Universität zu Köln

Graetz, Christian, Ehrenthal, Johannes C., Kowalski, Rebecca, Cyris, Miriam, Geiken, Antje and Doerfer, Christoph E. (2022). Periodontal maintenance: individual patient responses and discontinuations. BMC Oral Health, 22 (1). LONDON: BMC. ISSN 1472-6831

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Abstract

AimThere is a lack of data on long-term impact of different psychological variables on periodontitis. Aim of the current study was to investigate the impact of psychological factors in patients with chronic periodontitis (CP; according to the 1999 Classification of Periodontal Diseases) to explain adherence to or discontinuation of supportive periodontal therapy (SPT) in a university setting. MethodsA sample of n = 119 patients were examined in a questionnaire-based, cross-sectional survey. All patients had received active periodontal treatment (APT) and were reevaluated in a university setting (Kiel) before 2016 [T1: start SPT]. Patients who showed sufficient adherence to SPT of & GE; 2 years (maximum & PLUSMN; 6 months of deviation between SPT intervals, last visit and questionnaire at T2) were assigned to the adherence group (AG: n = 58), or, if they interrupted SPT or stopped treatment altogether, to the non-adherence group (NAG: n = 61). In addition to dental parameters, we assessed socio-demographic, treatment-related (critical attitudes/complaints), dental as well as psychological variables (especially psychological attachment, but also dental fear, patient participation style, personality functioning) and examined between-group differences as well as possible mediating factors of non-adherence to treatment continuation. ResultsFor both groups we found similar average observation time (NAG/AG: 15.9(8.9)/14.9(10.6)years). There were significant differences in age, critical attitudes, dental fear, and patient participation style between the groups. With the help of exploratory sequential mediation models, we found a significant indirect pathway of the impact of attachment anxiety on discontinuation of treatment mediated through dental fear and number of critical attitudes/complaints. ConclusionConsidering the limitations, dentists should be aware of personality-related risk-factors such as attachment anxiety as well as their interplay with levels of dental fear and critical attitudes which may influence adherence to SPT. Trial registration: The clinical trial was retrospectively registered in the DRKS-German Clinical Trials Register () with registration DRKS00030092 (26/08/2022).

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Graetz, Christian UNSPECIFIED UNSPECIFIED UNSPECIFIED Ehrenthal, Johannes C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Kowalski, Rebecca UNSPECIFIED UNSPECIFIED UNSPECIFIED Cyris, Miriam UNSPECIFIED UNSPECIFIED UNSPECIFIED Geiken, Antje UNSPECIFIED UNSPECIFIED UNSPECIFIED Doerfer, Christoph E. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-669380
DOI:	10.1186/s12903-022-02655-8
Journal or Publication Title:	BMC Oral Health
Volume:	22
Number:	1
Date:	2022
Publisher:	BMC
Place of Publication:	LONDON
ISSN:	1472-6831
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language QUALITY-OF-LIFE; ADULT ATTACHMENT; ORAL-HEALTH; RISK-FACTOR; IMPACT; CLASSIFICATION; DEPRESSION; PATTERNS; THERAPY; DISEASE Multiple languages Dentistry, Oral Surgery & Medicine Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/66938