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Related Experiment Videos

Compliance with supportive periodontal therapy.

A R Mendoza1, G M Newcomb, K C Nixon

  • 1Department of Dentistry, University of Queensland, Australia.

Journal of Periodontology
|December 1, 1991
PubMed
Summary

Patient compliance in supportive periodontal therapy is low, with many citing cost or general practitioner care. Long-term attendance, however, improves patient retention in periodontal maintenance.

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Area of Science:

  • Periodontology
  • Dental Public Health

Background:

  • Supportive periodontal therapy (SPT) is crucial for long-term periodontal health maintenance.
  • Patient compliance significantly impacts the success of SPT.
  • Understanding factors influencing compliance is vital for improving treatment outcomes.

Purpose of the Study:

  • To identify factors associated with patient compliance in SPT.
  • To determine reasons for non-compliance in periodontal maintenance.
  • To analyze patient attrition rates during SPT.

Main Methods:

  • Retrospective study of patients undergoing SPT from 1983-1986.
  • Classification of patients into compliant and non-compliant groups based on visit schedules.
  • Analysis of demographic, clinical, and treatment-related factors.
  • Questionnaire survey of non-compliant patients to ascertain reasons for non-adherence.

Main Results:

  • No significant differences in age, sex, tooth loss, plaque score, or disease severity between compliant and non-compliant groups.
  • Smokers were more likely to be non-compliant (P<0.05).
  • Private insurance (P<0.01) and prior periodontal surgery (P<0.001) were associated with higher compliance.
  • Only 36% of patients remained compliant by 1989; attrition was highest in the first year (42%).
  • Common reasons for non-compliance included perceived adequacy of general dental practitioner care, high cost, and belief that treatment was no longer necessary.

Conclusions:

  • Long-term adherence to SPT is challenging, with significant early attrition.
  • Initial engagement for at least one year appears to improve sustained compliance.
  • Addressing patient-reported barriers like cost and perceived need is essential for enhancing SPT effectiveness.

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