+ Site Statistics
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

How patient compliance to suggested oral hygiene and maintenance affect periodontal therapy

How patient compliance to suggested oral hygiene and maintenance affect periodontal therapy

Dental Clinics of North America 42(2): 389-403

1. In medicine and dentistry, compliance tends to be poor in patients who have chronic diseases that they perceive as nonthreatening. 2. Even in the most optimistic studies, the rate of complete compliance with suggested toothbrushing is less than 50%; other studies show it much lower. In studies focusing on the use of interproximal cleaning aids, compliance is poorer still. 3. Patients in university-based programs have had a dropout rate (noncompliance) of 11% to 45%. In private periodontal practices, complete compliance was seen in one third or less of the patients. 4. The nature and the rate of disease progression affect SPT. The converse is also true. 5. In studies of the effect of therapy, it would be beneficial to record the results of treatment on all the patients, even those who drop out of therapy, to determine the part SPT plays in stabilizing the disease. 6. Patients fail to comply for many reasons, including self-destructive behavior, fear, economic factors, health beliefs, stressful events in their lives, and perceived dentist indifference. 7. By recognizing the problem, compliance can be improved in most patients. 8. There is a need for studies to define further the extent to which SPT affects the longevity of the dentition.

(PDF emailed within 1 workday: $29.90)

Accession: 046280640

Download citation: RISBibTeXText

PMID: 9597342

Related references

Patient compliance with maintenance therapy in an Italian periodontal practice. Journal of Clinical Periodontology 21(5): 309-312, 1994

Oral impact on daily performance, personality traits, and compliance in periodontal maintenance therapy. Journal of Periodontology 82(8): 1146-1154, 2011

Root caries in periodontally treated patients in relation to their compliance with suggested periodontal maintenance intervals. Compendium of Continuing Education in Dentistry 26(12): 835-44; Quiz 845, 2006

Oral hygiene and maintenance of periodontal support. Journal of Periodontology 53(1): 26-30, 1982

The effect of health beliefs on the compliance of periodontal patients with oral hygiene instructions. Journal of Periodontology 60(1): 51-56, 1989

Compliance with oral hygiene recommendations following periodontal treatment in client-owned dogs. Journal of Veterinary Dentistry 11(1): 18-19, 1994

Compliance with maintenance therapy after periodontal treatment. Dental Health 30(6): 3-7, 1991

Compliance with maintenance therapy in a private periodontal practice. Journal of Periodontology 55(8): 468-473, 1984

Oral hygiene instructions provided by dental hygienists: results from a self-report cohort study and a suggested protocol for oral hygiene education. Quintessence International 45(3): 265-269, 2016

Impact of chlorhexidine on periodontal maintenance therapy compliance and acceptance. Journal of Dental Research 67(SPEC ISSUE MAR): 184, 1988

Evaluation of cause-related periodontal therapy and compliance with maintenance care recommendations. Journal of Clinical Periodontology 11(10): 689-699, 1984

Oral hygiene procedure for the periodontal patient. Dental Clinics of North America 13(1): 3-17, 1969

The role of patient involvement in oral hygiene compliance. British Journal of Clinical Psychology 33: 379-390, 1994

The dentist's attitudes and their interaction with patient involvement in oral hygiene compliance. British Journal of Clinical Psychology 33: 549-558, 1994

Maintenance oral theophylline therapy: suggested schedule in elderly patients. Respiration; International Review of Thoracic Diseases 40(4): 233-236, 1980