CHAPTER 8 PATIENT COMPLIANCE AND BEHAVIOR MODIFICATION Definition : Patient compliance means the patient following instructions of the

dentist. Non-Compliance means the patient not following instructions of dentist e.g., not taking medicines, not maintaining oral hygiene. Non- compliance problems in Dentistry: Implants : The implants can fail if the patient doesnt follow the instructions of the dentist 1-Eg. After placing implant, the patient is told not to chew on the immediately placed tooth. 2-The patient is told to maintain a soft diet for two weeks. Orthodontics: The orthodontic treatment might fail if: 1-The patient does not use the retainer or head gear correctly. 2- The patient does not wear it for the required amount of time. Periodontics: Periodontal treatment will fail if : 1-The patient does not maintain good oral hygiene, after the treatment. 2- Does not come regularly for recall appointments.

Factors affecting patient compliance: 12345Poor communication by the dentist Forgetfulness of the patient Psychological factors as depression Knowledge and belief about the disease. Patient readiness for treatment.

How to improve patient compliance: 1- Assess the patient. By understanding the patients medical and dental history, a dentist can know the ways to ensure good patient compliance. 2- Improve communication with the patient : Explain the instructions clearly Let him ask questions 3- Educate the patient: Let him know the effects of non-compliance. 4- Motivate the patient: To increase his motivation, tell him that he is going to be assessed in the next appointment. Also use positive reinforcement to motivate him.