Demirel K, Efeodlu A
Faculty of Dentistry, Department of Periodontology, University of Istanbul, Turkey.
J Nihon Univ Sch Dent. 1995 Sep;37(3):131-7. doi: 10.2334/josnusd1959.37.131.
Four hundred sixty-two patients were retrospectively evaluated for their compliance to periodontal therapy in terms of attendance for a recommended schedule of visits, being classified as either compliant or non-compliant. Compliant patients were further divided into erratic and complete complier groups. The results indicated that there were no significant differences between the compliant and non-compliant groups with regard to the numbers of teeth lost before treatment, and dental insurance coverage. There were more women among the compliant patients. In the non-compliant group, more patients received only initial periodontal therapy, whereas in the compliant group more patients received periodontal surgery. No significant differences were found between the erratic and complete complier groups with regard to age, sex and treatment undertaken. Erratic complier patients lost more teeth than complete complier patients during supportive periodontal treatment. The main finding of this study was that no factors other than the complexity of active periodontal therapy had any influence on patients being compliant or non-compliant. Furthermore, no factors were found to affect the degree of compliancy. Our results suggest that patients' understanding of periodontal treatment plays a major role in compliance with supportive periodontal treatment.
对462名患者进行了回顾性评估，根据其是否按照推荐的就诊时间表就诊来判断他们对牙周治疗的依从性，并将其分为依从组和不依从组。依从患者进一步分为不稳定依从组和完全依从组。结果表明，依从组和不依从组在治疗前失牙数量和牙科保险覆盖方面没有显著差异。依从患者中女性更多。在不依从组中，更多患者仅接受了初始牙周治疗，而在依从组中，更多患者接受了牙周手术。不稳定依从组和完全依从组在年龄、性别和接受的治疗方面没有显著差异。在牙周支持治疗期间，不稳定依从患者比完全依从患者失牙更多。本研究的主要发现是，除了积极牙周治疗的复杂性外，没有其他因素对患者的依从或不依从有任何影响。此外，未发现有因素影响依从程度。我们的结果表明，患者对牙周治疗的理解在牙周支持治疗的依从性中起主要作用。
