Mitschke Julia, Peikert Stefanie Anna, Vach Kirstin, Frisch Eberhard
Northern Hessia Implant Center, D-34369 Hofgeismar, Germany.
Department of Operative Dentistry and Periodontology, Faculty of Medicine, Medical Center, University of Freiburg, D-79106 Freiburg, Germany.
J Clin Med. 2020 Jun 25;9(6):1988. doi: 10.3390/jcm9061988.
The main objective of this study is to present patient compliance rates and influential factors for regular attendance in a systematic implant aftercare program (Supportive Implant Therapy; SIT) within a 10-year observation period. From 2005 to 2008, we identified 233 patients with 524 implants and implant-supported restorations at the study center. They had been instructed to attend an SIT program with 3-month recall intervals. A 2019 clinical prospective cohort study on 10-year compliance rates was performed. Data were assessed yearly in regression analyses to identify influential factors. Noncompliance rates increased during the period (4.8%, year 1; 39.7%, year 10). Total noncompliance was observed in four patients (1.7%) with 10 implants. "Age," "Gender," "Diabetes", and "Surgical case complexity" showed no correlation with patient compliance. "Smoking" and "Cardiovascular diseases" significantly influenced patients in one of ten years, while "Number of implants per patient", "Type of implant-supported prostheses", and "Pre-existing experience in a prophylaxis program" reached significance after several years. When patients with implant-supported restorations are strongly recommended and frequently remotivated to comply with an SIT program with 3-month recall, an approximately 60% compliance rate after 10 years is achievable. Previous prophylaxis program experience, increased number of implants per patient, and removable implant-supported prostheses may be strong influential factors for increased patient compliance.
本研究的主要目的是呈现患者在为期10年的观察期内，参与系统性种植体后续护理计划（支持性种植治疗；SIT）的依从率及影响定期就诊的因素。2005年至2008年期间，我们在研究中心确定了233例患者，共植入524颗种植体及种植体支持的修复体。他们被要求参加每3个月回访一次的SIT计划。2019年进行了一项关于10年依从率的临床前瞻性队列研究。在回归分析中每年评估数据，以确定影响因素。在此期间，不依从率有所上升（第1年为4.8%；第10年为39.7%）。观察到4例患者（1.7%）共10颗种植体完全不依从。 “年龄”、“性别”、“糖尿病”和“手术病例复杂性”与患者依从性无相关性。“吸烟”和“心血管疾病”在十年中的某一年对患者有显著影响，而“每位患者的种植体数量”、“种植体支持的假体类型”和“既往预防计划经验”在数年后具有显著性。当强烈建议并频繁激励佩戴种植体支持修复体的患者遵守每3个月回访一次的SIT计划时，10年后的依从率可达到约60%。既往预防计划经验、每位患者种植体数量增加以及可摘式种植体支持假体可能是提高患者依从性的重要影响因素。
