PERIODONTAL DISEASE. PATIENT’S MOTIVATION AND ADDITIONAL TREATMENT
Periodontal diseases – gingivitis and periodontitis – are inflammatory conditions affecting the tissues surrounding the teeth which include gums, periodontal ligament, alveolar bone and tooth root cementum. Untreated gingivitis progresses to periodontitis which can lead to alveolar bone destruction and tooth loss. These consequences are associated with reduced quality of life, disability and social inequality, therefore prevention and treatment of periodontal diseases are very important. A key component of preventing periodontal diseases is oral hygiene which depends on a person’s motivation. It can be improved by individualized risk communication that increases awareness of the disease and belief in treatment effectiveness as well as determination to adhere to treatment instructions. Positive effect is also noticed after motivational interviewing in which a patient talks himself into change and the counsellor helps him to do so. Conservative treatment of periodontitis consists of professional oral hygiene, however to improve the results of the classic periodontal treatment, some alternative therapies such as probiotics, application hyaluronic acid and dietary supplements have been suggested.