Novaes A B, Novaes A B, Bustamanti A, Villavicencio J J, Muller E, Pulido J
School of Dentistry of Ribeirão Preto, University of São Paulo, Brazil.
J Periodontol. 1999 Mar;70(3):301-6. doi: 10.1902/jop.1999.70.3.301.
Supportive periodontal therapy is needed for the success of periodontal therapy but there is little information about the extent of patient cooperation. It is known, however, that cooperation is poor and a matter of concern.
The present study is part of a more extensive study including information from 5,041 patient records from private periodontal practices in Brazil, Venezuela, Chile, and Argentina. Patient cooperation was measured according to gender, age, type of therapy (surgical or non-surgical), maintenance period (first year, 5 years, 10 years, 15 years, and 20 years), and level of cooperation (non-compliant, regular or irregular) for each of the 4 practices.
We observed a great variation in the behavior of the patients from different practices, suggesting that studies on compliance cannot be generalized because differences in culture, economic conditions, knowledge of oral hygiene, and even the philosophy of treatment should be considered. The most significant data were sometimes similar for 2 or 3 of the countries but never for all 4 practices.
Compliance is a very complex matter and findings from individual studies cannot be generalized.
支持性牙周治疗是牙周治疗成功所必需的，但关于患者合作程度的信息却很少。然而，众所周知，患者合作情况不佳，这是一个令人担忧的问题。
本研究是一项更广泛研究的一部分，该研究纳入了来自巴西、委内瑞拉、智利和阿根廷的私人牙周诊所的5041份患者记录信息。根据性别、年龄、治疗类型（手术或非手术）、维护期（第1年、5年、10年、15年和20年）以及这4个诊所中每个诊所的合作水平（不依从、规律或不规律）来衡量患者的合作情况。
我们观察到不同诊所患者的行为存在很大差异，这表明关于依从性的研究不能一概而论，因为应考虑文化、经济状况、口腔卫生知识甚至治疗理念等方面的差异。2个或3个国家的一些最重要的数据有时相似，但4个诊所的数据从未全部相似。
依从性是一个非常复杂的问题，个别研究的结果不能一概而论。
