Int J Stomatol ›› 2022, Vol. 49 ›› Issue (1): 94-99.doi: 10.7518/gjkq.2022005

• Orginal Article • Previous Articles     Next Articles

Research progress on motivational interviewing in the management of patients with periodontal disease

Mu Xinyue1(),Liu Shutai2()   

  1. 1. Dept. of Stomatology, Affiliated Hospital of Jining Medical University, Jining 272000, China
    2. Dept. of Periodontics, Yantai Stomatological Hospital, Yantai 264000, China
  • Received:2021-02-14 Revised:2021-07-03 Online:2022-01-01 Published:2022-01-07
  • Contact: Shutai Liu;


The consequences of insufficient compliance are always the focus and challenge in the management of patients with chronic diseases. Traditional health education is one-way knowledge dissemination, and patients usually abandon compliance shortly after passively receiving verbal or written advice. Motivational interviewing based on cross-theoretical models shows good intervention effects on the health management and behavior change of patients with chronic diseases in different fields. This low-cost, low-intensity psychological intervention technique has been recently used for the health management of patients with periodontal disease. Foreign studies found that MI shows a lasting intervention effect on improving the compliance of patients with periodontal disease in oral hygiene maintenance, smoking cessation, and other health behaviors. This psychological satisfaction indicates good development prospects and social value. Domestic research on MI to improve compliance in patients with periodontal disease is still in its early stage and faces certain problems, such as the insufficient understanding of its theoretical framework and limitations in the specific implementation process. With continuous promotion in China, MI provides a new psychological intervention in dental environment.

