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

• 1. Slots J. Periodontitis: facts, fallacies and the future. Periodontol 2000 2017;75(1):7-23.
• 2. Papapanou PN, Sanz M, Buduneli N, Dietrich T, Feres M, Fine DH, et al. Periodontitis: Consensus report of workgroup 2 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Periodontol 2018;89 Suppl 1:S173-S182.
• 3. Borges Tde F, Regalo SC, Taba M, Jr., Siessere S, Mestriner W, Jr., Semprini M. Changes in masticatory performance and quality of life in individuals with chronic periodontitis. J Periodontol 2013;84(3):325-331.
• 4. Greenwell H, Committee on Research S, Therapy. American Academy of P. Position paper: Guidelines for periodontal therapy. J Periodontol. 2001;72(11):1624-1628.
• 5. Echeverria JJ, Echeverria A, Caffesse RG. Adherence to supportive periodontal treatment. Periodontol 2000 2019;79(1):200-209.
• 6. Farooqi OA, Wehler CJ, Gibson G, Jurasic MM, Jones JA. Appropriate Recall Interval for Periodontal Maintenance: A Systematic Review. J Evid Based Dent Pract 2015;15(4):171-181.
• 7. Mendoza AR, Newcomb GM, Nixon KC. Compliance with supportive periodontal therapy. J Periodontol 1991;62(12):731-736.
• 8. Delatola C, Adonogianaki E, Ioannidou E. Non-surgical and supportive periodontal therapy: predictors of compliance. J Clin Periodontol 2014;41(8):791-796.
• 9. Ojima M, Kanagawa H, Nishida N, Nagata H, Hanioka T, Shizukuishi S. Relationship between attitudes toward oral health at initial office visit and compliance with supportive periodontal treatment. J Clin Periodontol 2005;32(4):364-368.
• 10. Costa FO, Miranda Cota LO, Pereira Lages EJ, Vilela Camara GC, Cortelli SC, Cortelli JR, et al. Oral impact on daily performance, personality traits, and compliance in periodontal maintenance therapy. J Periodontol 2011;82(8):1146-1154.
• 11. Demirel K, Efeodlu A. Retrospective evaluation of patient compliance with supportive periodontal treatment. J Nihon Univ Sch Dent 1995;37(3):131-137.
• 12. Ojima M, Hanioka T, Shizukuishi S. Survival analysis for degree of compliance with supportive periodontal therapy. J Clin Periodontol 2001;28(12):1091-1095.
• 13. Jansson LE, Hagstrom KE. Relationship between compliance and periodontal treatment outcome in smokers. J Periodontol 2002;73(6):602-607.
• 14. Silness J, Loe H. Periodontal Disease in Pregnancy. Ii. Correlation between Oral Hygiene and Periodontal Condtion. Acta Odontol Scand 1964;22:121-135.
• 15. Loe H, Silness J. Periodontal Disease in Pregnancy. I. Prevalence and Severity. Acta Odontol Scand 1963;21:533-551.
• 16. Ainamo J, Bay I. Problems and proposals for recording gingivitis and plaque. Int Dent J 1975;25(4):229-235.
• 17. Wilson TG, Jr., Glover ME, Schoen J, Baus C, Jacobs T. Compliance with maintenance therapy in a private periodontal practice. J Periodontol 1984;55(8):468-473.
• 18. Perrell-Jones C, Ireland RS. What factors influence patient compliance with supportive periodontal therapy in a general practice setting? Br Dent J 2016;221(11):701-704.
• 19. Agrawal N, Jain R, Jain M, Agarwal K, Dubey A. Compliance with supportive periodontal therapy among patients with aggressive and chronic periodontitis. J Oral Sci 2015;57(3):249-254.
• 20. Kakudate N, Morita M, Kawanami M. Oral health care-specific self-efficacy assessment predicts patient completion of periodontal treatment: a pilot cohort study. J Periodontol 2008;79(6):1041-1047.
• 21. Konig J, Plagmann HC, Langenfeld N, Kocher T. Retrospective comparison of clinical variables between compliant and non-compliant patients. J Clin Periodontol 2001;28(3):227-232.
• 22. Sonnenschein SK, Kohnen R, Ruetters M, Krisam J, Kim TS. Adherence to long-term supportive periodontal therapy in groups with different periodontal risk profiles. J Clin Periodontol 2020;47(3):351-361.
• 23. Modin C, Abadji D, Adler L, Jansson L. Treatment compliance in patients with aggressive periodontitis - a retrospective case-control study. Acta Odontol Scand. 2017;75(2):94-99.
• 24. Navarro-Pardo M, Marquez-Arrico CF, Pallares-Serrano A, Silvestre FJ. Adherence to supportive periodontal treatment in relation to patient awareness. J Clin Exp Dent 2022;14(1):e1-e8.
• 25. Si W, Wang H, Li Q, Zhao X, Pan Y. Effects of different factors influencing clinical compliance of Chinese patients with chronic periodontitis. Quintessence Int 2016;47(8):643-652.
• 26. Ramseier CA, Kobrehel S, Staub P, Sculean A, Lang NP, Salvi GE. Compliance of cigarette smokers with scheduled visits for supportive periodontal therapy. J Clin Periodontol 2014;41(5):473-480.
• 27. de Carvalho VF, Okuda OS, Bernardo CC, Pannuti CM, Georgetti MA, De Micheli G, et al. Compliance improvement in periodontal maintenance. J Appl Oral Sci 2010;18(3):215-219.
• 28. Vatne JF, Gjermo P, Sandvik L, Preus HR. Patients' perception of own efforts versus clinically observed outcomes of non-surgical periodontal therapy in a Norwegian population: an observational study. BMC Oral Health 2015;15:61.
• 29. Wilson TG, Jr., Hale S, Temple R. The results of efforts to improve compliance with supportive periodontal treatment in a private practice. J Periodontol 1993;64(4):311-314.