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Compliance with supportive periodontal/peri‐implant therapy: A systematic review
Author(s) -
Amerio Ettore,
Mainas Giuseppe,
Petrova Dafina,
Giner Tarrida Luis,
Nart José,
Monje Alberto
Publication year - 2020
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.13204
Subject(s) - compliance (psychology) , medicine , peri implantitis , patient compliance , dental implant , periodontal disease , dentistry , medline , periodontitis , intensive care medicine , physical therapy , implant , family medicine , psychology , surgery , social psychology , political science , law
Abstract Aim The present systematic review aimed at assessing the degree of compliance with supportive periodontal/peri‐implant therapy as well as identifying patient‐related factors that could potentially play a role on patient compliance. Methods Electronic and manual literature searches were carried out to assess patient compliance during maintenance. Main outcomes were compliance definition, degree of compliance and patient‐related factors. Owing to the heterogeneity of the data reported across the studies, descriptive statistics were performed to shed light on compliance rate and the patient‐related factors. Results A total of 39 articles were included. No consensus regarding the definition of “compliance” was found in the analysed literature. The percentage of fully compliers and non‐compliers ranged between 3.3%–86.8% and 1.69%–64.4%, respectively. Smoking habit and history of periodontal disease were found to be associated with patients’ compliance. Inadequate information/motivation was found as the main patient‐reported reason for non‐compliance. Conclusions Despite the high variability across studies, compliance with the supportive periodontal/peri‐implant maintenance therapy was found to be unsatisfactory. Attitudes, psychological traits and construct associated with compliance remain largely unknown, and still, lack of information and motivation are paramount to be addressed during the periodontal/implant therapy to increase patient compliance.