Key words: otivational interviewing, periodontal disease, compliance

[1] Kumar PS. From focal sepsis to periodontal medicine: a century of exploring the role of the oral microbiome in systemic disease[J]. J Physiol, 2017,595(2):465-476.
[2] Tonetti MS, Eickholz P, Loos BG, et al. Principles in prevention of periodontal diseases: consensus report of group 1 of the 11th European Workshop on Periodontology on effective prevention of periodontal and peri-implant diseases[J]. J Clin Periodontol, 2015,42(Suppl 16):S5-11.
[3] Echeverría JJ, Echeverría A, Caffesse RG. Adhe-rence to supportive periodontal treatment[J]. Perio-dontol 2000, 2019,79(1):200-209.
[4] Miller WR, Moyers TB. Motivational interviewing and the clinical science of Carl Rogers[J]. J Consult Clin Psychol, 2017,85(8):757-766.
[5] Papapanou PN, Sanz M, Buduneli N, et al. Perio-dontitis: consensus report of workgroup 2 of the 2017 world workshop on the classification of periodontal and peri-implant diseases and conditions[J]. J Perio-dontol, 2018,89(Suppl 1):S173-S182.
[6] Newton JT, Asimakopoulou K. Managing oral hygiene as a risk factor for periodontal disease: a systematic review of psychological approaches to behaviour change for improved plaque control in pe-riodontal management[J]. J Clin Periodontol, 2015,42(Suppl 16):S36-S46.
[7] Habbu SG, Krishnappa P. Effectiveness of oral heal-th education in children-a systematic review of current evidence (2005-2011)[J]. Int Dent J, 2015,65(2):57-64.
[8] Järvinen M, Stolt M, Honkala E, et al. Behavioural interventions that have the potential to improve self-care in adults with periodontitis: a systematic review[J]. Acta Odontol Scand, 2018,76(8):612-620.
[9] Hettema J, Steele J, Miller WR. Motivational interviewing[J]. Annu Rev Clin Psychol, 2005,1:91-111.
[10] Gao X, Lo EC, Kot SC, et al. Motivational interviewing in improving oral health: a systematic review of randomized controlled trials[J]. J Periodontol, 2014,85(3):426-437.
[11] Jönsson 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 randomi-zed-controlled clinical trial (one-year follow-up)[J]. J Clin Periodontol, 2009,36(12):1025-1034.
[12] Carra MC, Detzen L, Kitzmann J, et al. Promoting behavioural changes to improve oral hygiene in patients with periodontal diseases: a systematic review[J]. J Clin Periodontol, 2020,47(Suppl 22):72-89.
[13] Stenman J, Lundgren J, Wennström JL, et al. A single session of motivational interviewing as an additive means to improve adherence in periodontal infection control: a randomized controlled trial[J]. J C-lin Periodontol, 2012,39(10):947-954.
[14] Tellez M, Myers Virtue S, Neckritz S, et al. Randomised clinical trial of a motivational interviewing intervention to improve oral health education amon-gst older adults in Philadelphia: 12-month evaluation of non-clinical outcomes[J]. Gerodontology, 2020,37(3):279-287.
[15] Brand VS, Bray KK, MacNeill S, et al. Impact of single-session motivational interviewing on clinical outcomes following periodontal maintenance therapy[J]. Int J Dent Hyg, 2013,11(2):134-141.
[16] Stenman J, Wennström JL, Abrahamsson KH. A brief motivational interviewing as an adjunct to pe-riodontal therapy-a potential tool to reduce relapse in oral hygiene behaviours. A three-year study[J]. Int J Dent Hyg, 2018,16(2):298-304.
[17] Jönsson B, Lindberg P, Oscarson N, et al. Improved compliance and self-care in patients with periodontitis: a randomized control trial[J]. Int J Dent Hyg, 2006,4(2):77-83.
[18] Jönsson B, Ohrn K, Lindberg P, et al. Evaluation of an individually tailored oral health educational programme on periodontal health[J]. J Clin Periodontol, 2010,37(10):912-919.
[19] Jönsson B, Ohrn K, Oscarson N, et al. An indivi- dually tailored treatment programme for improved oral hygiene: introduction of a new course of action in health education for patients with periodontitis[J]. Int J Dent Hyg, 2009,7(3):166-175.
[20] Wu L, Gao X, Lo ECM, et al. Motivational interviewing to promote oral health in adolescents[J]. J Adolesc Health, 2017,61(3):378-384.
[21] Cascaes AM, Bielemann RM, Clark VL, et al. Effectiveness of motivational interviewing at improving oral health: a systematic review[J]. Rev Saude Publica, 2014,48(1):142-153.
[22] Needleman I, Nibali L, Di Iorio A. Professional mechanical plaque removal for prevention of periodontal diseases in adults: systematic review update[J]. J Clin Periodontol, 2015,42(Suppl 16):S12-S35.
[23] Schatman ME, Shapiro H, Hernández-Nuño de la Rosa MF, et al. Brief motivational interventions: strategies for successful management of complex, nonadherent dental patients[J]. Dent Clin North Am, 2020,64(3):559-569.
[24] Neff JA, Kelley ML, Walters ST, et al. Effectiveness of a Screening and Brief Intervention protocol for heavy drinkers in dental practice: a cluster-rando-mized trial[J]. J Heal Psychol, 2015,20(12):1534-1548.
[25] Kay EJ, Vascott D, Hocking A, et al. Motivational interviewing in general dental practice: a review of the evidence[J]. Br Dent J, 2016,221(12):785-791.
[26] Kitzmann J, Ratka-Krueger P, Vach K, et al. The impact of motivational interviewing on communication of patients undergoing periodontal therapy[J]. J Clin Periodontol, 2019,46(7):740-750.
[27] Matsuoka H, Chiba I, Sakano Y, et al. Cognitive behavioral therapy for psychosomatic problems in dental settings[J]. Biopsychosoc Med, 2017,11:18.
[28] Albino J, Tiwari T. Preventing childhood caries: a review of recent behavioral research[J]. J Dent Res, 2016,95(1):35-42.
[29] Woelber JP, Spann-Aloge N, Hanna G, et al. Trai-ning of dental professionals in motivational interviewing can heighten interdental cleaning self-efficacy in periodontal patients[J]. Front Psychol, 2016,7:254.
[30] Faustino-Silva DD, Meyer E, Hugo FN, et al. Effectiveness of motivational interviewing training for pri-mary care dentists and dental health technicians: results from a community clinical trial[J]. J Dent Educ, 2019,83(5):585-594.
[31] Edwards EJ, Stapleton P, Williams K, et al. Building skills, knowledge and confidence in eating and exercise behavior change: brief motivational inter- viewing training for healthcare providers[J]. Patient Educ Couns, 2015,98(5):674-676.
[32] Sun HY, Jiang H, Du MQ, et al. The prevalence and associated factors of periodontal disease among 35 to 44-year-old Chinese adults in the 4th national o-ral health survey[J]. Chin J Dent Res, 2018,21(4):241-247.
[33] Hardcastle SJ, Fortier M, Blake N, et al. Identifying content-based and relational techniques to change behaviour in motivational interviewing[J]. Heal Psychol Rev, 2017,11(1):1-16.
[34] Gillam DG, Yusuf H. Brief motivational interviewing in dental practice[J]. Dent J (Basel), 2019,7(2):51.
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