serotonin and noradrenaline reuptake inhibitors OT - tricyclic antidepressants EDAT- 2020/07/30 06:00 MHDA- 2021/04/20 06:00 CRDT- 2020/07/30 06:00 PHST- 2019/12/13 00:00 [received] PHST- 2020/04/25 00:00 [revised] PHST- 2020/04/26 00:00 [accepted] PHST- 2020/07/30 06:00 [pubmed] PHST- 2021/04/20 06:00 [medline] PHST- 2020/07/30 06:00 [entrez] AID - 10.1002/JPER.19-0714 [doi] PST - ppublish SO - J Periodontol. 2021 Feb;92(2):196-204. doi: 10.1002/JPER.19-0714. Epub 2020 Aug 14.