Characteristics of dental patients determining their compliance level in dentistry: relevance for predictive, preventive, and personalized medicine
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This article centers on the relationship between psychological specifics of dental patients and their adherence to treatment. It describes clinical and personality specifics of periodontal patients and presents personality characteristics of patients with positive and negative dynamics of the therapy, as well as patients without periodontal diseases. The study findings highlight the importance of building confidential relationships with the patient and the need for a client-oriented approach to developing treatment plans and strategies for different types of dental patients. In the future, based on the study results, we find it necessary to elaborate more specific criteria for assessing personality characteristics of patients which determine their ability to comply with the doctor’s recommendations. The dentist should not expect the success of their work without applying individual psychological approach to each particular patient. This knowledge means to help in further prognosis of the prescribed treatment and also can make the treatment more personalized and prevent non-compliance complications.
KeywordsCompliance Treatment adherence Psychological specifics of patients Relevance of treatment Predictive preventive personalized medicine
First Saint Petersburg State Medical University
papillary marginal alveolar index
level of subjective control test
index of Greene–Vermilion
World Health Organization
community periodontal index of treatment needs
Personal Questionnaire of the Bekhterev Institute
Individual Typological Questionnaire by L.N. Sobchick
information and communication technologies
We are grateful to Denis Kudriavtsev for translating the manuscript. We thank Ksenia Iskrenko and Vladimir Volokhonsky for their invaluable contribution in the data collection and analysis. We also thank the City Periodontology Center “PAKS” for funding this research and work on the manuscript preparation and as a source of funding for all authors.
VT made a substantial contribution to the development of the concept and design, collection of data, and analysis and interpretation of data; participated in the drafting and revision of the manuscript; provided the final approval of its version to be published; and agreed to be accountable for all aspects of the work to ensure that issues related to the accuracy or integrity of any of its parts are appropriately addressed.
LO participated in revising the content of the manuscript critically, provided the final approval of its version to be published, conceived the study, participated in study design and coordination, and helped with drafting the manuscript.
TK participated in drafting the manuscript, collection of data, and study design and coordination and helped with drafting the manuscript.
EI provided data analysis and interpretation, revised the content of the manuscript critically, participated in the design of the study and performed the statistical analysis, and helped with drafting the manuscript.
EL was responsible for data collection, participated in the design of the study and performed the statistical analysis, and helped with drafting the manuscript.
ES contributed to the concept and design, analysis, and interpretation of data; participated in developing the manuscript and making corrections or critical criticism for important intellectual content; and helped to draft the manuscript.
All the authors read and approved the final manuscript.
Compliance with ethical standards
All procedures performed in the study involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. Our study was approved by the Ethical Committee of the First Pavlov State Medical University of Saint Petersburg #01-2017. All the patients were informed about the purposes of the study and have signed their “consent of the patient.”
The authors declare that they have no competing interests.
All individuals were informed about the purposes of the study and have signed their consent for publishing the data. Patients were informed about the purposes of the study and have signed their consent for publishing the data.
- 1.Orekhova LY, Kudriavtseva TV, Isaeva ЕR, Tachalov VV, Loboda ЕS, Sitkina ЕV. Relationship between the specifics of individual oral care and personality traits. Dentistry in Slavic countries: collected papers following the 8th International Training Conference, edited by Tsymbalistov А.V., Trofinov B.V., Kopytov A.A. – Belgorod: Publishing House “Belgorod” of the National Research University “Belgorod State University”, 2015. – 386 p.Google Scholar
- 2.Doctor-patient: communication and interaction. – Geneva – Amsterdam –Kyiv: WHO, 1996.– 55 p.Google Scholar
- 3.Adherence to long-term therapies: evidence for action. – New-York, WHO, 2003 (http://whqlibdoc.who.int/publications/2003/9241545992.pdf).
