Comparative analysis of the relationship between of chronic periodontitis patients' compliance and clinical efficacy
10.3760/cma.j.issn.1002-0098.2013.08.006
- VernacularTitle:慢性牙周炎患者维护治疗的依从性对临床疗效影响的纵向观察
- Author:
Zong-Xiang LIU
1
;
Peng-Lai WANG
;
Fang DU
Author Information
1. 徐州市口腔医院牙周科
- Keywords:
Chronic periodontitis;
Patient compliance;
Longitudinal;
Influencing factors
- From:
Chinese Journal of Stomatology
2013;48(8):472-476
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effect of patients' compliance on clinical parameters in patients with chronic periodontitis during periodontal maintenance therapy period.Methods Chronic periodontitis patients who had completed non-surgical periodontal basic treatment were incorporated into the periodontal maintenance therapy(PMT).Clinical examination was performed in the baseline and each quarterly recall,over 3-year period.Clinical parameters including number of teeth,probing depth (PD),attachment loss(AL) level and bleeding on probing(BOP),were recorded.According to the number of PMT visit,the patients were classified into three groups:regular complier (RC) ; erratic complier (EC) ;non-complier(NC).The final parameters (three years later) were obtained by outpatient follow-up and telephone interviews.The data were calculated for the pecentage of sites with PD 4-5 mm,PD ≥ 6 mm,AL 4-5 mm,AL≥ 6 mm,BOP,and the number of tooth loss per patient and the rates of progression of periodontitis.Statistical analyses including ANOVA test and Chi-square test were performed by SPSS 16.0 software package.Results The percentage of clinical parameters in RC [AL 4-5 mm:(14.8 ± 5.0) ％,AL≥6 mm:(9.3 ± 3.1)％,BOP:(22.8 ± 4.2)％] were significantly decreased compared with that at baseline[AL4-5 mm:(19.0 ±6.0)％,AL≥6 mm:(10.6±3.1)％,BOP:(30.3 ±5.6)％] (P＜ 0.01).There was significant difference between RC and NC [AL 4-5mm:(43.3 ± 1.3) ％,AL ≥ 6 mm:(31.3±1.7)％,BOP(91.5±5.4)％](P＜0.01),and between RC and EC[AL4-5 mm:(18.9± 6.7)％,AL≥6 mm:(12.6±5.4)％,BOP:(38.4± 5.2)％] (P＜0.05).The progression rate of periodontitis [19.1％ (4/21) at subject level,0.7％ (434/61 362) at site level] and tooth loss(1.0) was significantly lower in RC compared with EC and NC patients.Conclusions Regular periodontal maintenance enables the patients with chronic periodontitis to maintain long-term efficacy.
