유지치주치료의 환자 순응도에 대한 후향적 연구
A retrospective study on patientsʼ compliance with supportive periodontal therapy
1
조회
0
다운로드
9
인용
0
참고문헌
초록
Purpose: The purpose of this study was to investigate the degree of compliance with supportive periodontal therapy(SPT), to determine if any significant differences existed in the characteristics of compliant, erratically compliant and non-compliant patients and to identify reasons for poor compliance. Materials and methods: Four hundred five patients who initially visited between July 2003 and December 2004 and were treated until June 2005 were retrospectively evaluated for their compliance with SPT in terms of attendance for a recommended schedule of visits. Patients' compliance was classified as complete compliance(attended more than 80% of the recommended appointments), erratic compliance(attended less than 80% of the recommended appointments or discontinued) and non-compliance(did not return for SPT). Analysis was made for each group to correlate the degree of compliance with gender, age, smoking, distance between their houses and the hospital, disease severity, type of therapy, implant, plaque control instruction and systemic diseases. Tele research of erratically compliant and non-compliant patients was carried out to identify reasons for their poor compliance. Results: Only 24.7% of the patients were in complete compliance. The highest drop-out rate(32.4%) occurred in the first year. A significantly greater percentage of non-smokers and patients who finished plaque control instruction were in complete compliance. A significantly greater percentage of patients without implant and patients who had been treated by only scaling and root planing were in non-compliance. More males were found to be compliant with SPT, although this was marginally significant. There were no significant differences between compliant, erratically compliant and non-compliant patients with regard to age, distance, disease severity and systemic disease. The survey revealed that the main reasons for poor compliance with SPT were inconvenient location and insufficient time. Conclusion: Patients' compliance with SPT was poor and the highest drop-out rate(32.4%) occurred in the first year. Significant relationships were found between the degree of compliance and smoking, type of therapy, implant, plaque control instruction and gender. (J Korean Acad Periodontol 2009;39:59-70)
Abstract
Purpose: The purpose of this study was to investigate the degree of compliance with supportive periodontal therapy(SPT), to determine if any significant differences existed in the characteristics of compliant, erratically compliant and non-compliant patients and to identify reasons for poor compliance. Materials and methods: Four hundred five patients who initially visited between July 2003 and December 2004 and were treated until June 2005 were retrospectively evaluated for their compliance with SPT in terms of attendance for a recommended schedule of visits. Patients' compliance was classified as complete compliance(attended more than 80% of the recommended appointments), erratic compliance(attended less than 80% of the recommended appointments or discontinued) and non-compliance(did not return for SPT). Analysis was made for each group to correlate the degree of compliance with gender, age, smoking, distance between their houses and the hospital, disease severity, type of therapy, implant, plaque control instruction and systemic diseases. Tele research of erratically compliant and non-compliant patients was carried out to identify reasons for their poor compliance. Results: Only 24.7% of the patients were in complete compliance. The highest drop-out rate(32.4%) occurred in the first year. A significantly greater percentage of non-smokers and patients who finished plaque control instruction were in complete compliance. A significantly greater percentage of patients without implant and patients who had been treated by only scaling and root planing were in non-compliance. More males were found to be compliant with SPT, although this was marginally significant. There were no significant differences between compliant, erratically compliant and non-compliant patients with regard to age, distance, disease severity and systemic disease. The survey revealed that the main reasons for poor compliance with SPT were inconvenient location and insufficient time. Conclusion: Patients' compliance with SPT was poor and the highest drop-out rate(32.4%) occurred in the first year. Significant relationships were found between the degree of compliance and smoking, type of therapy, implant, plaque control instruction and gender. (J Korean Acad Periodontol 2009;39:59-70)
참고문헌 (42)
- Shick RA, "Maintenance phase of periodontal therapy", J Periodontol, 52, pp.576~583 (1981)
- Axelsson P, "The significance of maintenance care in the treatment of periodontal disease", J Clin Periodontol, 8, pp.281~294 (1981)
- Ramfjord SP, "Oral hygiene and maintenance of periodontal support", J Periodontol, 53, pp.26~30 (1982)
- Ramfjord SP, "Maintenance care for treated periodontitis patients", J Clin Periodontol, 14, pp.433~437 (1987)
- Wilson TG Jr, "Tooth loss in maintenance patients in a private periodontal practice", J Periodontol, 58, pp.231~235 (1987)