- 4.Golubnitschaja O, Costigliola V, EPMA. General report & recommendations in predictive, preventive and personalised medicine 2012: white paper of the European association for predictive, preventive and personalised medicine. EPMA J 2012;1;3(1):14.Google Scholar
- 5.Volskaya ЕА. Patients’ compliance. Review of research trends. Remedium Journal #11, 2013.Google Scholar
- 6.Isaeva E, Sitkina E, Kudryavtseva T, Loboda E. Age-specific attitudes regarding dental health. EPMA J. 2017;8(supplement 1):48–9.Google Scholar
- 7.Golubnitschaja O, Baban B, Boniolo G, Wang W, Bubnov R, Kapalla M, et al. Medicine in the early twenty-first century: paradigm and anticipation – EPMA position paper 2016. EPMA J 2016;7:23, https://doi.org/10.1186/s13167-016-0072-4.
- 8.Firsova IV. Concept of compliance in dental practice: extended abstract of Doctor. Sci. dissertation. Volgograd State Medical University of the Federal Agency on Health and Social development, 2009. – 52 p.Google Scholar
- 9.Fedotova АV. Compliance. Effective doctor-patient communication. Vein Conference, URL: http://www.paininfo.ru/events/vein09/2544.html
- 10.Sirota NA, Yaltonsky VM, Moskvichenko DV. Psychological factors of adherence to treatment in patients with breast cancer. Remedium Journal, #11, 2013.Google Scholar
- 11.Sokolova ЕТ. Prospects of the holistic compliance model. Collected papers following the All-Russian Training Conference with international participation: clinical psychology in healthcare and education, 2011. – 404 p.Google Scholar
- 12.Anisimova NY. Medical feasibility of psychological adjustment of dental stress in clinical practice: extended abstract of Cand. Sci. dissertation. Moscow State University of Medicine and Dentistry, 2015. – 24 p.Google Scholar
- 14.Grinberg SD. Stress management // 7th edition. Series “Psychology Experts”, translated from English by Gitelman L., Potapova М. – St. Petersburg: Piter, 2002. – 496 p.Google Scholar
- 15.Sobchik LN. Methods of psychological diagnostics. Issue 3. Diagnostics of interpersonal relations. Modified interpersonal diagnostics by Т. Leary. Methodological guidance. Мoscow, 1990.Google Scholar
- 16.Practical psychodiagnostics. Methods and tests: textbook. Edited by D.Ya. Raigorodsky. Samara: Bakhrakh, 1998. – 672 p.Google Scholar
- 17.Sobchik LN. Diagnostics of individual typological traits and interpersonal relations. – Rech, 2003. – 96 p.Google Scholar
- 18.Psychology of health: textbook for higher educational institutions/ Edited by Nikiforova GS. – St. Petersburg: Piter, 2006. – 670 p.Google Scholar
- 19.Psychological diagnostics of attitude towards the disease. A guide for physicians/ Edited by L.I. Vasserman. – St. Petersburg Bekhterev Psychoneurological Scientific Research Institute, St. Petersburg, 2005. – 33 p.Google Scholar
- 20.Ainamo J, Barmes D, Beagrie G, et al. Development of the WHO Community periodontal Index of Treatment Needs (CPITN). Int Dent J. 1992;32:281–92.Google Scholar
- 21.Parma C. Parodontopatien. – Leipzig: Barth. – 1960. – 280 p.Google Scholar
- 25.Change the world - one article at a time [Internet]. [cited 2018 Jul12]. Available from: https://www.springernature.com/gp/researchers/campaigns/change-the-world?wt_mc=SocialMedia.Twitter.10.CON417.ctw2018_tw_shared_button&utm_medium=socialmedia&utm_source=twitter&utm_content=ctw2018_tw_shared_button&utm_campaign=10_dann_ctw2018_tw_shared_button.
- 26.Change the world - medicine and public health [Internet]. [cited 2018 Jul 12]. Available from: https://www.springernature.com/gp/researchers/campaigns/change-the-world/medicine-public-health
- 31.Jonsson B, Ohrn K, Oscarson N, et al. The effectiveness of an individually tailored oral health educational programme on oral hygiene behaviour in patients with periodontal disease: a blinded randomized-controlled clinical trial (one-year follow-up). J Clin Periodontol. 2009;36:1025–34.CrossRefGoogle Scholar
- 40.Ayer WA. Psychology and dentistry: mental health aspects of patient care. Haworth Press, 2005; 148 pp.Google Scholar