title: The Prevalence of Dental Implants and Related Factors in Patients with Sjögren Syndrome: Results from a Cohort Study.
abstract: To investigate prevalence and patient-reported outcomes of dental implants in patients with Sjögren syndrome (SS).
  
  
  
  A total of 205 female patients from an observational cohort study answered oral health questionnaires about periodontal signs and symptoms, dentures, dental implants, comorbidities, and therapies that may interfere with bone remodeling. Data were compared with the reports of 87 female healthy controls.
  
  
  
  The patients were older than the controls (58 ± 12 and 54 ± 14 yrs, respectively) and differed substantially in the prevalence of self-reported gingivitis (60% and 35%), self-reported periodontitis (19% and 8%), and in the numbers of remaining teeth (21 ± 7 and 24 ± 5). Patients more frequently had removable prostheses (36% compared with 23%) and dental implants (16% compared with 7%). The 32 patients with SS with dental implants had a mean number of 3.1 ± 2.0 implants. Notably, for patients with implants, their oldest existing implant survived for a mean period of 4.9 ± 5.4 years. A total of 5 of 104 (4.8%) implants in the patients and none of the 14 implants in the controls had to be removed. A total of 75% of the patients were highly satisfied with the implants and 97% would recommend them to other patients with SS.
  
  
  
