Motivational Interviewing As an Adjunct to Periodontal Therapy—A Systematic Review
Open accessAbstract
Aim Periodontal therapy is highly dependent on patient´s long-term adherence with regard to oral hygiene, diet and regular check-ups at the dentist. Motivational Interviewing (MI) is a client-centered, directive method for encouraging patients´ behavioral health change. Aim of this systematic review was to reveal the effects of MI as an adjunct to periodontal therapy. Methods Two databases PubMed and Web of Science were searched for randomized controlled clinical trials. Articles were included when using MI as an adjunct to periodontal therapy. Two authors independently coded the relevant articles. Results The search yielded 402 articles. After analysis and exclusion, in total 5 papers could be included. The quality of the articles ranged between 72-88%. The two independent raters showed a high inter-rater reliability (Cohens-Kappa= 0,89). In two studies MI showed a significant positive effect on BOP and PI. One study showed improvement of self-efficacy in interdental cleaning. Two studies showed no influence of MI on periodontal parameters of the patients. Conclusion The use of MI as an adjunct to periodontal therapy might have a positive influence on clinical periodontal parameters (plaque values, gingival and periodontal inflammation) and psychological factors related to oral hygiene (self-efficacy). Due to the low body of evidence further studies are needed. Future studies should include fidelity measures of the applicated MI, a high number of counsellors, several MI sessions, and long-term study follow-up to show potential effects.
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Therapeutic alliance is essential to the effectiveness of periodontal therapy; without continuous support and communication from dental professionals, therapy will not be effective over the short and long term.
“Therefore, therapeutic alliance is essential to the effectiveness of periodontal therapy. Without the continuous support and communication provided by dental professionals to the patient, the therapy will not be effective over the short and long term [36, 49, 50, 51].”
From Concordance and Clinical Outcomes Improvement Following Oral Hygiene Motivation: A Systematic Review and Report of the Workshop of the Italian Societies of Dental Hygiene (2024) · cites this paper as [36]
The Introduction (page not available) calls health-behavior communication a key element of periodontal therapy, and the Discussion’s “Counselor background” section says a good patient–examiner relationship is important for long-term adherence. The review does not establish that therapy is ineffective without continuous professional support and communication, particularly in both the short and long term. (LLM, conf=0.86)
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Günpınar, S., Ezer, Ü. G., Gönülay, S., Taşmektepligil, A. A., & Günpınar, E. (2025) · Clinical Oral Investigations · doi:10.1007/s00784-025-06476-1
Pappe, C. L., Bickmann, C. S., Woelber, J. P., Dommisch, H., & Adam, A. (2025) · Research Square · doi:10.21203/rs.3.rs-7779168/v1
Self-citationLanzetti, J., Ferrati, F., Crupi, A., Gibello, U., Roccuzzo, A., & Pera, F. (2026) · Clinical Oral Investigations · doi:10.1007/s00784-026-06867-y · Cited by 1 · see citing works
Nunes, M. D. N., Duarte, F. C. R., de Menezes, A. R. P., de Paula, J. S., Zina, L. G., & Chalub, L. L. F. H. (2026) · Revista de Odontopediatría Latinoamericana · doi:10.47990/b9r16366
Psychological and clinical factors in periodontal improvement in people with T2DM
Gutiérrez, M. G. S., Pérez-Peralta, L., Velázquez-Jurado, H., Grostieta-Dominguez, J. E., Arcila-Martínez, D., García-Ulloa, A. C., & Hernández-Jiménez, S. C. (2026) · Community Dental Health · doi:10.1177/0265539x261476631
Aravena, M. A. G., Coto, M. A., & Quesada, J. G. (2026) · Odovtos - International Journal of Dental Sciences · doi:10.15517/rrty0g89
Zeza, B., Shahinas, J., Cenameri, E., Spahiu, K., Mingomataj, D., Disha, V., & Isufaj, E. (2026) · Dentistry Journal · doi:10.3390/dj14100630
Castillo-Perez, L., Paulson, D. R., Reibel, Y. G., Evans, M. D., Seawell, C., & Arnett, M. C. (2026) · International Journal of Dental Hygiene · doi:10.1111/idh.70182
- Authors
- Kopp, S. L., Ramseier, C. A., Ratka-Krüger, P., & Woelber, J. P.
- Affiliations
- University of Freiburg (DE)
- University of Bern (CH)
- Corresponding author
- Kopp, Svenja L.
- Venue
- Frontiers in Psychology
- Publisher
- Frontiers Media SA
- Published
- 2017-02-28
- Volume
- 8
- Pages
- 279-279
- ISSN
- 1664-1078 (ISSN-L)
- PMC
- PMC5329060
- OpenAlex
- W2590573195
- Cited by
- 58
- References
- 54
- Citations by year
- 2026: 7 · 2025: 6 · 2024: 5 · 2023: 6 · 2022: 7 · 2021: 8 · 2020: 6 · 2019: 7 · 2018: 4 · 2017: 2
- FWCI
- 0.73
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Frontiers in Psychology (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Bern Open Repository and Information System (University of Bern) (submittedVersion, cc-by)
- FreiDok plus (Universitätsbibliothek Freiburg) (submittedVersion)
- Open Access CRIS of the University of Bern
- Funders
- Albert-Ludwigs-Universität Freiburg
- Deutsche Forschungsgemeinschaft
- Topics
- Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
- Health Sciences › Dentistry › Periodontics › Dental Health and Care Utilization
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Keywords
- motivational interviewing, periodontal treatment, patient adherence, oral hygiene habits, plaque index, bleeding on probing, self-efficacy, interdental cleaning, periodontal inflammation, behavior change
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