A retrospective study of compliance (adherence) with a care pathway in periodontal therapy in a primary care setting

Compliance with supportive periodontal/peri‐implant therapy: A systematic review

“…Of these, 39 articles were eligible to be included in the systematic review. In addition, 4 articles were added from the references (Fardal, ; Kim, Lee, Chang, & Um, ; Konig, Plagmann, Langenfeld, & Kocher, ; Wilson et al, ); hence, a total number of 31 cohort studies (Agrawal, Jain, Jain, Agarwal, & Dubey, ; Cardaropoli & Gaveglio, ; de Carvalho et al, ; Checchi, Pelliccioni, Gatto, & Kelescian, ; Delatola, Adonogianaki, & Ioannidou, ; Demetriou, Tsami‐Pandi, & Parashis, ; Demirel & Efeodlu, ; Famili & Short, ; Fardal, Johannessen, & Linden, ; Frisch, Ziebolz, Vach, & Ratka‐Kruger, ; Galgut, ; Hu, Lin, Ho, & Chou, ; Kakudate, Morita, & Kawanami, ; Kim et al, ; Konig et al, ; Mendoza, Newcomb, & Nixon, ; Mendoza et al, ; Miyamoto, Kumagai, Jones, Dyke, & Nunn, ; Nicholls, ; Novaes & Novaes, ; Novaes et al, ; Novaes, Novaes, Moraes, Campos, & Grisi, ; Ojima, Hanioka, & Shizukuishi, ; Ojima et al, ; Perrell‐Jones & Ireland, ; Ramseier et al, ; Si, Wang, Li, Zhao, & Pan, ; Soolari & Rokn, ; Wilson et al, ; Wilson, Hale, & Temple, ; Zeza et al, ), 4 cross‐sectional studies (Fenol & Mathew, ; Gokulanathan, Balan, Aravind, & Thangavelu, ; Monje, Wang, & Nart, ; Shah, Thomas, Bhandari, & Mehta, ), 3 case–control studies (Becker, Karp, Becker, & Berg, ; Costa et al, ; Modin, Abadji, Adler, & Jansson, ) and 1 case series (Fardal, ) were finally included (Figure ). Studies presented follow‐ups ranging between 45 days and more than 20 years.…”

“…Of these, 39 articles were eligible to be included in the systematic review. In addition, 4 articles were added from the references (Fardal, 2006;Kim, Lee, Chang, & Um, 2014;Konig, Plagmann, Langenfeld, & Kocher, 2001;Wilson et al, 1984); hence, a total number of 31 cohort studies (Agrawal, Jain, Jain, Agarwal, & Dubey, 2015;Cardaropoli & Gaveglio, 2012;de Carvalho et al, 2010;Checchi, Pelliccioni, Gatto, & Kelescian, 1994;Delatola, Adonogianaki, & Ioannidou, 2014;Demetriou, Tsami-Pandi, & Parashis, 1995;Demirel & Efeodlu, 1995;Famili & Short, 2010;Fardal, Johannessen, & Linden, 2003;Frisch, Ziebolz, Vach, & Ratka-Kruger, 2014;Galgut, 1991;Hu, Lin, Ho, & Chou, 2017;Kakudate, Morita, & Kawanami, 2008;Kim et al, 2014;Konig et al, 2001;Mendoza, Newcomb, & Nixon, 1991;Mendoza et al, 1991;Miyamoto, Kumagai, Jones, Dyke, & Nunn, 2006;Nicholls, 2006;Novaes & Novaes, 2001;Novaes et al, 1999;Novaes, Novaes, Moraes, Campos, & Grisi, 1996;Ojima, Hanioka, & Shizukuishi, 2001;Ojima et al, 2005 Wilson et al, 1984;Wilson, Hale, & Temple, 1993;Zeza et al, 2017), 4 cross-sectional studies (Fenol & Mathew, 2010;Gokulanathan, Balan, Aravind, & Thangavelu, 2014;Monje, Wang, & Nart, ...…”

“…Yet, there is a high degree of heterogeneity concerning the compliance definition and no agreement was found in the literature regarding case definition of fully compliers, erratic compliers and non-compliers. Several articles did not even provide compliance case definition (Fardal, 2006;Fenol & Mathew, 2010;Modin et al, 2017;Nicholls, 2006;Ojima et al, 2001Ojima et al, , 2005Ramseier et al, 2014;Shah et al, 2017); nonetheless, some thereof based their analysis on a continuous definition of compliance by calculating the degree of attendance (Ojima et al, 2001;Ramseier et al, 2014;Shah et al, 2017).…”

“…Eight studies provided questionnaires to identify the main reasons of non-compliance (Agrawal et al, 2015;Fardal, 2006;Fenol & Mathew, 2010;Gokulanathan et al, 2014;Mendoza et al, 1991;Nicholls, 2006;Shah et al, 2017;Si et al, 2016). Noteworthy, inadequate information/motivation was reported as the main reason (417 times); other motives such us bad/experience and dissatisfaction (156 times), distance to the practice (136 times) and economic problems (120 times) were reported less frequently (Table 2).…”

Prevention of Disease and the Absent Body: A Phenomenological Approach to Periodontitis

“…Despite there being a relatively simple, non-invasive, cheap and accessible-at-home method to effectively prevent periodontitis, the disease is still overwhelmingly common. Even with the best efforts of the dental team, compliance to appropriate oral hygiene regimes after visiting a dentist can be as poor as 11% with best estimates at just half of patients -simple didactic messages do not stick (Wilson 1996;Nicholls 2006). Though we see nothing thus far in the phenomenological literature relating to prevention of disease, health-promoting behaviours and their poor adherence have been well-studied with reference to health psychology, behavioural psychology and lifestyle medicine.…”