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Minimum intervention oral care: incentivising preventive management of high-needs/high caries-risk patients using phased courses of treatment
Journal article   Peer reviewed

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

Avijit Banerjee, Zain Hameed, M. Ali Chohan, Kish Patel, Jin J. Vaghela, Fahad Sheikh, Nick Barker, Pritesh Shah and Divyash Patel
Primary dental journal, v 14(1), pp 112-116
13 May 2025
DOI: https://doi.org/10.1177/20501684251327614
url
https://doi.org/10.1177/20501684251327614View
Published, Version of Record (VoR) Open

Abstract

phased courses of treatment Minimum intervention oral care caries
This paper demonstrates how person-focused, prevention-based, risk/needs-related, team-delivered, minimum intervention oral care (MIOC) best 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.

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