Patients may have the notion that gum disease isn’t a condition to lose sleep over. “It’s just gingivitis” or “Gingivitis is reversible, so nothing is really wrong,” some may think. Other patients may be totally unaware they have an oral health problem.

Yet, as we all know, gingivitis is a sign of compromised oral health, which requires an improvement in oral hygiene to prevent its possible progression into periodontitis. The challenges of patient motivation are clear. So, how can we increase patient compliance and convince patients that prevention is important? How can we ensure patients leave the clinic empowered to combat gum disease?

The Prevalence of Periodontal Disease

Periodontal disease is an important consideration in every dental practice.

• Gingivitis: A majority of children worldwide present signs of gingivitis, according to the World Health Organization.
• Periodontitis: 13% of the German population is thought to suffer from severe periodontitis¹ , while the Platform for Better Oral Health in Europe notes that over 50 percent of the European population suffers from some form of periodontitis.

Increase Patient Compliance Through Education

Patients with gingivitis

Education is of course critical for convincing patients to follow home care instructions for better gum health. They may not know that gingivitis is not just bleeding gums, but rather the start of a progressive disease process. It’s important to clearly explain the risks and realities of their situation, while remaining positive. For example, for a patient with gingivitis, you can explain that their gum problems can be halted, reversed and prevented from reoccurring if they improve oral care. You can stress it is important they act now, as gingivitis can worsen to become periodontitis, which is a much more serious and irreversible condition.

You can consider meridol® toothpaste for your patients with gingivitis. meridol® employs a unique technology with amine fluoride and stannous ions, which has been shown to provide long-lasting antibacterial activity.²

Patients with periodontitis

For patients with periodontitis, you should explain that it’s a chronic condition that requires regular follow-up and collaborative care between the dentist and patient. They should understand that periodontitis is a disease process which can progressively destroy bone and therefore lead to tooth loss. Explain that halting the disease requires specific treatment and maintenance by a dentist, as well as lasting improvement to their oral hygiene routine. Stress that you need to work as a team to beat the disease and they need to take their share of responsibility.

You can also refer them to additional resources on periodontitis. For example, according to Harvard University Medical School, periodontitis may be associated with an increased risk for cardiovascular disease, chronic respiratory conditions and pregnancy complications. Severe periodontitis can lead to increases in blood sugar levels, endangering diabetics and putting healthy people at a higher risk for diabetes, notes the British Society of Periodontology.

Drawing on analogies with other diseases may help patients see the necessity to take more responsibility. Much in the same way that a patient with diabetes checks their blood sugar at home, a patient with periodontitis must maintain a vigilant home care routine. Just as a patient with diabetes would also receive regular blood tests to check for certain markers, patients with periodontitis require regular appointments to eliminate calculus and bacteria. Framing scaling and root planing as necessary treatment and not “just a cleaning” can transform the way you and your patients discuss periodontal health.

Empower Patients

The second step toward increased patient compliance is patient empowerment. Once they’re armed with the knowledge that periodontitis is a chronic medical condition, patients require the tools to consistently combat this disease.

meridol® PARODONT EXPERT toothpaste is suitable for your patients with periodontitis. For example, the distinct taste of meridol® PARODONT EXPERT can help empower and motivate your patients and therefore help with compliance.

In addition, meridol® PARODONT EXPERT has shown the following results in clinical studies:

• Thorough plaque removal: reduces plaque by more than 50% after 3 months³
• Superior and long-lasting antibacterial efficacy⁴
• An indirect anti-inflammatory effect to support the natural healing of the gums^{3, 4}
• Help in controlling biofilm regrowth between dental visits.⁵

meridol® PARODONT EXPERT has a dual-active formula with a higher⁶ concentration of antibacterial ingredients:

• Stannous Ions (Sn2+) provide a high antibacterial effect
• Amine Fluoride (AmF) stabilises the stannous ions and transports them directly to the gumline
• Caprylyl Glycol and Phenylpropanol boost the antibacterial effect.

Halitosis can also be a motivational topic

Many patients with gingivitis and periodontitis experience halitosis and can benefit from a discussion about how improving their oral care could reverse this symptom. Improving bad breath may be more motivating than improved gum health for some patients and may help them remember your instructions.

Review the Basics

Finally, you can discuss brushing and flossing techniques with your patients at every visit — even if they insist they already know how! By making oral hygiene education a routine procedure during appointments, you can make hygiene education a judgment-free step of every dental visit.

There is a lot patients can do to improve their oral health and reduce their risk for chronic periodontal disease. However, we as dental professionals must continue to collaborate with patients to educate and empower them at every step. Better gum health is possible!

¹Deutsche Mundgesundheitsstudie (DMS) V, 2016.
²Grelle F, et al. DG PARO 2014, P-001
³After 3 months vs. baseline. Lorenz K, et al. Poster presented at DG PARO 2016 in Münster, Germany; P27.
⁴Vs. sodium bicarbonate containing technologie (1400 ppm F-). Müller-Breitenkamp F, et al. Poster presented at DG PARO 2017 in Münster, Germany; P-35.
⁵Recommendation for periodontitis patients – dental visits every 3 months.
⁶Vs. meridol® toothpaste.