Patient accessibility to supportive periodontal therapy and the occurrence of recurrent periodontitis: a retrospective study in the Faculty of Dentistry, Mahidol University
Article Sidebar
Main Article Content
Abstract
Objective: To describe patient accessibility to supportive periodontal therapy (SPT) and the occurrence of recurrent periodontitis in SPT patients.
Material and Methods: Retrospective data were collected from the patients’ medical records who had
completed active periodontal therapy (APT) from August 2011 to July 2013 at the Postgraduate Periodontal Clinic, Faculty of Dentistry, Mahidol University.
Results: Ninety-nine patients were included in the study and 68 were registered to enroll for SPT. Among these, 45 patients had attended at least one SPT appointment. By the end of the observation period the total number of SPT appointments for these patients was 84. Only 20 appointments were concordant with the suggested SPT interval, while the remainder were between 2 and 8 months behind schedule. Most of the patients (87.9%) who attended SPT were classified as unstable cases at the end of the APT, with 73.3% having recurrent periodontitis.
Conclusions: The majority of the registered patients attended their SPT appointments that were mainly not in concordance with the suggested time intervals. A high occurrence of recurrent periodontitis was reported among these SPT patients. The SPT service at the clinic needs to be completely overhauled and revised to improve efficiency and reduce the risk of recurrent periodontitis.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
McCracken G, Asuni A, Ritchie M, Vernazza C, Heasman P. Failing to meet the goals of periodontal recall programs. What next? Periodontol 2000 2017; 75: 330-52.
Renvert S, Persson GR. Supportive periodontal therapy. Periodontol 2000 2004; 36: 179-95.
Hirschfeld L, Wasserman B. A long-term survey of tooth loss in 600 treated periodontal patients. J Periodontol 1978; 49: 225-37.
Merin RL. Supportive periodontal treatment. In: Newman MG, Carranza FA, editors. Carranza’s Clinical Periodontology. 12th ed. W.B. Saunders Company, 2015; p. 667-76.
Ramfjord SP. Maintenance care for treated periodontitis patients. J Clin Periodontol 1987; 14: 433-7.
Lindhe J, Nyman S. Long-term maintenance of patients treated for advanced periodontal disease. J Clin Periodontol 1984; 11: 504-14.
Rosen B, Olavi G, Badersten A, RÖnstrÖm A, SÖderholm G, Egelberg J. Effect of different frequencies of preventive maintenance treatment on periodontal conditions. 5-Year observations in general dentistry patients. J Clin Periodontol 1999; 26: 225-33.
Axelsson P, Lindhe J. The significance of maintenance care in the treatment of periodontal disease. J Clin Periodontol 1981; 8: 281-94.
Cugini MA, Haffajee AD, Smith C, Kent RL Jr, Socransky SS. The effect of scaling and root planing on the clinical and microbiological parameters of periodontal diseases: 12-month results. J Clin Periodontol 2000; 27: 30-6.
Jenkins WM, Said SH, Radvar M, Kinane DF. Effect of subgingival scaling during supportive therapy. J Clin Periodontol 2000; 27: 590-6.
Kaldahl WB, Kalkwarf KL, Patil KD, Dyer JK, Bates RE Jr. Evaluation of four modalities of periodontal therapy. Mean probing depth, probing attachment level and recession changes. J Periodontol 1988; 59: 783-93.
Nyman S, Rosling B, Lindhe J. Effect of professional tooth cleaning on healing after periodontal surgery. J Clin Periodontol 1975; 2: 80-6.
Pihlstrom BL, Ortiz-Campos C, McHugh RB. A randomized four-years study of periodontal therapy. J Periodontol 1981; 52: 227-42.
Rosling B, HellstrÖm MK, Ramberg P, Socransky SS, Lindhe J. The use of PVP-iodine as an adjunct to non-surgical treatment of chronic periodontitis. J Clin Periodontol 2001; 28: 1023-31.
Weigel C, Brägger U, Hämmerle CH, Mombelli A, Lang NP. Maintenance of new attachment 1 and 4 years following guided tissue regeneration (GTR). J Clin Periodontol 1995; 22: 661-9.
