Evidence map›Paper›PMID 41933544›Full record

ArticleInternational dental journal2026

Minimum Intervention Oral Care (MIOC) - Overcoming Implementation Barriers: An International Expert Consensus.

Falk Schwendicke, Avijit Banerjee, Sarah R Baker, Martha Büttner, Laura Ceballos, Maximiliano S Cenci, Sophie Doméjean, Margherita Fontana, Sevil Gurgan, Niek J M Opdam and 6 more

Abstract readConsensus Statement
PubMed Full text at PMC Publisher
In one paragraph

Article in International dental journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Falk SchwendickeDepartment of Conservative Dentistry, Periodontology and Digital Dentistry, LMU University Hospital, Munich, Germany. Electronic address: falk.schwendicke@med.uni-muenchen.de.
Avijit BanerjeeResearch Centre of Oral Clinical Translational Sciences, Department of Conservative & MI Dentistry, Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, London, UK.
Sarah R BakerInstitute of Rural and Coastal Health, College of Health and Science, University of Lincoln, Lincoln, UK.
Martha BüttnerDepartment of Conservative Dentistry, Periodontology and Digital Dentistry, LMU University Hospital, Munich, Germany; Dampsoft GmbH, Damp, Germany; Department of Nursing and Stomatology, Health Sciences Faculty, Rey Juan Carlos University, Alcorcón, Madrid, Spain.
Laura CeballosDepartment of Dentistry, Research Institute for Medical Innovations, Radboud University Medical Center, Nijmegen, The Netherlands.
Maximiliano S CenciDepartment of Dentistry, Research Institute for Medical Innovations, Radboud University Medical Center, Nijmegen, The Netherlands.
Sophie DoméjeanDepartment of Restorative Dentistry and Endodontics, Clermont-Ferrand, France; Estaing Hospital Clermont-Ferrand, Dental Service, Clermont-Ferrand, France.
Margherita FontanaDepartment of Cariology, Restorative Sciences and Endodontics, University of Michigan, Ann Arbor, Michigan, USA.
Sevil GurganDepartment of Restorative Dentistry, Faculty of Dentistry, Hacettepe University, Ankara, Turkey.
Niek J M OpdamDepartment of Dentistry, Radboud University Medical Centre, Nijmegen, The Netherlands.
Tamara PerićClinic of Pediatric and Preventive Dentistry, School of Dental Medicine, University of Belgrade, Belgrade, Serbia.
Ruth M SantamaríaDepartment of Pediatric Dentistry, Medical University of Greifswald, Greifswald, Germany.
Nicola ScottiDepartment of Surgical Sciences, Dental School Lingotto, University of Turin, Turin, Italy.
Livia M A TenutaDepartment of Cariology, Restorative Sciences and Endodontics, University of Michigan, Ann Arbor, Michigan, USA.
Lezize Sebnem TurkunDepartment of Restorative Dentistry, Ege University, Izmir, Turkey.
Ivana MiletićDepartment of Endodontics and Restorative Dentistry, School of Dental Medicine, University of Zagreb, Zagreb, Croatia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe 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.

methodsA 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.

resultsImplementation 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.

conclusionsThe consensus provides a coordinated framework to support implementation and advance equitable, sustainable and prevention-oriented oral health care delivery globally.

Indexed as

Dental CareDelivery of Health CareDental CariesHumansOral HealthCariesHealth policyMinimum intervention dentistryPreventionRemunerationSustainable dentistry

Identifiers

PMID41933544
PMCPMC13068823

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.