Institute for Professional Education in Dentistry, Scientific Director PROED, Torino, Italy.
Clin Oral Implants Res. 2012 Dec;23(12):1385-8. doi: 10.1111/j.1600-0501.2011.02316.x. Epub 2011 Oct 21.
The purpose of this retrospective study was to evaluate the compliance to supportive periodontal therapy (SPT) in a population of adult periodontal patients, and to determine the impact of clinical procedures performed such as the type of active periodontal therapy and the insertion of dental implants.
Ninety-six patients were evaluated. The subjects were divided into two groups, according to the active periodontal procedure (surgical/non-surgical), and were also classified as having or not-having osseointegrated implants. The number of visits for SPT after the end of active therapy was evaluated, and subjects were classified as compliant or non-compliant.
At the end of a 5-year evaluation, 77.1% of patients completely complied with SPT while 22.9% of patients had insufficient compliance degree. No significant difference was found in compliance between subjects that had surgical or non-surgical periodontal treatment. However, patients that had the insertion of one or more dental implant registered a significant higher degree of compliance than patients that had no fixtures insertion.
The results suggest that it is possible to have excellent degree of patients' compliance for SPT. The performance of periodontal surgical therapy itself is not a reason able to motivate the patients to maintenance care, while the insertion of osseointegrated implants seems to be a reliable reason to positively affect the compliance with SPT.
本回顾性研究旨在评估成人牙周病患者对辅助性牙周治疗（SPT）的依从性，并确定临床操作的影响，如主动牙周治疗的类型和种植牙的植入。
共评估了 96 名患者。根据主动牙周治疗（手术/非手术），将患者分为两组，并将是否有骨整合种植体分为两组。评估了主动治疗结束后 SPT 的就诊次数，并将患者分为依从组和不依从组。
在 5 年的评估结束时，77.1%的患者完全遵守 SPT，而 22.9%的患者依从性程度不足。手术或非手术牙周治疗的患者之间在依从性方面没有显著差异。然而，植入一个或多个种植牙的患者比没有植入固定物的患者有更高的依从性。
结果表明，患者对 SPT 的依从性可以达到很高的程度。牙周手术治疗本身并不是促使患者进行维持治疗的合理原因，而骨整合种植体的植入似乎是一个可靠的原因，可以积极影响对 SPT 的依从性。
