Northern Hessia Implant Center, Hofgeismar, Germany.
J Clin Periodontol. 2014 Oct;41(10):1007-14. doi: 10.1111/jcpe.12298. Epub 2014 Sep 12.
To evaluate patient compliance rates and influential factors regarding a systematic SIT program.
Between 2005 and 2008, we identified all patients who were provided with implant-supported restorations in the study centre. They had been recommended to attend a SIT program with a 3-month recall. In 2012, a clinical retrospective cohort study on compliance rates over the first 3 years was performed different data were assessed in a regression analysis to identify potential influential factors.
The inclusion criteria were met by 236 patients with 540 implants. Non-compliance rates increased over the 3 years (5.37%/7.78%/13.33%). Total non-compliance was observed in four patients (1.69%). No correlation to patient compliance was detected for "Age," "Gender," "Cardiovascular disease," "Pus/suppuration," or "Surgical case complexity." No decreasing effect of higher compliance rates on the patients' bleeding on probing (BOP+) values was found, but a statistical significance between lower compliance rates and increased pocket probing depth (PPD) was detected. The correlation between the presence of plaque and compliance did not reach statistical significance.
When patients with implant-supported restorations are strongly recommended to comply with a SIT program with a 3-month recall, considerably high rates of compliance can be achieved.
评估系统牙周维护(SIT)计划的患者依从率及其影响因素。
2005 年至 2008 年间,我们在研究中心确定了所有接受种植体支持修复的患者。他们被建议参加 SIT 计划,并在 3 个月时进行随访。2012 年,我们进行了一项关于最初 3 年依从率的临床回顾性队列研究,采用回归分析评估了不同的数据,以确定潜在的影响因素。
236 名患者(540 个种植体)符合纳入标准。3 年内,不依从率逐渐升高(5.37%/7.78%/13.33%)。有 4 名患者(1.69%)出现完全不依从。“年龄”、“性别”、“心血管疾病”、“脓液/溢脓”或“手术复杂性”与患者的依从性无关。依从性高的患者探诊出血(BOP+)值没有降低,但依从性低的患者探诊深度(PPD)增加。斑块的存在与依从性之间没有统计学意义的相关性。
当强烈建议接受种植体支持修复的患者遵循每 3 个月一次的 SIT 计划时,可实现较高的依从率。