Famili Pouran, Short Elizabeth
Department of Periodontics and Preventive Dentistry, University of Pittsburgh School of Dental Medicine, Pennsylvania, USA.
Gen Dent. 2010 Jan-Feb;58(1):e42-7.
Maintenance care is the most important part of periodontal treatment because maintenance - adherence to the schedule of recall dental appointments after treatment - is believed to be the key in preventing the recurrence of periodontal disease. This article is a retrospective analysis of 315 cases from the Department of Periodontics and Preventive Dentistry at the University of Pittsburgh to determine compliance with periodontal maintenance schedules over a two-year period. Following the completion of periodontal surgical treatment, patients were placed on a regimen of maintenance care that included recalls every three months, professional prophylaxis by the hygiene faculty, and repeated instructions in home self-care. Medical records and patient charts of 315 subjects were selected randomly and reviewed in terms of the patient's attending the scheduled recall visit. It was hypothesized that female subjects would show better compliance with the maintenance care regimen than male subjects, as suggested in the literature. Among the 315 subjects, 112 (54 women and 58 men) followed the recommended recall schedule; 30% ultimately returned for the three-month prophylaxis recall visit after the initial periodontal surgical appointment, and thus were considered to have complied with the suggested maintenance program. The investigators failed to reject the stated hypothesis that women would display better compliance than men (p = 0.3).
维护治疗是牙周治疗最重要的部分，因为维护——坚持治疗后定期复诊的安排——被认为是预防牙周病复发的关键。本文对匹兹堡大学牙周病与预防牙医学系的315例病例进行回顾性分析，以确定在两年期间对牙周维护计划的依从性。牙周手术治疗完成后，患者接受维护治疗方案，包括每三个月复诊一次、由口腔卫生专业人员进行专业洁治，以及反复指导家庭自我护理。随机选取315名受试者的病历和患者图表，根据患者是否按时参加预定的复诊进行审查。正如文献中所指出的，研究假设女性受试者对维护治疗方案的依从性会优于男性受试者。在315名受试者中，112名（54名女性和58名男性）遵循了推荐的复诊计划；30%的受试者在首次牙周手术预约后最终返回接受三个月的预防性复诊，因此被认为符合建议的维护方案。研究人员未能推翻女性依从性优于男性这一既定假设（p = 0.3）。
