Minimum Intervention Oral Care (MIOC) - Overcoming Implementation Barriers: An International Expert Consensus
Makaleler > Tam Makale · 2026
Yazarlar: Falk Schwendicke, Avijit Banerjee, Sarah R. Baker, Martha Büttner, Laura Ceballos, Maximiliano S. Cenci, Sophie Doméjean, Margherita Fontana, Sevil Gurgan, Niek J.M. Opdam, Tamara Perić, Ruth M. Santamaría, Nicola Scotti, Livia M.A. Tenuta, Lezize Şebnem TÜRKÜN, Ivana Miletić
International Dental Journal, Uluslararası, Wos, 2026, cilt 76, ss 109532-109532
DOI: 10.1016/j.identj.2026.109532
Özet
OBJECTIVES: The minimum intervention oral health care (MIOC) delivery framework shifts restorative dentistry from a predominantly operative, procedure-centred model towards a person-focused, prevention-oriented and tooth-preserving approach. This international consensus aimed to develop agreed, evidence-informed recommendations to support uptake of MIOC. METHODS: A structured expert consensus process was conducted. Sixteen international experts participated in a structured in-person meeting and consented on fourteen recommendations, all with 100% agreement. RESULTS: Implementation of MIOC requires alignment of reimbursement systems, quality indicators, coding structures and digital infrastructures with preventive, diagnostic and active surveillance-based care pathways. Recommendations emphasise recognition and reimbursement of risk assessment and supportive care, integration of team-based delivery models, embedding MIOC competencies across undergraduate and postgraduate education, and ensuring that digital and AI technologies demonstrate person-centred benefit consistent with MIOC principles. CONCLUSIONS: The consensus provides a coordinated framework to support implementation and advance equitable, sustainable and prevention-oriented oral health care delivery globally.