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Journal of Periodontology
September 2010, Vol. 81, No. 9, Pages 1280-1288 , DOI 10.1902/jop.2010.100039 Previous Article | Next Article
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Compliance as a Prognostic Indicator. II. Impact of Patient's Compliance to the Email to a friend
Individual Tooth Survival TOC Alert | Citation Alert
Takanari Miyamoto,* Takashi Kumagai, Melissa S. Lang,* and Martha E. Nunn*
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*Department of Periodontics, Creighton University School of Dentistry, Omaha, NE. PubMed Citation
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Private practice, Yamagata, Japan. New articles cite this
article
Correspondence: Dr. Takanari Miyamoto, Department of Periodontics, Creighton University School of Dentistry,
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2500 California Plaza, Omaha, NE 68178. Fax: 402/280-5086; e-mail: takanarimiyamoto@creighton.edu. manager
Background: Existing evidence concerning the validity of an appropriate regular periodontal maintenance (PM) Related articles found
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regimen and the role of patient compliance is controversial and inconsistent. The objectives of this study are to
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identify the impact of patient compliance (complete versus erratic) on alveolar bone loss and tooth survival.
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Methods: A retrospective study was conducted using data from 295 patients with 20 years of observation, which Articles
included treatment and 15 years of maintenance therapy, in a private practice in Yamagata, Japan. Subject-level Recommend & Share
variables and tooth-level variables were recorded at the initial visit, the reevaluation visit, and the final visit. In
total, 7,502 teeth in 295 subjects met inclusion criteria and were divided into two groups: non-molar teeth (n = CiteULike
5,585) and molar teeth (n = 1,917). A tooth-level multivariate survival model and multiple logistic regression Delicious
model using the method of generalized estimating equations were constructed to analyze the effects of
compliance and periodontal maintenance intervals on tooth loss and alveolar bone loss, respectively. Digg This
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Results: Of 7,502 teeth, 284 molar teeth and 364 non-molar teeth were lost. Molar teeth had an approximately
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30% reduction in risk of tooth loss for complete compliance, with 2-year compliance classification achieving
statistical significance (P = 0.033), and 30% compliance classification approaching statistical significance ( P = Tweet This
0.072). Complete compliers under 30% compliance classification showed over 50% reduction in the risk of
alveolar bone loss among non-molars (P = 0.015).

Conclusion: Complete patient compliance with increased frequency of periodontal maintenance is important for
improved dental prognosis through reduction of tooth loss among molars and minimization of alveolar bone loss
among non-molars.

KEYWORDS: Alveolar bone loss , compliance, periodontal disease, prognosis, tooth loss
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V Goh, PP Hackmack, EF Corbet and WK Leung. (2017) Moderate- to long-term periodontal outcomes of subjects
failing to complete a course of periodontal therapy. Australian Dental Journal.
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Online publication date: 30-Jan-2017.
CrossRef Takanari Miyamoto
Tomotaka Kato, Seiichi Sugiyama, Michiko Makino and Toru Naito. (2016) A qualitative study on the background Takashi Kumagai
of long-term maintenance patients at a private Japanese dental clinic. BMC Oral Health 16:1.
Online publication date: 1-Apr-2016. Melissa S. Lang
CrossRef Martha E. Nunn
Chien-Lung Chan, Huey-Jen You, Hsin-Jay Lian and Chi Hsiang Huang. (2016) Patients receiving comprehensive
periodontal treatment have better clinical outcomes than patients receiving conventional periodontal treatment. Keywords:
Journal of the Formosan Medical Association 115:3, 152-162.
Online publication date: 1-Mar-2016. Alveolar bone loss
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Pedro Martinez-Canut. (2015) Predictors of tooth loss due to periodontal disease in patients following long-term
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periodontal maintenance. Journal of Clinical Periodontology 42:12, 1115-1125.
Online publication date: 29-Nov-2015. prognosis
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Fernando Oliveira Costa, Lus Otvio Miranda Cota, Jos Roberto Cortelli, Sheila Cavalca Cortelli, Renata
Magalhes Cyrino, Eugnio Jos Pereira Lages, Ana Paula Lima Oliveira and Sompop Bencharit. (2015) Surgical
and Non-Surgical Procedures Associated with Recurrence of Periodontitis in Periodontal Maintenance Therapy: 5-
Year Prospective Study. PLOS ONE 10:10, e0140847.
Online publication date: 23-Oct-2015.
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C.T. Lee, H.Y. Huang, T.C. Sun and N. Karimbux. (2015) Impact of Patient Compliance on Tooth Loss during
Supportive Periodontal Therapy. Journal of Dental Research 94:6, 777-786.
Online publication date: 1-Jun-2015.
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Chrysoula Delatola, Evagelia Adonogianaki and Effie Ioannidou. (2014) Non-surgical and supportive periodontal
therapy: predictors of compliance. Journal of Clinical Periodontology 41:8, 791-796.
Online publication date: 30-Jun-2014.
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Preston D. Miller Jr.,* Mark L. McEntire,* Nicole M. Marlow, and Robert G. Gellin*. (2014) An Evidenced-Based
Scoring Index to Determine the Periodontal Prognosis on Molars. Journal of Periodontology 85:2, 214-225.
Online publication date: 30-Jan-2014.
Abstract | Full Text | PDF (877 KB) | PDF Plus (602 KB)
Sang-Yul Kim, Jae-Kwan Lee, Beom-Seok Chang and Heung-Sik Um. (2014) Effect of supportive periodontal
therapy on the prevention of tooth loss in Korean adults. Journal of Periodontal & Implant Science 44:2, 65.
Online publication date: 1-Jan-2014.
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Antoine Godard, Thomas Dufour and Sylvie Jeanne. (2011) Application of self-regulation theory and motivational
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 interview for improving oral hygiene: a randomized controlled trial. Journal of Clinical Periodontology 38:12,
1099-1105.
Online publication date: 6-Sep-2011.
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Mario Roccuzzo, Francesca Bonino, Marco Aglietta and Paola Dalmasso. (2011) Ten-year results of a three arms
prospective cohort study on implants in periodontally compromised patients. Part 2: clinical results. Clinical Oral
Implants Research, n/a-n/a.
Online publication date: 28-Sep-2011.
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Mervyn Cher-Hui Ng, Marianne Meng-Ann Ong, Lum Peng Lim, Chu Guan Koh and Yiong Huak Chan. (2011)
Tooth loss in compliant and non-compliant periodontally treated patients: 7 years after active periodontal therapy.
Journal of Clinical Periodontology, no-no.
Online publication date: 22-Feb-2011.
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