THE EXPERT ADVICE
Cognitive behavioral therapy (CBT)—CBT
is a technique that focuses on adjusting thought
patterns which cause negative emotions and,
consequently, behavior. It first emerged in the
Table 2 COMPONENTS OF MI
1960s and differs from other therapeutic tech-
niques most notably in its simplicity. CBT doesn’t
different interventions. The authors noted the
poor quality of studies and high risk of bias. Clear-
ly, this is a field in desperate need of further study.
Two approaches that merit deeper discussion
are cognitive behavioral therapy and motivational
hood of participants’ adopting positive oral
hygiene behaviors. The most important of these
are the perceived benefits of a behavior and a
person’s self-efficacy. Additionally, models that
used goal setting, planning, and monitoring of
behavior were more effective than those using
ACTIONS HOW? EXAMPLES
Establish rapport by showing concern and
getting the patient to talk about his or her oral
Use open-ended questions What are your worst fears about your teeth? What are
the challenges you face in maintaining good oral health?
What are you unhappy with regarding your teeth?
Gingiva? If you could have one wish for your teeth,
what would it be?
Respond to the answers
the patient has offered
Reflective listening From what you’re saying, it seems to me that you would
like to . . .
Acknowledge the actions that the patient is
doing correctly; do not directly oppose exhibited
resistance; rather, invite new perspectives
Affirmation Many people tell me they don’t like to floss; you are not
alone. There are other tools you can use to accomplish
the same task. Take a look at these other aids I have, and
let me know which one you’d like to try.
Support the patient’s positive statements and
ideas; reinforce the material discussed
Summation So, I think we have created a great home-care
regimen for you. You will ...
for every patient
From Deep Clean to Post-Surgical
and everything in between
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