Becker W, Berg L, Becker BE. The long term evaluation of periodontal treatment and maintenance in 95 patients. Int J Periodontics Restorative Dent 1984; 4: 54-71.
Becker W, Becker BE, Berg LE. Periodontal treatment without maintenance. A retrospective study in 44 patients. J Periodontol 1984; 55: 505-9.
Ng MC, Ong MM, Lim LP, Koh CG, Chan YH. Tooth loss in compliant and non-compliant periodontally treated patients: 7 years after active periodontal therapy. J Clin Periodontol 2011; 38: 499-508.
Lee CT, Huang HY, Sun TC, Karimbux N. Impact of patient compliance on tooth loss during supportive periodontal therapy: A systematic review and meta-analysis. J Dent Res 2015; 94: 777-86.
Wilson TG, Jr., Glover ME, Schoen J, Baus C, Jacobs T. Compliance with maintenance therapy in a private periodontal practice. J Periodontol 1984; 55: 468-73.
Delatola C, Adonogianaki E, Ioannidou E. Non-surgical and supportive periodontal therapy: predictors of compliance. J Clin Periodontol 2014; 41: 791-6.
Wilson TG Jr. Compliance. A review of the literature with possible applications to periodontics. J Periodontol 1987; 58: 706-14.
Armitage GC. Development of a classification system for periodontal diseases and conditions. Ann Periodontol 1999; 4: 1-6.
Chapple ILC, Mealey BL, Van Dyke TE, Bartold PM, Dommisch H, Eickholz P, et al. Periodontal health and gingival diseases and conditions on an intact and a reduced periodontium: Consensus report of workgroup 1 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Clin Periodontol 2018; 45 Suppl 20: S68- S77.
Lang NP, Joss A, Orsanic T, Gusberti FA, Siegrist BE. Bleeding on probing. A predictor for the progression of periodontal disease? J Clin Periodontol 1986; 13: 590-6.
Echverría JJ, Echverría A, Caffesse RG. Adherence to supportive periodontal treatment. Periodontol 2000 2019; 79: 200-9.
Matuliene G, Pjetursson, BE, Salvi GE, Schmidlin K, Bragger U, Zwahlen M, et al. Influence of residual pockets on progression of periodontitis and tooth loss: Results after 11 years of maintenance. J Clin Periodontol 2008; 35: 685-95.
Loos BG, Needleman I. Endpoints of active periodontal therapy. J Clin Periodontol 2020; 47 Suppl 22: 61-71.
Nevins M. Long-term periodontal maintenance in private practice. J Clin Periodontol 1996; 23: 273-7.
Wilson TG Jr. Compliance and its role in periodontal therapy. Periodontol 2000 1996; 12: 16-23.
Magnusson I, Lindhe J, Yoneyama T, Liljenberg B. Recolonization of subgingival microbiota following scaling in deep pockets. J Clin Periodontol 1984; 11: 193-207.
Sbordone L, Ramaglia L, Gulletta E, Iacono V. Recolonization of the sub-gingival microflora after scaling and root planing in human periodontitis. J Periodontol 1990; 61: 579-584.
van Winkelhoff AJ, van der Velden U, de Graaff J. Microbial succession in recolonizing deep periodontal pockets after a single course of supra- and subgingival debridement. J Clin Periodontol 1988; 15: 116-22.
Cortellini P, Buti J, Pini Prato G, Tonetti MS. Periodontal regeneration compared with access flap surgery in human intra-bony defects 20-year follow-up of a randomized clinical trial: tooth retention, periodontitis recurrence and costs. J Clin Periodontol 2017; 44: 58-66.
Gaunt F, Devine M, Pennington M, Vernazza C, Gwynnett E, Steen N, et al. The cost-effectiveness of supportive periodontal care for patients with chronic periodontitis. J Clin Periodontol. 2008; 35:67-82.
Schallhorn RG, Snider LE. Periodontal maintenance therapy. J Am Dent Assoc 1981; 103: 227-31.