Evidence map›Paper›PMID 36522720›Full record

ArticleBMC oral health2022

Periodontal maintenance: individual patient responses and discontinuations.

Christian Graetz, Johannes C Ehrenthal, Rebecca Kowalski, Miriam Cyris, Antje Geiken, Christoph E Dörfer

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC oral health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Observational
  5. [A preliminary study on compliance of supportive treatment of patients with periodontitis after implant restoration therapy].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2024
    Article
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Christian Graetz *Clinic for Conservative Dentistry and Periodontology, University Hospital Schleswig-Holstein, Campus Kiel, Arnold-Heller-Str. 3, Haus B, 24105, Kiel, Germany. graetz@konspar.uni-kiel.de.
Johannes C Ehrenthal *Department of Psychology, University of Cologne, Cologne, Germany.
Rebecca KowalskiClinic for Conservative Dentistry and Periodontology, University Hospital Schleswig-Holstein, Campus Kiel, Arnold-Heller-Str. 3, Haus B, 24105, Kiel, Germany.
Miriam CyrisClinic for Conservative Dentistry and Periodontology, University Hospital Schleswig-Holstein, Campus Kiel, Arnold-Heller-Str. 3, Haus B, 24105, Kiel, Germany.
Antje GeikenClinic for Conservative Dentistry and Periodontology, University Hospital Schleswig-Holstein, Campus Kiel, Arnold-Heller-Str. 3, Haus B, 24105, Kiel, Germany.
Christoph E DörferClinic for Conservative Dentistry and Periodontology, University Hospital Schleswig-Holstein, Campus Kiel, Arnold-Heller-Str. 3, Haus B, 24105, Kiel, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

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 ≥ 2 years (maximum ± 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 registrationThe clinical trial was retrospectively registered in the DRKS-German Clinical Trials Register ( https://www.drks.de ) with registration DRKS00030092 (26/08/2022).

Indexed as

Chronic PeriodontitisTooth LossCross-Sectional StudiesHumansPeriodontal PocketRetrospective StudiesTreatment OutcomeAdult attachmentComplianceDental fearPeriodontitisSupportive periodontal therapyTooth loss

Identifiers

PMID36522720
PMCPMC9753430

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.