title: Rehabilitation of Full-Mouth Edentulism: Immediate Loading of Implants Inserted With Computer-Guided Flapless Surgery Versus Conventional Dentures: A 5-Year Multicenter Retrospective Analysis and OHIP Questionnaire.
abstract: OBJECTIVE
  The purpose of this report is to compare satisfaction of patients rehabilitated with full-mouth fixed prostheses using computer-aided flapless implant placement and immediate loading with patients rehabilitated with conventional removable prostheses.
  
  
  METHODS
  The study included 30 consecutive fully edentulous patients who received 312 implants and 30 matched controls treated with conventional removable prostheses. Mandible and maxilla were treated in the same surgical session with computer-guided flapless approach using 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 5 years after prostheses delivery, patients answered OHIP-EDENT questionnaire (Oral Health Impact Profile for Edentulous subjects) 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 as compared to conventional dentures.
  
  
  CONCLUSIONS
  The results of this study confirm that rehabilitation with a prefabricated fixed prosthesis supported by implants placed with NobelGuide protocol significantly increases the quality of life in fully edentulous patients when compared with complete dentures.
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. §Private Practice, Fort Lee, NJ. ¶Oral Surgery Student, Department of Neurosciences, Reproductive and Dental Sciences, 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: Rispoli
authors.initials: R
authors.lastname: Alessandra
authors.forename: Scott D
authors.initials: SD
authors.lastname: Ganz
authors.forename: Andrea
authors.initials: A
authors.lastname: Blasi
mesh_terms: D017268:Dental Prosthesis Retention / Q000706:statistics & numerical data; D003824:Denture, Complete; D005260:Female; D006801:Humans; D057893:Immediate Dental Implant Loading / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009066:Mouth, Edentulous / Q000534:rehabilitation / Q000601:surgery* / Q000628:therapy; D017060:Patient Satisfaction; D011788:Quality of Life; D012189:Retrospective Studies; D011795:Surveys and Questionnaires