Motivational Interviewing Theory

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a. Motivational interviewing
Motivation is elicited from within the patient. Rather than externally imposed upon a patient by a practitioner. Motivational interviewing theory is based on the fact that individuals have within them their own reasons for changing. The role of practitioner is to bring out and reinforce these reasons. Motivational interviewing was to begin with, started in the field of addictive behavior change problem. It included health behaviors such as, tobacco use and diet and exercise. The ideology of motivational interviewing have been recently tested in the field of dentistry47. There is rising evidence that the patients individual manner is seen to be influential or even critical for the success of periodontal therapy. …show more content…

On the other hand, slight disease affects approximately 35% of the adult population48, 49, 50. Patients need to see the condition of their own mouth. At the initiation of every appointment, during data collection and tissue assessment, the patient should be provided a mirror to visualize with the clinician the evidence of periodontal disease, caries, gingival recession, tooth mobility, furcation involvement, etc. During periodontal probing, the patient should hear the pocket measurements as data is being recorded and collected. In a similar approach, during examination of the radiographs, the patient should be shown evidence of permanent bone loss, and contrast that to areas without bone loss. Relating the patient in the discovery process audibly and visually is a powerful tool to help patients take ownership in their own …show more content…

The ultrasonic scaler has a tip that vibrates in the ultrasonic frequency and effectively shakes and breaks the calculus off of the root surface. Part by its direct mechanical effect. Particularly by creation of a “cavitational effect” in which microscopic bubbles in the water irrigant around the tip are formed. They then implode to release energy. There is a wide range of different types of hand instruments that are designed for use either sub-gingivally or supra gingivally. They have a variety of tip shapes to enter all the different areas of the mouth. Principles of scaling include using a finger rest. It should be as close to the tooth being treated as possible. The cutting edge of the tip should be at an approximately 90° angle (the so-called “rake” angle), and always scaling in an apical-to-coronal

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