title: Full-mouth rehabilitation with immediate loading of implants inserted with computer-guided flap-less surgery: a 3-year multicenter clinical evaluation with oral health impact profile.
abstract: OBJECTIVE
  The purpose of this report is to present the clinical outcomes and patients' satisfaction of full-mouth rehabilitation using computer-aided flapless implant placement and immediate loading of a prefabricated prosthesis.
  
  
  METHODS
  The study included 30 consecutive fully edentulous patients who received 312 implants. Mandible and maxilla were treated in the same surgical session with computer-guided flapless approach using the NobelGuide protocol. Prefabricated screw-retained fixed prostheses were inserted at the end of surgery. Clinical and radiographic evaluations were assessed at 6, 12, and 36 months. At baseline and 6 months after surgery, patients answered Oral Health Impact Profile in Edentulous Adults questionnaire to assess satisfaction.
  
  
  RESULTS
  The implant survival rate was 97.9%, whereas the average marginal bone loss was 1.9 ± 1.3 mm after 3 years. At 6 months, patients showed significantly greater satisfaction with their fixed rehabilitation when compared with conventional dentures.
  
  
  CONCLUSIONS
  The results of this study confirm that rehabilitation with a prefabricated fixed prosthesis supported by implants placed with NobelGuide protocol is a viable and predictable treatment and increases patients' satisfaction and improves oral health-related quality of life.
authors.affiliation: *Specialist in Oral Surgery, Private Practice, Napoli, Italy. †Specialist in Oral Surgery, Private Practice, Prato, Italy. ‡Specialist in Clinical Psychology, Private Practice, Firenze, Italy. §Oral Surgery Program Resident, Department of Odontostomathology, Faculty of Medicine, University of Sassari, Sassari, Italy. ‖Private Practice, Fort Lee, NJ. ¶Adjunct Professor, Department of Oral Sciences and Maxillofacial Surgery, Faculty of Medicine, University of Naples Federico II, Naples, Italy.
authors.forename: Roberto
authors.initials: R
authors.lastname: Marra
authors.forename: Alessandro
authors.initials: A
authors.lastname: Acocella
authors.forename: Alessandra
authors.initials: A
authors.lastname: Rispoli
authors.forename: Roberto
authors.initials: R
authors.lastname: Sacco
authors.forename: Scott D
authors.initials: SD
authors.lastname: Ganz
authors.forename: Andrea
authors.initials: A
authors.lastname: Blasi
mesh_terms: D000328:Adult; D017267:Dental Prosthesis Design / Q000379:methods; D019094:Dental Prosthesis, Implant-Supported / Q000379:methods* / Q000523:psychology; D019232:Dental Restoration Failure / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D007575:Jaw, Edentulous / Q000601:surgery*; D008297:Male; D009909:Oral Health / Q000706:statistics & numerical data; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D025321:Surgery, Computer-Assisted / Q000379:methods; D011795:Surveys and Questionnaires; D013997:Time Factors