Compliance with Active and Supportive Periodontal Treatment among Patients with Different Stages of Periodontitis

Yıl 2023, Cilt: 10 Sayı: 3, 570 - 575, 25.12.2023

Gizem Torumtay Cin Hande Şenol

https://doi.org/10.15311/selcukdentj.1225601

Öz

Background: Although the importance of supportive periodontal treatment following active phase of treatment is known in terms of periodontal prognosis, the factors influencing patient compliance have not been fully elucidated. The aim of this study is to determine the relationship between periodontal parameters, periodontitis severity and individual factors and patient compliance during active periodontal treatment and maintenance.
Methods: 112 patients diagnosed with periodontitis were included in the study. Demographic characteristics and baseline periodontal indices of patients were recorded, and the severity and grade of periodontitis were determined. The factors affecting patient compliance during the active phase of periodontal therapy and 1-year follow-up period were evaluated with univariate and multivariate regression analysis.
Results: The patients' compliance with active periodontal treatment was similar in terms of baseline periodontal parameters and severity of periodontitis (p>0.05). 38% of the participants were noncompliant with the supportive periodontal treatment. The proportion of noncompliant patients was greater among patients with severe forms of periodontitis. Patients who missed more than 2 appointments during the active treatment were also significantly noncompliant during the supportive periodontal treatment. Multivariate regression analysis showed that smoking and nonadherence to active periodontal therapy affect patient compliance during the periodontal maintenance period.
Conclusion: Baseline periodontal parameters and periodontitis severity are significantly associated with patient compliance during the supportive periodontal treatment. However, it was observed that patients with irregular adherence to active treatment were also noncompliant during the maintenance period.
Keywords: Periodontitis, Maintenance, Patient Compliance, Periodontal Treatment

Anahtar Kelimeler

Periodontitis, Maintenance, Patient Compliance, Periodontal Treatment

Periodontitis Şiddetine Göre Hastaların Aktif Ve Destekleyici Periodontal Tedaviye Uyumlarının Değerlendirilmesi

Öz

Amaç: Periodontal prognoz açısından, aktif tedaviyi takiben destekleyici periodontal tedavinin önemi bilinmekle birlikte, bu süreçte hasta uyumuna etki eden faktörler tam olarak aydınlatılamamıştır. Bu çalışmanın amacı, aktif periodontal tedavi ve idame döneminde klinik indeksler, periodontitis şiddeti ve bireysel faktörler ile hasta uyumu arasındaki ilişkiyi belirlemektir.
Gereç ve Yöntemler: Çalışmaya periodontitis tanısı almış 112 birey dahil edildi. Hastaların demografik özelliklerinin yanısıra başlangıç periodontal kayıtları alınarak periodontitis şiddeti ve derecesi belirlendi. Aktif periodontal tedavi süreci ve 1 yıllık idame periyodunda hasta uyumuna etki eden faktörler tek değişkenli ve çok değişkenli regresyon analizi ile değerlendirildi.
Bulgular: Hastaların başlangıç klinik periodontal ölçümleri, periodontitis şiddeti ve derecesi yönünden aktif periodontal tedaviye uyumları benzerdi (p>0.05). Katılımcıların % 38’i destekleyici periodontal tedavi sürecine tamamen uyumsuzluk gösterdi. Periodontitis şiddeti arttıkça destekleyici periodontal tedaviye uyumun azaldığı tespit edildi. Aktif periodontal tedavi fazında uyumsuz olan hastalar, destekleyici periodontal tedavi döneminde de anlamlı derecede uyumsuzdu. Çok değişkenli regresyon analizi, sigara kullanımının ve aktif periodontal tedaviye uyumsuzluğun periodontal idame dönemindeki hasta uyumunu etkilediğini gösterdi.
Sonuç: Hem başlangıç periodontal belirteçler hem de periodontitis şiddeti destekleyici periodontal tedavi fazında hasta uyumu ile anlamlı derecede ilişkilidir. Bununla birlikte, aktif tedaviye devamlılığı zayıf bireylerin idame döneminde de uyumsuz olduğu gözlenmiştir.
Anahtar Kelimeler: Periodontitis, İdame, Hasta Uyumu, Periodontal Tedavi

Anahtar Kelimeler

Periodontitis, İdame, Hasta Uyumu, Periodontal Tedavi

Kaynakça

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