Non‐surgical and supportive periodontal therapy: predictors of compliance

Delatola, Chrysoula; Adonogianaki, E.; Ioannidou, Effie

doi:10.1111/jcpe.12271

Cited by 28 publications

(42 citation statements)

References 34 publications

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“…One hundred sixty-five adult periodontal patients aged between 18 and 85 years visited the undergraduate practice in Greece in 2014. The profile of this cohort was females (56.7%), non-smokers (60%) with a mean age of 48.3 years and a diagnosis of severe periodontal disease (82.4%) 2 . In a study from the Emergency Clinic of Athens Dental School in Greece, data were analyzed from 553 patients who visited the dental school seeking emergency dental care 3 .…”

Section: Resultsmentioning

confidence: 99%

The change of patient profile, attitudes and satisfaction in University Dental clinic after onset of economic crisis in Greece

Chatzopoulos¹,

Tsitsara²,

Tzimas³

et al. 2018

Balkan J Dent Med

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SummaryBackground/Aim: The aim of the study was to evaluate and compare patient profile, attitude and satisfaction of patients visiting a university periodontal clinic before and during the financial crisis in Greece.Material and Methods: In this cross-sectional study, adult consecutive patients that visited the undergraduate Periodontology clinic of the Aristotle University of Thessaloniki from October 2014 to July 2015 were invited to participate anonymously. The only exclusion criterion that was set was the age: all individuals had to be ≥18 years old. The questionnaire utilized in this study included six parts of questions: 1) demographic characteristics; 2) environmental and behavioral characteristics; 3) diagnosis of periodontal disease; 4) medical history; 5) difficulties-satisfaction-proposals about periodontal treatment; and 6) history of periodontal therapy. One hundred and fifty individuals, mean aged of 51.6±12.3 years were interviewed concerning their demographic and behavioral characteristics. Satisfaction level, reasons for selecting the university dental clinic and oral hygiene habits were also recorded.Results: The profile of the patient attending the university periodontal clinic was a female (54.0%), 51-year-old on average, of high education (76.0%), good oral hygiene habits (brushing ≥2 times/day: 49.3%, use of additional oral health care: 66.0%), heavy smoker (>15 cigarettes/day: 51.9%) and chronic periodontal disease (96.7%). Economic difficulties led the participants to seek periodontal treatment in the university clinic (30.7%), but the vast majority of them were highly satisfied (81.3%), confident (82.0%) and informed (51.3%) about the treatment. Before the financial collapse in Greece, the profile of the patients in the clinic was characterized by low socioeconomic status with poor oral hygiene, none or basic education and unemployed (no income) and retired individuals. Heavy smoking, diagnosis of chronic periodontal disease and satisfaction were also reported prior to the financial crisis.Conclusions: The demographic characteristics of those who seek treatment in a university setting have changed dramatically and younger, more highly educated and employed individuals attend the undergraduate Periodontology clinic of the Aristotle University of Thessaloniki, Greece compared with those who attended the university dental clinic prior to the financial crisis.

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Section: Resultsmentioning

confidence: 99%

The change of patient profile, attitudes and satisfaction in University Dental clinic after onset of economic crisis in Greece

Chatzopoulos¹,

Tsitsara²,

Tzimas³

et al. 2018

Balkan J Dent Med

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“…SRP therapy causes a resolution of inf lammatory response and a cessation of the progression of periodontal disease and hence results in a reduction of pocket depth and a relative gain in clinical attachment. 11 Following doxycycline alone, Group 1= scaling and root planing; Group 2= systemic doxycycline; Group 3= systemic doxycycline with scaling and root planing. Differences of the clinical parameters measurement are shown in in mean ± SD relatively no significant reduction was observed in the clinical parameters at 20 weeks.…”

Section: Discussionmentioning

confidence: 99%

“…A number of different nonsurgical and surgical therapies have been successful in achieving this goal. [11][12][13] The primary nonsurgical approach involves mechanical scaling and root planing (SRP). The beneficial effects of SRP arise from a reduction in the microbial burden in the periodontal pocket, or a shift toward less pathogenic microflora.…”

Section: 10mentioning

confidence: 99%

“…The decreased enzyme levels may be due to the nonsurgical periodontal therapy (SRP and oral hygiene instructions), which causes a reduction in bacterial load in the periodontal environment. 11 Also, the added effect of doxycycline in downregulating the host collagenases, thereby reducing the enzyme levels, may account for the decreased GCF βG levels. 17 This study demonstrated that the GCF βG levels in the only SRP and only doxycycline groups tended to increase at 10 and 20 weeks compared to the levels at 6 weeks, whereas the GCF βG levels in the SRP + doxycycline group continued to decrease over 20 weeks.…”

