Motivational interview of patients with fixed orthodontic appliances: case series [abstract]

Abstract

Aim or Purpose: The purpose of this case series study is to assess whether the interview (motivational interview with traditional oral hygiene instruction) produces positive changes in the daily routine of oral hygiene.

Materials and Methods: Seven patients at the beginning of the orthodontic treatment with fixed orthodontic appliances and good periodontal health were assigned to receive a Motivational Interviewing (MI) in conjunction with traditional oral hygiene instruction (TOHI), in every appointment with the orthodontist treated at the Universidad Iberoamericana (UNIBE) postgraduate dentistry clinic. Also, simplified oral hygiene index, gingival index, pocket depths, bleeding on probing were assessed at baseline, 3 months and 6 months, after that the main values were obtained and conclusions were made. UNIBE's ethic committee approval was obtained.

Results: The results obtained showed that 2 of 7 patients improved their oral health conditions and the other 5 exhibited no changes as they began the treatment; the main values show that there were no significant changes at baseline and 6 months.

Conclusions: Preliminary data shows that motivational interviewing is feasible tool during orthodontic treatment to reduce periodontal problems and improve oral health condition, assuming that a good motivation and oral hygiene instruction by clinician can improve oral care habits in patient with orthodontics fixed appliances. Controlled studies are needed.