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Patients’ perception of own efforts versus clinically observed outcomes of non-surgical periodontal therapy in a Norwegian population: an observational study

BACKGROUND: Most periodontal intervention studies have focused on biomedical qualities like change in pocket depth and clinical attachment levels. Very few studies have described patient response in terms of how patients' general lives are affected by disease, treatment, and communication with...

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Autores principales: Vatne, Jon F, Gjermo, Per, Sandvik, Leiv, Preus, Hans R
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4443543/
https://www.ncbi.nlm.nih.gov/pubmed/25981528
http://dx.doi.org/10.1186/s12903-015-0037-3
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author Vatne, Jon F
Gjermo, Per
Sandvik, Leiv
Preus, Hans R
author_facet Vatne, Jon F
Gjermo, Per
Sandvik, Leiv
Preus, Hans R
author_sort Vatne, Jon F
collection PubMed
description BACKGROUND: Most periodontal intervention studies have focused on biomedical qualities like change in pocket depth and clinical attachment levels. Very few studies have described patient response in terms of how patients' general lives are affected by disease, treatment, and communication with therapy providers. Thus the aim of the present study was to investigate patient response to systematic periodontal information, motivation and treatment strategy (primary aim) by comparing the patients’ perception of own efforts and results with those clinically registered in a trans-sectional, observational study (secondary aim). METHODS: One year after treatment of 184 patients, 152 completed a questionnaire covering aspects of received oral health information and instruction, expectations, communication with the therapeutic team, behavioral change, self-perceived outcomes and satisfaction. RESULTS: More than 90% of the patients were satisfied with the interaction with the specialist team. 98% were satisfied with the information and instruction they had been given. 84% said that the information had been necessary to make them change their behavior towards better oral hygiene. Pain and discomfort, as well as bleeding were reduced substantially from before to after treatment, and 28 patients reported to have stopped smoking. In all questions regarding well-being there were statistically significant changes towards positive impact following therapy. CONCLUSIONS: Periodontal treatment, including customized information and education on the etiology and pathogenesis, prevention and treatment as well as maintenance of periodontal diseases resulted in a high degree of short- and long term compliance, and very good patient centered outcomes, which again had a positive impact on the patients’ satisfaction. The patient centered outcomes correlated mostly with the compared clinical endpoints. TRIAL REGISTRATION: ClinicalTrials.gov: NCT01318928.
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spelling pubmed-44435432015-05-27 Patients’ perception of own efforts versus clinically observed outcomes of non-surgical periodontal therapy in a Norwegian population: an observational study Vatne, Jon F Gjermo, Per Sandvik, Leiv Preus, Hans R BMC Oral Health Research Article BACKGROUND: Most periodontal intervention studies have focused on biomedical qualities like change in pocket depth and clinical attachment levels. Very few studies have described patient response in terms of how patients' general lives are affected by disease, treatment, and communication with therapy providers. Thus the aim of the present study was to investigate patient response to systematic periodontal information, motivation and treatment strategy (primary aim) by comparing the patients’ perception of own efforts and results with those clinically registered in a trans-sectional, observational study (secondary aim). METHODS: One year after treatment of 184 patients, 152 completed a questionnaire covering aspects of received oral health information and instruction, expectations, communication with the therapeutic team, behavioral change, self-perceived outcomes and satisfaction. RESULTS: More than 90% of the patients were satisfied with the interaction with the specialist team. 98% were satisfied with the information and instruction they had been given. 84% said that the information had been necessary to make them change their behavior towards better oral hygiene. Pain and discomfort, as well as bleeding were reduced substantially from before to after treatment, and 28 patients reported to have stopped smoking. In all questions regarding well-being there were statistically significant changes towards positive impact following therapy. CONCLUSIONS: Periodontal treatment, including customized information and education on the etiology and pathogenesis, prevention and treatment as well as maintenance of periodontal diseases resulted in a high degree of short- and long term compliance, and very good patient centered outcomes, which again had a positive impact on the patients’ satisfaction. The patient centered outcomes correlated mostly with the compared clinical endpoints. TRIAL REGISTRATION: ClinicalTrials.gov: NCT01318928. BioMed Central 2015-05-17 /pmc/articles/PMC4443543/ /pubmed/25981528 http://dx.doi.org/10.1186/s12903-015-0037-3 Text en © Vatne et al.; licensee BioMed Central. 2015 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Vatne, Jon F
Gjermo, Per
Sandvik, Leiv
Preus, Hans R
Patients’ perception of own efforts versus clinically observed outcomes of non-surgical periodontal therapy in a Norwegian population: an observational study
title Patients’ perception of own efforts versus clinically observed outcomes of non-surgical periodontal therapy in a Norwegian population: an observational study
title_full Patients’ perception of own efforts versus clinically observed outcomes of non-surgical periodontal therapy in a Norwegian population: an observational study
title_fullStr Patients’ perception of own efforts versus clinically observed outcomes of non-surgical periodontal therapy in a Norwegian population: an observational study
title_full_unstemmed Patients’ perception of own efforts versus clinically observed outcomes of non-surgical periodontal therapy in a Norwegian population: an observational study
title_short Patients’ perception of own efforts versus clinically observed outcomes of non-surgical periodontal therapy in a Norwegian population: an observational study
title_sort patients’ perception of own efforts versus clinically observed outcomes of non-surgical periodontal therapy in a norwegian population: an observational study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4443543/
https://www.ncbi.nlm.nih.gov/pubmed/25981528
http://dx.doi.org/10.1186/s12903-015-0037-3
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