Progression of Periodontitis in a Sample of Regular and Irregular Compliers Under Maintenance Therapy: A 3‐Year Follow‐Up Study

Costa, Fernando Oliveira; Cota, Luís Otávio Miranda; Lages, Eugênio José Pereira; Lorentz, Telma Campos Medeiros; Oliveira, Alcione Maria Soares Dutra; Oliveira, Peterson Antônio Dutra; Costa, José Eustáquio da

doi:10.1902/jop.2011.100664

Cited by 39 publications

(29 citation statements)

References 45 publications

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“…In another study, 92 percent of patients with an adequate level of health literacy knew that a blood pressure of 160/ 100 mmHg is high, but only 55 percent of patients with an inadequate level of health literacy knew this (18). Periodontal disease is similarly chronic in nature; patient understanding and compliance are essential for successful long-term maintenance and periodontal stability (19,20). The results of this study indicated that race, smoking, and oral health literacy were significantly associated ( P < 0.05) with periodontal health status (health/mild, moderate, severe).…”

Section: Discussionmentioning

confidence: 99%

The impact of oral health literacy on periodontal health status

Wehmeyer

Corwin

Guthmiller

et al. 2012

J Public Health Dent

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Objective The objective of this study was to describe oral health literacy (OHL) among periodontal patients and to examine its association with periodontal health status. Methods This cross-sectional study included new and referred patients presenting to the University of North Carolina Graduate Periodontology Clinic. Sociodemographic and dental history information were collected. OHL was measured using a dental word recognition instrument, Rapid Estimate of Adult Literacy-30 (REALD-30). Clinical periodontal examinations were completed. Results One hundred and twenty-eight participants enrolled and 121 completed all study examinations and instruments. Despite a high level of education among participants in our study, low levels of OHL were found in one-third (33 percent) of the study population. Thirty-one percent had moderate OHL (score of 22–25), 37 percent had high OHL (score ≥ 26). The mean REALD-30 score was 23. Fifty-three percent of participants had severe periodontitis, 29 percent had moderate periodontitis, and 18 percent had mild or no periodontitis. Bivariate analysis showed a significant association between OHL and periodontal status (P < 0.05). The effect of OHL on periodontal health status remained statistically significant (P < 0.002) even after controlling for smoking, race, and dental insurance. Conclusion Lower OHL was associated with more severe periodontal disease among new and referred patients presenting to the University of North Carolina Graduate Periodontology Clinics.

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Section: Discussionmentioning

confidence: 99%

The impact of oral health literacy on periodontal health status

Wehmeyer

Corwin

Guthmiller

et al. 2012

J Public Health Dent

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“…However, 4 studies Oliveira Costa et al 2011;Costa et al 2014) shared the same subject cohort. Therefore, out of this cohort of studies, the study having the longest follow-up period was selected for data analysis (Costa et al 2014).…”

Section: Study Selectionmentioning

confidence: 99%

Impact of Patient Compliance on Tooth Loss during Supportive Periodontal Therapy

et al. 2015

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Periodontal treatment consists of active periodontal therapy (APT) and supportive periodontal therapy (SPT). Regular SPT is recommended to prevent and control the occurrence of periodontal disease following APT. A patient's compliance with SPT is considered one of the most important factors affecting long-term periodontal status. Tooth loss is generally considered the final outcome of periodontitis. This review aimed to analyze the relationship between patient compliance with regular SPT and tooth loss. The PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guideline for systematic reviews was used. A search of articles was conducted using MEDLINE (PubMed) and other databases. Quality assessments of selected studies were performed. To assess the effect of compliance on tooth loss during SPT, pooled risk ratio of tooth loss (RRTL) was used as the primary outcome. Pooled risk difference of tooth loss (RDTL) and weighted mean difference of tooth loss rate (WDTLR) were used as secondary outcomes. Subgroup analysis and meta-regression were conducted to evaluate the effects of different variables. In total, 710 articles were screened. Eight studies, which had a regular-compliance (RC) group and an erratic-compliance (EC) group with at least a 5-y follow-up period, qualified for the meta-analysis. The risk of tooth loss in the RC group was significantly lower than that in the EC group (pooled RRTL: 0.56 [confidence interval (CI): 0.38, 0.82]; pooled RDTL: -0.05 [CI: -0.08, -0.01]). The definition of compliance was a variable significantly related to risk ratio of tooth loss. Patients in the RC group had significantly lower tooth loss rate during SPT than did patients in the EC group (WDTLR: -0.12 [CI: -0.19, -0.05]). Teeth have less risk of being lost if patients are more compliant with supportive periodontal therapy. However, unidentified variables causing data heterogeneity and affecting the risk of tooth loss may have been present. More well-controlled prospective studies are needed in the future.

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“…Not all individuals are equally susceptible . Various biological, environmental and social factors interplay to modify periodontal disease severity and progression …”

Section: Introductionmentioning

confidence: 99%

“…It is well‐established that periodontal treatment without proper SPT is of little value . Compliance with routine SPT is essential, and recurrence of periodontal disease is high among non‐complying individuals . Deterioration in periodontal health occurs also in the inadequately treated patient .…”

Section: Introductionmentioning

confidence: 99%