The significance of motivation in periodontal treatment: the influence of adult patients' motivation on the clinical periodontal status

Community Dent Health. 2014 Sep;31(3):183-7.

Abstract

Motivation plays an important role in the treatment process of chronic diseases, as treatment requires behavioural change and lifelong adherence to medical recommendations. Periodontitis is a good example of such health condition as to maintain good periodontal health patients have to adhere to a strict oral hygiene regimen.

Objective: To examine whether the motivation of patients suffering from chronic periodontitis influences their clinical periodontal condition.

Basic research design: Cross sectional study.

Clinical setting: Department of Periodontology and Oral Medicine, Dental University Clinic, Jagiellonian University, Krakow, Poland.

Participants: 199 adult periodontal patients, aged 20-78 years.

Interventions: Questionnaire concerning patients' medical and dental history, modified Zychlińscy motivation assessment questionnaire, clinical periodontal examination.

Main outcome measures: The extent of motivation. Periodontal status evaluated with the use of periodontal indices (API, BOP, CPITN).

Results: The mean motivation score was 57.4. The mean API and BOP values were 55.7% and 46.4%, respectively. For most of the patients the recorded CPITN value was 3. Correlations were observed between motivation and both API and BOP, and between API and BOP.

Conclusion: Periodontal patients with greater motivation having better oral health (lower API and BOP) suggests an influence on the quality of their self-management of the disease (i.e. adherence to their oral hygiene regimen).

MeSH terms

  • Adult
  • Aged
  • Attitude to Health*
  • Chronic Periodontitis / prevention & control
  • Chronic Periodontitis / psychology*
  • Chronic Periodontitis / therapy
  • Cross-Sectional Studies
  • Dental Care / psychology
  • Dental Plaque Index
  • Female
  • Gingival Hemorrhage / psychology
  • Health Behavior
  • Humans
  • Male
  • Middle Aged
  • Motivation*
  • Oral Health
  • Oral Hygiene
  • Patient Compliance
  • Periodontal Index*
  • Smoking
  • Surveys and Questionnaires
  • Young Adult