Approach to the compliance as basic prognosis key for treatment generalized parodontal diseases in patients with anorexia nervosa

Abstract

The aim of research was to verify the format of personal assessment of the level of compliance for planning treatment of GPD in patients associated with anorexia nervosa. Clinical and radiological methods, medical and psychological methods, questioning were used. The object included 58 patients with GPD, associated with AN, restrictive form, 18–25 years; and 62 patients with GPD without anorexia. The control group was represented by 30 practically healthy people with normal weight and without pathology on the part of dental status. In the result of our research the overwhelming number of patients in the main group has a low level of all components of compliance. In patients of the comparative group the indicators of low compliance were noted much less frequently, while the average and high indicators of the level of the main components of compliance were much more frequent. The results of the evaluation of the compliance level in practically healthy people without dental diseases established a low level of compliance in the overwhelming number of those examined. The low level of all components of compliance in patients with GPD, associated with AN, suggests that complex treatment will be quite difficult and will require time and extensive erudition by a doctor with the obligatory inclusion patient’s family, psychiatrist and neuropathologist. This group can undoubtedly be at risk group in order to achieve a good, sustainable predictable outcome of the treatment of GPD. We believe that the doctor will face a number of problems and, including the patient's underestimation of the severity of the disease, most likely neglect of the possible consequences and complications and recommendations of the doctor. Assessing the level of compliance in patients with an GPD associated with AN is not just an attitude towards treatment. Behind this concept lies a peculiar picture of one’s attitude to one’s health, expressed in a qualitatively new peculiar pattern of the behavior of activity and life activity in general.