This week I received a case study of a patient on Prevora since 2014 who got root caries. While his gums remained healthy, the chronic plaque build up at the root surface continually challenged the drug. The hygienist said that without Prevora, the patient would likely have had (more widespread) root caries sooner.

The patient pursued “health risk behaviour” in terms of poor oral hygiene and poor diet. Counseling by the hygienist was largely ineffectual.

Patient compliance in a treatment plan for a chronic disease is notoriously poor.

So what can we do to improve it? One suggestion is to recall the patient more frequently on the Prevora treatment plan — apply Prevora every 3 months rather than 6 months until the patient’s obvious signs of disease (in this case plaque build up) are mitigated and the patient begins to listen.

For some other ideas on improving patient compliance, I suggest you listen the webcast offered by the NEJ Catalyst in early April 2018.


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