Premium
Compliance of cigarette smokers with scheduled visits for supportive periodontal therapy
Author(s) -
Ramseier Christoph A.,
Kobrehel Salome,
Staub Petra,
Sculean Anton,
Lang Niklaus P.,
Salvi Giovanni E.
Publication year - 2014
Publication title -
journal of clinical periodontology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.456
H-Index - 151
eISSN - 1600-051X
pISSN - 0303-6979
DOI - 10.1111/jcpe.12242
Subject(s) - medicine , confounding , cigarette smoking , periodontal disease , statistical significance , compliance (psychology) , oral hygiene , retrospective cohort study , dentistry , psychology , social psychology
Abstract Aim To evaluate the compliance of cigarette smokers with scheduled visits for supportive periodontal therapy ( SPT ). Materials and Methods Qualitative and quantitative analyses of compliance with scheduled SPT visits were performed using retrospective data from patients undergoing dental hygiene treatment at the M edi S chool of D ental H ygiene ( MSDH ), B ern, S witzerland 1985–2011. Results A total of 1336 patients were identified with 32.1% ( n = 429) being smokers, 23.1% ( n = 308) former smokers and 44.8% ( n = 599) non‐smokers. Qualitatively, significantly less smokers returned for SPT than non‐smokers or former smokers ( p = 0.0026), whereas 25.9% ( n = 346) never returned for SPT . Further quantitative analysis of patients returning twice or more ( n = 883) revealed that the overall mean %‐compliance was 69.8% ( SD ±22.04),whereas smokers complied with 67.0% ( SD ±22.00), former smokers with 69.7% ( SD ±22.03), and non‐smokers with 71.7% ( SD ±21.92) reaching statistical significance ( p = 0.0111). Confounder adjusted analysis, however, revealed that older age ( p = 0.0001), female gender ( p = 0.0058), longer SPT intervals ( p < 0.0001) and higher severity of periodontal disease ( p < 0.0001) had a much greater impact on %‐compliance than smoking ( p = 0.7636). Conclusions This study suggests that qualitatively, smokers return less likely for SPT than non‐smokers or former smokers while quantitatively, a lower mean %‐compliance of smokers attending scheduled SPT visits may be attributed to confounders.