Use consistent, friendly and encouraging instruction
Raise awareness about gingivitis and periodontitis and discuss consequences of poor oral care habits
Discuss risk of tooth loss and inform about peri-implantitis and its cost
Gently recommend change of habits to improve compliance and avoid tooth loss
Inform that inappropriate interdental cleaning and traumatic tooth brushing are common non-compliant behaviors
Traumatic tooth brushing can lead to damage of dental or periodontal tissue and cause gingival recession, dentine hypersensitivity, plaque accumulation, development of caries and/or non-carious cervical lesions, endodontic complications, gingival inflammation and periodontal attachment loss
Inappropriate interdental cleaning can lead to dental decay and gingivitis/periodontitis. Always remind patients that a toothbrush alone cannot reach all tooth surfaces, making interdental cleaning essential.
Complete or review patient screener - has something changed?
Discuss to uncover patients’ lifestyle risk factors & possible co-morbidities in order to provide differential recommendations
Remind about oral hygiene best practices, nutrition and frequency of visits to maintain to oral health and protect overall health
Provide friendly tips and tricks on how to form good habits. Reinforce 2-minute brushing twice daily using appropriate modified Bass technique and the use of appropriate tools. Recommend daily interdental cleaning and explain it helps to clean where your toothbrush cannot
Budget permitting, recommend oral care approaches that increase compliance
Power brushes are likely significantly more effective for the low compliant population (budget permitting)
Give preference to interdental brushes/rubber interdental cleaners due to ease of use, ideal for the non-compliant.
Remind frequency of visits and schedule regular dental check-ups and cleanings