Department of Periodontology, School of Dentistry, Federal University of Minas Gerais, Belo Horizonte, Brazil.
Department of Dentistry, Periodontics Research Division, University of Taubaté, Taubaté, Brazil.
J Dent. 2019 Apr;83:50-55. doi: 10.1016/j.jdent.2019.02.009. Epub 2019 Mar 1.
To evaluate the effects of compliance during periodontal maintenance therapy (PMT) in the oral impact on daily performance (OIDP) measures, as well as to determine and compare the periodontal condition of acceptable and irregular compliers.
From a 6-year prospective cohort study with 268 individuals under PMT, 232 individuals had complete periodontal clinical data and OIDP questionnaires completed between T1 (data was recorded after the first PMT appointment) and T2 (final data at the last PMT appointment), were determined to be eligible. Individuals were divided into two groups: 124 acceptable compliers (AC) and 108 irregular compliers (IC). Full-mouth periodontal examination and questionnaires were evaluated in 2 times, at T1 and T2.
At T2, the periodontal status of the AC group was significantly better than the IC group. The IC group also presented with higher OIDP scores (63.31 ± 19.11) compared to the AC group (57.72 ± 15.30, p = 0.005). On analyzing the OIDP dimensions independently, both groups (AC and IC) presented with high scores in the functional, psychological and social performances; however, the impacts were significantly higher in IC group.
The AC group presented with better periodontal conditions and lower OIDP, compared to the IC group. The discomfort and dissatisfaction with appearance, showed more influence on these daily impacts.
Acceptable compliers showed lower scores of OIDP when compared to erratic ones. Thus, clinicians could take the chance to gain advantage from the positive impacts of acceptable compliance in the OHRQL for subsequent patient-centred motivation during PMT.
评估牙周维护治疗（PMT）期间的依从性对口腔影响日常活动（OIDP）测量的影响，并确定和比较可接受和不规律依从者的牙周状况。
从一项为期 6 年的前瞻性队列研究中，对 268 名接受 PMT 的个体进行了筛选，有 232 名个体在 T1（第一次 PMT 预约后记录的数据）和 T2（最后一次 PMT 预约时的最终数据）期间完成了完整的牙周临床数据和 OIDP 问卷，被认为符合条件。这些个体被分为两组：124 名可接受的依从者（AC）和 108 名不规则的依从者（IC）。在 T1 和 T2 两次评估时，对全口牙周检查和问卷进行了评估。
在 T2 时，AC 组的牙周状况明显优于 IC 组。IC 组的 OIDP 评分也更高（63.31±19.11），而 AC 组为（57.72±15.30，p=0.005）。对 OIDP 维度进行独立分析，两组（AC 和 IC）在功能、心理和社会表现方面均表现出高分，但在 IC 组中的影响更为显著。
与 IC 组相比，AC 组具有更好的牙周状况和更低的 OIDP。对外观的不适和不满对这些日常影响的影响更大。
与不规则依从者相比，可接受的依从者的 OIDP 评分较低。因此，临床医生可以利用可接受的依从性在口腔健康相关生活质量方面的积极影响，在 PMT 期间为患者提供个性化的动机。