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confidence: 99%

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The Effect of Systemic Doxycycline and Mechanical Therapy on GCF β-Glucuronidase Leves in Chronic Periodontitis Patients

et al. 2017

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The goal of periodontal therapy includes management of bacterial pathogens to control the destruction of the periodontal tissue. A number of different nonsurgical and surgical therapies have been used in achieving this goal. Objective: To evaluate the effectiveness of doxycycline compared with nonsurgical therapy alone or in combination with nonsurgical therapy on gingival crevicular fluid β-Glucuronidase levels (ßG) and clinical parameters over a 20-week period in patients with chronic periodontitis. Methods: An interventional study comprising 60 patients with chronic periodontitis. They were divided into three groups of different treatment approach. The plaque index, gingival index, probing depth, and clinical attachment levels were recorded, and gingival crevicular fluid (GCF) samples were collected at 2, 6, 10, and 20 weeks, after treatment. Results: The levels of GCF βG and clinical parameters were higher when the treatment was initiated, and the levels decreased after treatment. No significant difference was found in the βG level when nonsurgical therapy and doxycycline were used alone. In comparison, when doxycyline and nonsurgical therapy were combined, the level of βG decreased significantly. Conclusion: The present study indicated the usefulness of doxycycline as an adjunct to nonsurgical periodontal therapy in lowering GFC βG levels and clinical parameters.

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“…The results reported that compliance was often considered to be insufficient, particularly with regard to patients treated in private practice . Insufficient oral hygiene and poor attendance of the recommended recall appointments after periodontal treatment have been proven to be significantly associated with the progression/recurrence of periodontitis, root caries, and tooth loss …”

Section: Supportive Periodontal Therapy and Patient Compliancementioning

confidence: 99%

Patient compliance as a risk factor for the outcome of implant treatment

Cortellini

Favril

Nutte

et al. 2019

Periodontology 2000

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dental implant, implant treatment, patient compliance, peri-implantitis | INTRODUC TI ONIt is well-established that the maintenance of healthy tissues around implants is one of the key factors in the long-term success of implants. Plaque accumulation induces an inflammatory process that may lead to a progressive destruction of soft and hard tissues and, ultimately, to implant failure. 1-3 The inflammatory process, mucositis, is a marginal inflammation without attachment or bone loss, 4 similar to gingivitis around natural teeth. The inflammatory process associated with the loss of marginal supporting bone around an implant is defined as peri-implantitis. 5,6 One problem with the diagnosis of peri-implant disease is that substantial variation in prevalence has been reported in the same patient population depending on which diagnostic criteria are used. 7The current guidelines for the definition and diagnosis of peri-implant diseases were established in the sixth, seventh, and eighth European Workshops on Periodontology. 6,8,9 The prevalence of peri-implantitis seems to be of the order of 10% at implant level and 20% at patient level during 5-10 years of function. 10 A meta-analysis reported a weighted mean prevalence of peri-implant mucositis of 43% (1196 patients and 4209 implants) and a weighted mean prevalence of peri-implantitis of 22% (2131 patients and 8893 implants).However, the authors stated that the heterogeneity in definition criteria of peri-implantitis could be a confounder.Peri-implantitis has been primarily described as a simple infectious pathologic condition of peri-implant tissues. 1,11 Many local factors, such as implant surface, topology, and bacterial contamination at the implant/abutment junction, and patient factors, such as smoking habit, poor oral hygiene, history or presence of periodontitis, genetics, and excessive alcohol consumption, have also been associated with an increased risk of developing peri-implant diseases. [12][13][14][15][16] The etiology of alveolar bone loss around implants plays a crucial role in the classification of the disease. The most common theories to explain alveolar bone loss are the infection theory and the overload theory. 17 The infection theory states that implants are susceptible to similar types of disease as teeth, the major difference being that the term periodontitis is reserved for teeth and peri-implantitis is reserved for implants. The overload theory has not been clearly determined. Some studies have suggested that Occlusal overload may play a role when associated with plaque accumulation or pre-existing inflammation. 18 A third theory has also been developed, where alveolar bone loss is explained by the synergy of combined factors, such as surgical procedures, prosthodontics, and patient disorders. 17 The difference between primary and secondary peri-implantitis has also been presented. In primary peri-implantitis, bacterial infection is the primary cause of alveolar bone loss, whereas secondary peri-implantitis may originate from other factors. 1...

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Non‐surgical and supportive periodontal therapy: predictors of compliance

Cited by 28 publications

References 34 publications

The change of patient profile, attitudes and satisfaction in University Dental clinic after onset of economic crisis in Greece

The change of patient profile, attitudes and satisfaction in University Dental clinic after onset of economic crisis in Greece

The Effect of Systemic Doxycycline and Mechanical Therapy on GCF β-Glucuronidase Leves in Chronic Periodontitis Patients

Patient compliance as a risk factor for the outcome of implant treatment

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