  A substantial portion of patients with SS have dental complications and require subsequent implants. The majority were satisfied with the implants and would recommend them to other patients. The high implant survival rate may encourage patients, rheumatologists, and dentists to consider dental implants for the treatment of patients with SS.
authors.affiliation: From the Epidemiology Unit, German Rheumatism Research Centre; Department of Rheumatology and Clinical Immunology, Charité University Medicine, Berlin, Germany; The School of Dentistry, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.K. Albrecht, MD, Epidemiology Unit, German Rheumatism Research Centre; J. Callhoff, MSc, Epidemiology Unit, German Rheumatism Research Centre; G. Westhoff*, Dipl. Psych, Epidemiology Unit, German Rheumatism Research Centre; T. Dietrich, Dr. Med, Dr. Med. Dent, MPH, Professor, The School of Dentistry, College of Medical and Dental Sciences, University of Birmingham; T. Dörner, MD, Professor, Department of Rheumatology and Clinical Immunology, Charité University Medicine; A. Zink, MPH, Professor, Epidemiology Unit, German Rheumatism Research Centre. albrecht@drfz.de.
authors.forename: Katinka
authors.initials: K
authors.lastname: Albrecht
authors.affiliation: From the Epidemiology Unit, German Rheumatism Research Centre; Department of Rheumatology and Clinical Immunology, Charité University Medicine, Berlin, Germany; The School of Dentistry, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.K. Albrecht, MD, Epidemiology Unit, German Rheumatism Research Centre; J. Callhoff, MSc, Epidemiology Unit, German Rheumatism Research Centre; G. Westhoff*, Dipl. Psych, Epidemiology Unit, German Rheumatism Research Centre; T. Dietrich, Dr. Med, Dr. Med. Dent, MPH, Professor, The School of Dentistry, College of Medical and Dental Sciences, University of Birmingham; T. Dörner, MD, Professor, Department of Rheumatology and Clinical Immunology, Charité University Medicine; A. Zink, MPH, Professor, Epidemiology Unit, German Rheumatism Research Centre.
authors.forename: Johanna
authors.initials: J
authors.lastname: Callhoff
authors.affiliation: From the Epidemiology Unit, German Rheumatism Research Centre; Department of Rheumatology and Clinical Immunology, Charité University Medicine, Berlin, Germany; The School of Dentistry, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.K. Albrecht, MD, Epidemiology Unit, German Rheumatism Research Centre; J. Callhoff, MSc, Epidemiology Unit, German Rheumatism Research Centre; G. Westhoff*, Dipl. Psych, Epidemiology Unit, German Rheumatism Research Centre; T. Dietrich, Dr. Med, Dr. Med. Dent, MPH, Professor, The School of Dentistry, College of Medical and Dental Sciences, University of Birmingham; T. Dörner, MD, Professor, Department of Rheumatology and Clinical Immunology, Charité University Medicine; A. Zink, MPH, Professor, Epidemiology Unit, German Rheumatism Research Centre.
authors.forename: Gisela
authors.initials: G
authors.lastname: Westhoff
authors.affiliation: From the Epidemiology Unit, German Rheumatism Research Centre; Department of Rheumatology and Clinical Immunology, Charité University Medicine, Berlin, Germany; The School of Dentistry, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.K. Albrecht, MD, Epidemiology Unit, German Rheumatism Research Centre; J. Callhoff, MSc, Epidemiology Unit, German Rheumatism Research Centre; G. Westhoff*, Dipl. Psych, Epidemiology Unit, German Rheumatism Research Centre; T. Dietrich, Dr. Med, Dr. Med. Dent, MPH, Professor, The School of Dentistry, College of Medical and Dental Sciences, University of Birmingham; T. Dörner, MD, Professor, Department of Rheumatology and Clinical Immunology, Charité University Medicine; A. Zink, MPH, Professor, Epidemiology Unit, German Rheumatism Research Centre.
authors.forename: Thomas
authors.initials: T
authors.lastname: Dietrich
authors.affiliation: From the Epidemiology Unit, German Rheumatism Research Centre; Department of Rheumatology and Clinical Immunology, Charité University Medicine, Berlin, Germany; The School of Dentistry, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.K. Albrecht, MD, Epidemiology Unit, German Rheumatism Research Centre; J. Callhoff, MSc, Epidemiology Unit, German Rheumatism Research Centre; G. Westhoff*, Dipl. Psych, Epidemiology Unit, German Rheumatism Research Centre; T. Dietrich, Dr. Med, Dr. Med. Dent, MPH, Professor, The School of Dentistry, College of Medical and Dental Sciences, University of Birmingham; T. Dörner, MD, Professor, Department of Rheumatology and Clinical Immunology, Charité University Medicine; A. Zink, MPH, Professor, Epidemiology Unit, German Rheumatism Research Centre.
authors.forename: Thomas
authors.initials: T
authors.lastname: Dörner
authors.affiliation: From the Epidemiology Unit, German Rheumatism Research Centre; Department of Rheumatology and Clinical Immunology, Charité University Medicine, Berlin, Germany; The School of Dentistry, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.K. Albrecht, MD, Epidemiology Unit, German Rheumatism Research Centre; J. Callhoff, MSc, Epidemiology Unit, German Rheumatism Research Centre; G. Westhoff*, Dipl. Psych, Epidemiology Unit, German Rheumatism Research Centre; T. Dietrich, Dr. Med, Dr. Med. Dent, MPH, Professor, The School of Dentistry, College of Medical and Dental Sciences, University of Birmingham; T. Dörner, MD, Professor, Department of Rheumatology and Clinical Immunology, Charité University Medicine; A. Zink, MPH, Professor, Epidemiology Unit, German Rheumatism Research Centre.
authors.forename: Angela
authors.initials: A
authors.lastname: Zink
mesh_terms: D000328:Adult; D000368:Aged; D015331:Cohort Studies; D015921:Dental Implants / Q000706:statistics & numerical data*; D017266:Dental Prosthesis / Q000706:statistics & numerical data*; D005260:Female; D005891:Gingivitis / Q000453:epidemiology* / Q000209:etiology; D006801:Humans; D008875:Middle Aged; D010518:Periodontitis / Q000453:epidemiology* / Q000209:etiology; D015995:Prevalence; D057566:Self Report; D012859:Sjogren's Syndrome / Q000150:complications*; D011795:Surveys and Questionnaires
chemical_list: D015921:Dental Implants
keywords: DENTAL IMPLANTS; EPIDEMIOLOGY; PATIENT-REPORTED OUTCOMES; SJÖGREN SYNDROME