Liu Zong-xiang, Wang Peng-lai, Du Fang
Department of Periodontology, Xuzhou Stomotological Hospital, Xuzhou Jiangsu 221002, China.
Zhonghua Kou Qiang Yi Xue Za Zhi. 2013 Aug;48(8):472-6.
To evaluate the effect of patients' compliance on clinical parameters in patients with chronic periodontitis during periodontal maintenance therapy period.
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.
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 [AL 4-5 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[AL 4-5 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.
Regular periodontal maintenance enables the patients with chronic periodontitis to maintain long-term efficacy.
评估慢性牙周炎患者在牙周维护治疗期间的依从性对临床参数的影响。
将已完成非手术牙周基础治疗的慢性牙周炎患者纳入牙周维护治疗（PMT）。在3年期间的基线及每次季度复诊时进行临床检查。记录临床参数，包括牙齿数量、探诊深度（PD）、附着丧失（AL）水平和探诊出血（BOP）。根据PMT就诊次数，将患者分为三组：规律依从者（RC）；不规律依从者（EC）；不依从者（NC）。通过门诊随访和电话访谈获得最终参数（3年后）。计算PD为4 - 5mm、PD≥6mm、AL为4 - 5mm、AL≥6mm、BOP的位点百分比，每位患者的牙齿丧失数量以及牙周炎进展率。使用SPSS 16.0软件包进行包括方差分析和卡方检验在内的统计分析。
与基线时相比，RC组的临床参数百分比[AL为4 - 5mm：(14.8±5.0)%，AL≥6mm：(9.3±3.1)%，BOP：(22.8±4.2)%]显著降低[AL为4 - 5mm：(19.0±6.0)%，AL≥6mm：(10.6±3.1)%，BOP：(30.3±5.6)%]（P<0.01）。RC组与NC组之间[AL为4 - 5mm：(43.3±1.3)%，AL≥6mm：(31.3±1.7)%，BOP (91.5±5.4)%]存在显著差异（P<0.01），RC组与EC组之间[AL为4 - 5mm：(18.9±6.7)%，AL≥6mm：(12.6±s.4)%，BOP：(38.4±5.2)%]存在显著差异（P<0.05）。与EC组和NC组患者相比，RC组的牙周炎进展率[个体水平为19.1%（4/21），位点水平为0.7%（434/61 362）]和牙齿丧失率（1.0）显著更低。
定期的牙周维护可使慢性牙周炎患者维持长期疗效。
Zotero 插件