ORIGINAL ARTICLE

 

Self-perception of generalized aggressive periodontitis symptoms and its influence on the compliance with the oral hygiene instructions - a pilot study

 

 

Renato Corrêa Viana Casarin^I; Erica Del Peloso Ribeiro^II; Francisco Humberto Nociti-Jr^III; Enilson Antônio Sallum^III; Antonio Wilson Sallum^III; Márcio Zaffalon Casati^III

^IDDS, MS, PhD, Assistant Professor, University São Francisco, Brazil
^IIDDS, MS, PhD, Assistant Professor, Bahia Foundation of Science, Brazil
^IIIDDS, MS, PhD, Professor, Piracicaba Dental School, State University of Campinas, Brazil

Correspondence to

 

 

---

ABSTRACT

AIM: Patient's adherence to the periodontal treatment is fundamental to the success of the therapy. Lack of response to the clinician's instructions is influenced by various factors, including gender, age and psychosocial profile. The aim of the present study was to evaluate the relationship between self-perceived symptoms of generalized aggressive periodontitis and compliance with the oral hygiene instructions.
METHODS: Twenty-six subjects presenting a generalized aggressive form of periodontal disease were selected. The subjects answered a questionnaire to rate the perceived symptoms of periodontal disease with a sensitivity scale, in which a numeric score is attributed to each mentioned symptom. The percentage of sites with pocket probing depth (PPD) e" 5mm as well as the plaque index (PI) and gingival index (GI) were evaluated and the patients received a full mouth prophylaxis. One month later, the patients were re-evaluated for PI, GI, and PPD, and their percent reductions were correlated with the numeric score attributed to the aggressive periodontitis symptoms. Spearman's correlation and Wilcoxon's test were used with a significance level of 5%.
RESULTS: The greater the self-perception of some of the symptoms, the greater the adherence to the oral hygiene instructions. A positive correlation was observed between the reduction of GI and self perception of bleeding on tooth brushing (p=0.04, r=0.27) and redness and swelling of gums (p=0.04, r=0.26).
CONCLUSIONS: The self-perception of symptoms of generalized aggressive periodontitis could have an influence on the patient's response to the oral hygiene instructions.

Keywords: compliance, generalized aggressive periodontitis, periodontal disease symptoms, self perception, oral hygiene instructions.

---

 

 

Full text available only in PDF format.

 

 

References

1. Morris AJ, Steele J, White DA. The oral cleanliness and periodontal health of UK adults in 1998. Br Dent J. 2001; 191: 186-92.         [ Links ]

2. Ciancio S. Improving oral health: current considerations. J Clin Periodontol. 2003; 30 Suppl 5: 4-6.         [ Links ]

3. 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.         [ Links ]

4. Demetriou N, Tsami-Pandi A, Parashis A. Compliance with supportive periodontal treatment in private periodontal practice. A 14-year retrospective study. J Periodontol. 1995; 66: 145-9.         [ Links ]

5. Novaes AB, Novaes Junior AB, Moraes N, Campos GM, Grisi MF.Compliance with supportive periodontal therapy. J Periodontol. 1996; 67: 213-6.         [ Links ]

6. Ojima M, Hanioka T, Shizukuishi S.Survival analysis for degree of compliance with supportive periodontal therapy. J Clin Periodontol. 2001; 28: 1091-5.         [ Links ]

7. Blinkhorn AS. Factors affecting the compliance of patients with preventive dental regimens. Int Dent J. 1993; 43: 294-8.         [ Links ]

8. Weinstein R, Carrassi A, Ciancaglini R. Dento-periodontal pathology in a group of patients with Down's syndrome. Mondo Odontostomatol. 1983; 25: 7-9.         [ Links ]

9. Syrjala AMH, Knuuttila MLE, Syrjala LK. Obstacles to regular dental care related to extrinsic and intrinsic motivation. Community Dent Oral Epidemiol. 1994; 22: 269272.         [ Links ]

10. Kuhner MK, Raetzke PB. The effect of health beliefs on the compliance of periodontal patients with oral hygiene instructions. J Periodontol. 1989; 60: 51-6.         [ Links ]

