Application of Information-Motivation-Behavioral model–based Continuity of Care on the Peri-implantitis recovery in Diabetic Implant Overdenture Patients: A Randomised Controlled Trial

Abstract

Abstract Aims To observe the effect of information-motivation-behavioral skill (IMB) model–based continuity of care for diabetic implant overdenture (IOD) patients with peri-implantitis. Design : A randomised controlled trial. Methods We recruited 32 diabetic IOD patients with a total of 110 problematic implants who had completed the treatment for peri-implantitis between January 2021 and March 2023 as research subjects. The patients were randomly assigned to the control group or the experimental group using the random number table. The control group received routine postoperative medical advice, whereas the experimental group was given an IMB model–based continuity of care. Results Thirty-one patients having a total of 106 implants with peri-implantitis completed the study. The Spearman correlation coefficients indicated that the plaque index (rs = 0.2475, p < 0.01), follow-up compliance (rs=-0.2326, p < 0.01), oral cleanliness compliance (rs=-0.1867, p < 0.05) and blood glucose control compliance (rs=-0.1749, p < 0.05) correlated weakly with peri-implant bone resorption at 12 months. Patient satisfaction in the experimental group was greater than that in the control group (p < 0.05). Additionally, the peri-implant bone resorption was lesser in the experimental group than in the control group, both at 6 and 12 months after treatment (p < 0.05). Conclusion With the IMB model–based continuity of care constructed, a remote management system for diabetic IOD patients could be used to enhance the patients’ understanding of peri-implantitis and diabetes, improve their medical and daily life behaviors, thereby promoting recovery.