Compliance as a predictor of the effectiveness of treatment and preventive measures in patients with generalized parodontal diseases afiliated with anorexia nervosa

Authors

  • Людмила Леонідівна Решетнік
  • Олена Аркадіївна Значкова
  • Наталья Антоновна Зелинская
  • Марина Юріївна Антоненко

DOI:

https://doi.org/10.33295/1992-576X-2019-4-34

Keywords:

anorexia nervosa, generalized parodontal diseases, behavioral compliance, emotional compliance, motivation, social compliance

Abstract

Summary. To plan the treatment of GPD in patients with anorexia nervosa, the format of a personal assessment of the level of compliance was verified.
Materials and research methods. The research involved 58 patients with GPD, suffering from AN, restrictive form, and 62 patients with GPD without signs of anorexia at the age of 18–25 years. The control group was represented by 30 healthy people with normal weight and clinically intact periodontium. Clinical-radiological and medical-psychological methods were used.
Results and its discussion. Low level of emotional (E), social (S), behavioral (B) and general (G) compliance with a frequency of 70–75, 61–65, 40–65 and 60–70 % respectively has been established in patients with GPD afiliated with AN, which may indicate the complexity of achieving sustained and long-term remission and the effectiveness of preventative measures for GPD. A high level of all components of compliance in patients with GPD afiliated with AN was identified in only 6, 10, 11–27.5 and 10–20 % of the surveyed patients, respectively. Among patients with GPD without signs of AN. The average level of all components of compliance (E, S, B, G) with frequency of 45–76, 46,6–73,3, 70–73,3 and 30–63.3 %, respectively, was prevalent.
Conclusions: the low level of all components of compliance (E, S, B, G) in patients with GPD suffering from AN, indicates the potential complexity of promising treatment and leads to the involvement of related profile specialists; patients with AN can be attributed to the risk of satisfactory, sustainable, long-term and predictable outcome of treatment for GPD; taking into account the determination of the level of compliance in patients with GPD afiliated with AN is an important factor in ensuring the effectiveness of the comprehensive treatment and prevention process.
Key words: anorexia nervosa, generalized parodontal diseases, behavioral compliance, emotional compliance, motivation, social compliance.

Author Biographies

Людмила Леонідівна Решетнік

Решетнік Людмила Леонідівна – аспірант кафедри стоматології
Інституту післядипломної освіти НМУ ім. О.О. Богомольця.
Адреса: бульв. Шевченка, 13, м. Київ, 01601. Тел.: (097) 281-73-08. E-mail: reshetnik.lujdmila@gmail.com.

Олена Аркадіївна Значкова

Значкова Олена Аркадіївна – канд. мед. наук,
доцент кафедри стоматології Інституту післядипломної освіти НМУ ім. О.О. Богомольця.
Адреса: бульв. Шевченка, 13, м. Київ, 01601. Тел.: (067) 262-83-32. E-mail: znachkova2008@gmail.com.

Наталья Антоновна Зелинская

Зелинская Наталья Антоновна – канд. мед. наук,
доцент кафедри стоматології Інституту післядипломної освіти НМУ ім. О.О. Богомольця.
Адреса: бульв. Шевченка, 13, м. Київ, 01601. Тел.: (050) 381-13-30.

Марина Юріївна Антоненко

Антоненко Марина Юріївна – д-р мед. наук,
професор, завідувач кафедри стоматології Інституту післядипломної освіти НМУ ім. О.О. Богомольця.
Адреса: бульв. Шевченка, 13, м. Київ, 01601. Тел.: (050) 685-76-25. E-mail: antonenko.nmu@gmail.com

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Published

2019-10-16

Issue

Section

PARADONTOLOGY