title: Patient-Perceived Morbidity and Subjective Functional Impairment Following Immediate Transition from a Failing Dentition to Fixed Implant Rehabilitation.
abstract: OBJECTIVE
  Failing residual dentition gives rise to patient concerns about the surgical and prosthodontic management of immediate implant rehabilitation. The purpose of this study was to assess subjective patient experiences of full-arch immediate implant loading.
  
  
  METHODS
  Patients made a transition from poor dentition in the maxilla (25 patients) or mandible (25 patients) to full-arch rehabilitation on the day of extraction using four interantral or interforaminal implants. Provisional restoration was performed, and postoperative pain, swelling, and patient-perceived impairment in the first week was recorded.
  
  
  RESULTS
  Absence of pain was reported by 40%, 52%, and 66% of patients, on the day of surgery, on the first day after surgery, and on the second day after surgery, respectively; pain levels decreased significantly (from 1.8 to 0.9, P < .001) and patient-reported swelling decreased from 1.5 to 1.3 (P = .058) on a 10-point scale. Postoperative impairment of everyday life and work (mean score = 1.1) was significantly less pronounced than impairment of food intake (mean score = 2.2; P = .004) or speech (mean score = 1.9; P = .002). Of these patients, 88% would again undergo the procedure without doubt.
  
  
  CONCLUSIONS
  Although patient-perceived morbidity after immediate full-arch implant rehabilitation is low in general, minor masticatory and phonetic impairment should be taken into account.
authors.forename: Rudolf
authors.initials: R
authors.lastname: Fürhauser
authors.forename: Georg
authors.initials: G
authors.lastname: Mailath-Pokorny
authors.forename: Robert
authors.initials: R
authors.lastname: Haas
authors.forename: Dieter
authors.initials: D
authors.lastname: Busenlechner
authors.forename: Georg
authors.initials: G
authors.lastname: Watzek
authors.forename: Bernhard
authors.initials: B
authors.lastname: Pommer
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D003758:Dental Implantation, Endosseous / Q000379:methods*; D015921:Dental Implants; D019094:Dental Prosthesis, Implant-Supported; D004435:Eating; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D057893:Immediate Dental Implant Loading; D008297:Male; D008334:Mandible / Q000601:surgery; D008437:Maxilla / Q000601:surgery; D008875:Middle Aged; D009066:Mouth, Edentulous / Q000601:surgery*; D010147:Pain Measurement; D017060:Patient Satisfaction
chemical_list: D015921:Dental Implants