- Chambrone LA, "Tooth loss in well-maintained patients with chronic periodontitis during long-term supportive therapy in Brazil", J Clin Periodontol, 33, pp.759~764 (2006)
- "American Academy of Periodontology. Glossary of periodontal terms", pp.39~ (1992), American Academy of Periodontology
- "American Academy of Periodontology. Periodontal Maintenance (position paper)", J Periodontol, 74, pp.1395~1401 (2003)
- Wilson TG Jr, "Supportive periodontal treatment introduction -definition, extent of need, therapeutic objectives, frequency and efficacy", Periodontol 2000, 12, pp.11~15 (1996)
- Haynes R, "A critical review of the "determinants" of patient compliance with therapeutic regimens. in: Compliance with Therapeutic Regimens", pp.1~6 (1976), Johns Hopkins University Press
- Wilson TG Jr, "How patient compliance to suggested oral hygiene and maintenance affect periodontal therapy", Dent Clin North Am, 42, pp.389~403 (1998)
- Wilson TG Jr, "Compliance with maintenance therapy in a private periodontal practice", J Periodontol, 55, pp.468~473 (1984)
- Wilson TG Jr, "The results of efforts to improve compliance with supportive periodontal treatment in a private practice", J Periodontol, 64, pp.311~314 (1993)
- Demetriou N, "Compliance with supportive periodontal treatment in private periodontal practice. A 14-year retrospective study", J Periodontol, 66, pp.145~149 (1995)
- König J, "Retrospective comparison of clinical variables between compliant and non-compliant patients", J Clin Periodontol, 28, pp.227~232 (2001)
- Mendoza AR, "Compliance with supportive periodontal therapy", J Periodontol, 62, pp.731~736 (1991)
- Novaes AB Jr, "Compliance with supportive periodontal therapy. Part 1. Risk of non-compliance in the first 5-year period", J Periodontol, 70, pp.679~682 (1999)
- Novaes AB Jr, "Supportive periodontal therapy in South America. A retrospective multipractice study on compliance", J Periodontol, 70, pp.301~306 (1999)
- Novaes AB Jr, "Compliance with supportive periodontal therapy and its relation to the bleeding index", J Periodontol, 67, pp.976~980 (1996)
- Novaes AB Jr, "Compliance with supportive periodontal therapy. Part II: Risk of non-compliance in a 10-year period", Braz Dent J, 12, pp.47~50 (2001)
- Demirel K, "Retrospective evaluation of patient compliance with supportive periodontal treatment", J Nihon Univ Sch Dent, 37, pp.131~137 (1995)
- Ojima M, "Survival analysis for degree of compliance with supportive periodontal therapy", J Clin Periodontol, 28, pp.1091~1095 (2001)
- Matthews DC, "Tooth loss in periodontal patients", J Can Dent Assoc, 67, pp.207~210 (2001)
- Checchi L, "Patient compliance with maintenance therapy in an Italian periodontal practice", J Clin Periodontol, 21, pp.309~312 (1994)
- Novaes AB, "Compliance with supportive periodontal therapy", J Periodontol, 67, pp.213~216 (1996)
- Axtelius B, "Therapy-resistant periodontitis (II). Compliance and general and dental health experiences", J Clin Periodontol, 24, pp.646~653 (1997)
- Becker W, "A longitudinal study comparing scaling, osseous surgery, and modified Widman procedures: results after 5 years", J Periodontol, 72, pp.1675~1684 (2001)
- Fardal O, "Re-treatment profiles during longterm maintenance therapy in a periodontal practice in Norway", J Clin Peridontol, 32, pp.744~749 (2005)
- Fardal O, "Interviews and assessments of returning non-compliant periodontal maintenance patients", J Clin Periodontol, 33, pp.216~220 (2006)
- Hancock EB, "Preventive strategies and supportive treatment", Periodontology, 25, pp.59~76 (2001)
- Jansson LE, "Relationship between compliance and periodontal treatment outcome in smokers", J Periodontol, 73, pp.602~607 (2002)
- Leung WK, "Tooth loss in treated periodontitis patients responsible for their supportive care arrangements", J Clin Periodontol, 33, pp.265~275 (2006)
- Mengel R, "Osseointegrated implants in patients treated for generalized chronic periodontitis and generalized aggressive periodontitis: 3- and 5-year results of a prospective long-term study", J Periodontol, 72, pp.977~989 (2001)
- Ojima M, "Relationship between attitudes toward oral health at initial office visit and compliance with supportive periodontal treatment", J Clin Periodontol, 32, pp.364~368 (2005)
- Reddy MS, "Periodontal disease progression", J Periodontol, 71, pp.1583~1590 (2000)
- Renvert S, "Supportive periodontal therapy", Periodontology 2000, 36, pp.179~195 (2004)
- Rieder C, "Influence of compliance and smoking habits on the outcomes of supportive periodontal therapy (SPT) in a private practice", Oral Health Prev Dent, 2, pp.89~94 (2004)
- Rosen B, "Effect of different frequencies of preventive maintenance treatment on periodontal conditions. 5-Year observations in general dentistry patients", J Clin Periodontol, 26, pp.225~233 (1999)
- Tan AE, "Patient attendance compliance in periodontal therapy", Aust Dent J, 37, pp.467~471 (1992)
- Weinstein R, "Psychological intervention in patients with poor compliance", J Clin Periodontol, 23, pp.283~288 (1996)
- Wilson TG Jr, "Compliance and its role in periodontal therapy", Periodontology 2000, 12, pp.16~23 (1996)
- Wilson TG Jr, "Compliance. A review of the literature with possible applications to periodontics", J Periodontol, 58, pp.706~714 (1987)
