Comparison of patient‐centered outcomes after routine implant placement, teeth extraction, and periodontal surgical procedures

Abstract Objectives To compare patient‐centered outcome assessments ( POA s) over a 2‐week period after five categories of dento‐alveolar surgical procedures. Methods A total of 339 patients in need of dento‐alveolar surgical procedures such as simple tooth extraction ( SE ), transalveolar extraction ( TE ), straightforward implant placement (I), implant placement with guided bone regeneration ( IGBR ), and periodontal surgery (P) in Hong Kong (51.3%) and Nanjing dental clinic were consecutively recruited (2013–2015). POA s in terms of bleeding, swelling, pain, and bruising were obtained using 10 cm visual analog scale ( VAS ) on each day of the first week and the 14th day postsurgery. Clinical examinations were recorded on the 7th day postoperation. Results For the first 3 days of healing, area‐under‐the‐curve ( AUC ) analyses showed that transalveolar extraction ( TE ) resulted in significantly higher overall bleeding and pain ( AUC : Bleeding Mean = 5.6, Pain Mean = 7.5). However, implant placement with GBR ( IGBR ) resulted in significant higher level of swelling ( AUC : Mean = 9.1) and bruising (Mean = 4.2) for the same period with also the highest use of painkillers. Healing outcomes of straightforward implant placement (I) were comparable to that of a simple extraction ( SE ). Two‐week overall experience showed the symptoms quickly subsided for all groups. Prevalence for complications 1 week postoperatively was IGBR (20%), P (15.6%), I (12.7%), SE (4.8%), TE (1.5%), respectively. Conclusions The highest extent of swelling and bruising was observed in patients who got implant placement with GBR ( IGBR ), while healing events of straightforward implants were similar to these of simple extraction. The VAS scores for all POA s parameters were generally low and decreased to nearly zero over the study period following all five surgical procedures. Low prevalence of postsurgical complications was reported.