View the Transtheoretical Model of Change in application to help a patient emerge from periodontal disease

1. Registered
Dental
Hygienist

2. Listener Motivator
Further
Assessment

3. Advocacy
With utilization of health behavior theories and
models, all healthcare educators and providers
can be an advocate for all patients and the
population as a whole.

4. Look at the person next to
you… Data from the
Centers for
Disease Control
and Prevention
indicate a high
prevalence of
periodontal
disease.

5. Nearly half of
the American
population
have
periodontal
disease!
Men (56.4%) vs Women (38.4%)
Mexican Americans (66.7%)
Current smokers (64.2%)
Those living below federal poverty
level (65.4%)
Less than a high school
education (66.9%)

7. DO YOU?

8. Bleeding gums
Red, swollen, sensitive gum
tissue
Gum tissue that pulls away
from the teeth
Bad breath/bad taste
Loose, separating teeth with a
different fit

9. According to Cambridge
University…
any behavior that
impacts a person’s
health status

10. Preparation
DataDocument
Manual
Input
Display

13. PRECONTEMPLATI
ONPredisposing factors may include:
* Lack of brushing and/or flossing
* Smoking
* Alcohol consumption
* Parafunctional habits including clenching/grinding
of the teeth
* Using the teeth to open bottles, bags, or other
objects
* Consumption of food or beverages high in sugar or
acidic quality

14. If your hands bled
when you washed
them, would you
be concerned?
How is it any
different for your
gum tissue when
you brush your
teeth?

15. CONTEMPLATION
Through a thorough examination including radiographs, periodontal probing
(which includes measurements of the attachment of the gum tissue to the
teeth), and visual examination, the dentist or dental hygienist can develop a
personalized treatment plan to help the patient develop healthier habits.

16. EDUCATION CAN BE
KEY

17. PREPARATIO
N
The average
cost of
periodontal
treatment with
locally
administered
antibiotic is
close to $2000,
not including
follow up
maintenance

18. ACTION
You’ve Got This!

19. REITERATE THE IMPORTANCE
• Discuss the importance of completing
periodontal treatment with local
antibiotic placement
• Develop a plan for daily reminders not
to pick up the cigarette pack or snuff
can
• Set reminders in the patient’s phone
to stick to dietary changes
• Discuss wearing a night guard every
night to help protect the patient from
the damaging effects of grinding his
or her teeth

20. MAINTENANC
E

21. It is important to remember that
the patient may bounce back and
forth between the stages of the
Transtheoretical Model of
Change. The health educator
should continuously be
supportive at all times!

22. • Health education is an effective tool in teaching prevention and basic
knowledge
• Personal behavior is an important risk factor in association with disease
and it can be a modifiable one
• Assistance of health behavior theory and models will allow our
population to be on the fast track to improved health opportunities and
promotion of a longer, healthier life

23. References
American Academy of Periodontology. (2012). CDC: Half of
American adults have periodontal disease. American Academy
of Periodontology. Retrieved from
https://www.perio.org/consumer/cdc-study.htm
Glanz, K., Rimer, B. K. & Viswanath, K. (2015). Health Behavior: Theory,
Research, and Practice (5th Ed.). San Francisco, CA: Jossey – Bass.
Sharma, S., Trivedi, H., Kumar Sharma, V. & Gupta, N. D. (2016).
Behavioral factors and periodontal diseases. European Journal
of Pharmaceutical and Medical Research, 3(7), p 207-213. Retrieved from
https://www.researchgate.net/publication/304782381_BEHA VIOR
AL_FACTORS_AND_PERIODONTAL_DISEASES
Stein, J. H. (2017). Periodontal disease and gum disease. Dr.
Jeffrey H. Stein, DDS, FAGD. Retrieved from
https://www.ejpmr.com/admin/assets/article_issue/14672759
72.pdfhttps://www.drjeffreystein.com/blog/periodontal-gum-
disease/