The purpose of this review was to summarize the evidence with regard to behavioral and psychosocial assessment of the periodontitis patient, the candidate for implant therapy, and the peri‐implantitis patient. Periodontitis has an adverse effect on quality of life and its treatment can lead to significant improvements experienced by the patient. The latter is true for rehabilitation with dental implants, although patients harbor diverse expectations and perceptions of implant therapy, which can often interfere with satisfaction and/or influence long‐term success. A thorough behavioral assessment of the candidate for implant therapy is essential, which should include, perceptions, expectations, as well as risk for behavioral disorders. Remedial action is essential to correct misperceptions and any identified risks. Finally, patients have limited awareness of limited ability to identify signs of peri‐implantitis. The diagnosis of peri‐implantitis can be a cause of significant distress, resentment, and loss of trust to the treatment and the caregivers. Despite documented value in clinical research, currently available instruments assessing patient‐reported outcomes have little application in day‐to‐day clinical practice. Face‐to‐face patient to doctor open‐ended communication remains the most effective way to comprehensively establish the long‐term “therapeutic alliance” essential for the long journey for the periodontitis patient.

中文翻译：

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使用患者相关结果（PRO）和经验（PRE）来评估牙周和种植患者


本综述的目的是总结有关牙周炎患者、种植体治疗候选者和种植体周围炎患者的行为和社会心理评估的证据。牙周炎对生活质量有不利影响，其治疗可以显着改善患者的体验。后者对于牙种植体康复来说是正确的，尽管患者对种植牙治疗抱有不同的期望和看法，这通常会干扰满意度和/或影响长期成功。对种植治疗候选人进行彻底的行为评估至关重要，其中应包括看法、期望以及行为障碍的风险。补救措施对于纠正误解和任何已识别的风险至关重要。最后，患者对识别种植体周围炎体征的能力认识有限。种植体周围炎的诊断可能会导致严重的痛苦、怨恨以及对治疗和护理人员失去信任。尽管在临床研究中具有记录价值，但目前可用的评估患者报告结果的工具在日常临床实践中几乎没有应用。患者与医生面对面的开放式沟通仍然是全面建立长期“治疗联盟”的最有效方式，这对于牙周炎患者的漫长旅程至关重要。