Minimum intervention oral care - incentivising preventive management of high-needs/high caries-risk patients using phased courses of treatment

Br Dent J. 2024 Mar;236(5):379-382. doi: 10.1038/s41415-024-7132-2. Epub 2024 Mar 8.

Abstract

This paper demonstrates how person-focused, prevention-based, risk/needs-related, team-delivered, minimum intervention oral care (MIOC) principles and approaches can be integrated into the dental profession for the delivery of environmentally sustainable, optimal care to high-needs and high caries-risk/susceptibility patients. It highlights the potential for NHS remuneration for prevention-based, phased, personalised care pathways/plans (PCPs) within a reformed NHS dental contract system. It emphasises the importance of comprehensive and longitudinal patient risk/susceptibility assessments, prevention and stabilisation of the oral environment before considering more complex, definitive restorative work. This paper forms the first of several components of a suite of educational/information materials needed to instil confidence and implementation protocols within primary care clinical oral health care teams delivering MIOC through phased PCPs, especially when managing patients with high needs and/or disease susceptibility.

MeSH terms

  • Delivery of Health Care
  • Dental Caries Susceptibility*
  • Dental Caries* / prevention & control
  • Humans
  • Motivation
  • Oral Health
  • Risk Assessment