Wilson T G, Hale S, Temple R
Denton State School, TX.
J Periodontol. 1993 Apr;64(4):311-4. doi: 10.1902/jop.1993.64.4.311.
Patients who receive routine supportive periodontal treatment (SPT) tend to keep their teeth longer and enjoy greater periodontal health than those individual who do not receive this therapy. Previous studies have found less than optimal compliance to suggested SPT. The study reported in this paper covered 5 years of patient data and measured the effects of efforts to improve compliance in a private periodontal practice. These efforts included attempts at simplifying compliance, maintaining records of compliance, informing patients of the consequences of noncompliance, and attempting to identify noncompliers before active periodontal therapy was initiated. The results were measured against a similar group studied in previous work within the same office published in 1984. The main finding of the present study was an increase in complete compliance from 16% in 1984 to 32% in 1991. This increase came largely at the expense of the noncompliant group. The reason for the increase in compliance is likely due to efforts to increase compliance carried out in the office. However, other factors such as change in the hygiene practice law, increased public awareness of dental needs, and economic depression may also have affected compliance. This information suggests that noncompliance can be reduced if the problem is recognized and efforts are made to increase compliance.
接受常规支持性牙周治疗（SPT）的患者往往比未接受该治疗的患者保留牙齿的时间更长，牙周健康状况更好。先前的研究发现，患者对建议的SPT的依从性欠佳。本文报道的这项研究涵盖了5年的患者数据，并评估了在一家私人牙周诊所为提高依从性所做努力的效果。这些努力包括简化依从流程、记录依从情况、告知患者不依从的后果，以及在开始积极的牙周治疗前试图识别不依从者。研究结果与1984年在同一诊所进行的先前研究中的类似组进行了对比。本研究的主要发现是，完全依从率从1984年的16%提高到了1991年的32%。这一增长主要是以不依从组为代价的。依从率提高的原因可能是诊所为提高依从性所做的努力。然而，其他因素，如卫生实践法的变化、公众对牙齿需求意识的提高以及经济衰退，也可能影响了依从性。这些信息表明，如果认识到不依从问题并努力提高依从性，不依从情况是可以减少的。