11. Friedman HS, DiMatteo MR. Health Psychology, pp. 68100. Englewood Cliffs, NJ: Prentice-Hall. 1989.         [ Links ]

12. Ojima M, Kanagawa H, Nishida N, Nagata H, Hanioka T, Shizukuishi S. Relationship between attitudes toward oral health at initial office visit and compliance with supportive periodontal treatment. J Clin Periodontol. 2005; 32: 364-8.         [ Links ]

13. Mendoza AR, Newcomb GM, Nixon KC. Compliance with supportive periodontal therapy. J Periodontol. 1991; 62: 731-6.         [ Links ]

14. Novaes AB Jr, Novaes AB. Compliance with supportive periodontal therapy. Part 1. Risk of non-compliance in the first 5-year period. J Periodontol. 1999; 70: 679-82         [ Links ]

15. Revere D, Dunbar P. Review of computer-generated outpatient health behaviour inteventions. J Am Med Info Assoc. 2001; 8: 6279.         [ Links ]

16. Ainamo J, Bay I. Problems and proposals for recording gingivitis and plaque. Int Dent J. 1975; 25: 229-35.         [ Links ]

17. Gamboa AB, Hughes FJ, Marcenes W. The relationship between emotional intelligence and initial response to a standardized periodontal treatment: a pilot study. J Clin Periodontol. 2005; 32: 702-7.         [ Links ]

18. Philippot P, Lenoir N, D'Hoore W, Bercy P. Improving patients' compliance with the treatment of periodontitis: a controlled study of behavioural intervention. J Clin Periodontol. 2005; 32: 653-8.         [ Links ]

19. Monteiro da Silva AM, Oakley DA, Newman HN, Nohl FS, Lloyd HM. Psychosocial factors and adult onset rapidly progressive periodontitis. J Clin Periodontol. 1996; 23: 789-94.         [ Links ]

20. da Silva SR, Castellanos Fernandes RA. Self-perception of oral health status by the elderly. Rev Saude Publica. 2001; 35: 349-55.         [ Links ]

21. Vered Y, Sgan-Cohen HD. Self - perceived and clinically diagnosed dental and periodontal health status among young adults and their implications for epidemiological surveys. BMC Oral Health. 2003; 13; 3(1): 3.         [ Links ]

22. Reisine ST, Bailit HL Clinical oral health status and adult perceptions of oral health. Soc Sci Med [Med Psychol Med Sociol] 1980; 14: 597-605.         [ Links ]

23. Ross DJ, Guggenheim FG. Compliance and the health belief model: a challenge for the liaison psychiatrist. Gen Hosp Psych. 1983; 5: 31-5.         [ Links ]

24. Prochaska JO, Velicer WF. The transtheoretical model of health behavior change. Am J Health Promotion. 1997; 12: 38-48.         [ Links ]

25. Leventhal H, Diefenbach M, Leventhal E. Illness cognition: using common sense to understand treatment adherence and affect cognitive interaction. Cognit Psyc Research. 1992; 16: 14363.         [ Links ]

26. Walsh MM, Heckman BH, Moreau-Diettinger R. Use of gingival bleeding for reinforcement of oral home care behavior. Community Dent Oral Epidemiol. 1985; 13: 133-5.         [ Links ]

27. Gomes SC, Piccinin FB, Susin C, Oppermann RV, Marcantonio RA. Effect of supragingival plaque control in smokers and never-smokers: 6-month evaluation of patients with periodontitis. J Periodontol. 2007; 78: 1515-21.         [ Links ]

28. Ribeiro EDP, Bittencourt S, Nociti Jr FH, Sallum EA, Sallum AW, Casati MZ. The effect of one session of supragingival plaque control on clinical and biochemical parameters of chronic periodontitis. J Appl Oral Sci. 2005; 13: 275-9.         [ Links ]

 

 

Correspondence to:
Márcio Zaffalon Casati
Departamento de Prótese e Periodontia
FOP/UNICAMP
Av. Limeira 901 - 13414-018 Piracicaba - SP
Phone/Fax: 55 19 34125301
E-mail: casati@fop.unicamp.br

Received for publication: December 07, 2009
Accepted: August 27, 2010