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Progression of periodontitis in a sample of regular and irregular compliers under maintenance therapy: a 3-year follow-up study.

Abstract：

BACKGROUND:To our knowledge, prospective studies (matched for sex, smoking, and diabetes) that investigated the influence of compliance in the progression of periodontitis and tooth loss in periodontal maintenance therapy (PMT) programs were not previously reported. METHODS:A total of 58 regular complier (RC) and 58 erratic complier (EC) individuals were recruited from a prospective cohort with 238 patients under PMT and matched by sex, diabetes, and smoking habits. A full-mouth periodontal examination that included bleeding on probing (BOP), probing depths (PDs), clinical attachment levels, and number of teeth were determined at all PMT visits during a 3-year interval. The influence of variables of interest was tested through multivariate logistic regression. RESULTS:The progression of periodontitis and tooth loss was significantly lower among RC compared to EC patients. A higher progression of periodontitis was observed among EC patients who smoked. The final logistic model for the progression of periodontitis in the RC group included smoking (odds ratio [OR]: 4.2) and >30% of sites with BOP (OR: 2.8), and the final logistic model for the progression of periodontitis in the EC group included smoking (OR: 7.3), >30% of sites with BOP (OR: 3.2), PDs of 4 to 6 mm in 10% of sites (OR: 3.5), diabetes (OR: 1.9), and number of lost teeth (OR: 3.1). CONCLUSIONS:RC patients presented a lower progression of periodontitis and tooth loss compared to EC patients. This result highlighted the influence of the pattern of compliance in maintaining a good periodontal status. Moreover, important risk variables such as smoking and diabetes influenced the periodontal status and should be considered when determining the risk profile and interval time for PMT visits.

journal_name

J Periodontol

journal_title

Journal of periodontology

authors

Oliveira Costa F,Miranda Cota LO,Pereira Lages EJ,Medeiros Lorentz TC,Soares Dutra Oliveira AM,Dutra Oliveira PA,Costa JE

doi

10.1902/jop.2011.100664

subject

Has Abstract

pub_date

2011-09-01 00:00:00

pages

1279-87

issue

eissn

0022-3492

issn

1943-3670

journal_volume

pub_type

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Progression of periodontitis in a sample of regular and irregular compliers under maintenance therapy: a 3-year follow-up study.