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Adjunctive Diode Laser Therapy and Probiotic Lactobacillus Therapy in the Treatment of Periodontitis and Peri-Implant Disease

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How to Guide Patients Suffering From Periodontitis Towards Behavioural Change: A Systematic Review.

Amandine Quemeneur^1,2,3, Léna Jouan^1,2, Hervé Boutigny-Vella^1,2

¹Faculty of Dentistry, University of Bretagne Occidentale, UBO, Brest, France.

|April 21, 2026

Summary

Multi-session motivational interventions show promise for improving patient plaque control and oral hygiene behaviors. Further research is needed to confirm these positive effects on periodontitis management.

Keywords:

behavioural change motivation oral hygiene periodontitis self care systematic review

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Area of Science:

Periodontology
Behavioral Science
Public Health

Background:

Periodontitis management requires effective patient motivation for plaque control.
Behavioral interventions are crucial for long-term oral health outcomes.
Systematic reviews are essential for evaluating intervention efficacy.

Purpose of the Study:

To systematically review interventions aimed at improving patient plaque control.
To assess the impact of interventions on periodontitis stabilization.
To evaluate patient-reported behavioral changes following interventions.

Main Methods:

Systematic review adhering to PRISMA guidelines.
Inclusion of randomized controlled trials in adults with periodontitis.
Independent data extraction and risk-of-bias assessment by two reviewers.

Main Results:

Multi-session behavioral interventions, including tailored education and self-care models, improved plaque control and periodontal parameters.
Motivational Interviewing showed positive trends but lacked statistical significance.
Evidence quality was generally low-to-moderate, indicating a need for more robust studies.

Conclusions:

Multi-session motivational interventions appear beneficial for guiding patient behavioral changes in oral hygiene.
Larger, longer-term studies are required to validate these findings and confirm efficacy in periodontitis management.