Department of Periodontology and Oral Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Department of Periodontology, Universitat Internacional de Catalunya, Barcelona, Spain.
Clin Oral Implants Res. 2024 Jun;35(6):621-629. doi: 10.1111/clr.14257. Epub 2024 Mar 26.
The compliance rate with supportive therapy following peri-implantitis treatment (SPIT) remains unknown. The present retrospective study was carried out to assess the compliance rate and the factors influencing compliance in a private practice setting.
Patients were divided into three groups according to compliance rate: regular compliance (RC ≥2 SPIT/year), erratic compliance (EC <2 SPIT/year), and non-compliance (NC <1 SPIT/year). Overall, 17 patient- (n = 8) and site-related variables (n = 9) were explored as potential confounders of compliance. The Chi test was applied to assess the association between categorical variables and determine the odds ratio (OR).
The study comprised 159 patients restored with 1075 implants, of which 469 were treated for peri-implantitis and met the inclusion criteria. A total of 57.2% were RC, 25.8% EC, and 17% NC. The multivariate analysis showed that smoking and grade C periodontitis reduced the likelihood of RC (OR = 0.28, p < .001) when compared to complete edentulism or non-smoking. Moreover, age demonstrated being associated with follow-up when SPIT was interrupted in EC and NC (OR = 0.94, p = .007).
Comprehensive information, provided prior to peri-implantitis treatment, regarding the importance of adhering to SPIT after peri-implantitis treatment to achieve/maintain peri-implant health, resulted in ~60% regular compliance rate (NCT05772078).
尚不清楚种植体周围炎治疗后（SPIT）支持性治疗的依从率。本回顾性研究旨在评估在私人诊所环境中的依从率以及影响依从性的因素。
根据依从率将患者分为三组：常规依从组（RC≥2 SPIT/年）、不规律依从组（EC＜2 SPIT/年）和不依从组（NC＜1 SPIT/年）。共探讨了 17 项患者相关变量（n=8）和 9 项部位相关变量（n=9），作为依从性的潜在混杂因素。应用卡方检验评估分类变量之间的相关性，并确定优势比（OR）。
本研究纳入了 159 名患者和 1075 个种植体，其中 469 名种植体患有种植体周围炎并符合纳入标准。RC 组占 57.2%，EC 组占 25.8%，NC 组占 17%。多变量分析显示，与完全无牙或不吸烟相比，吸烟和 C 级牙周炎降低了 RC 的可能性（OR=0.28，p＜0.001）。此外，年龄与 EC 和 NC 中断 SPIT 时的随访有关（OR=0.94，p=0.007）。
在种植体周围炎治疗前提供关于坚持 SPIT 以实现/维持种植体周围健康的重要性的综合信息，导致了约 60%的常规依从率（NCT05772078）。
