Minimally invasive dentistry: Enhancing oral health related behaviour through behaviour change techniques

Provides an overview of the importance of behaviour change for minimally invasive dentistry. Outlines a model for delivering interventions to improve oral health related behaviour. Highlights the importance of the following three steps creating capability, motivation and providing opportunity in behaviour change.


Enhancing patients' oral health related behaviour is a critical component of the preventive approach which is central to the practice of minimally invasive dentistry. The first step in the process of behaviour change is creating capability to change behaviour through the provision of information and guidance. The second step involves enhancing the motivation to change through emphasising the benefits of behaviour change and emphasising the individual patients' susceptibility or risk of oral disease. The third step seeks to put motivation into action through creating opportunities to practice oral health behaviour. Planning interventions are one approach to achieving this. This article outlines the techniques for carrying out these steps in practice.

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  1. 1

    Banerjee A, Watson T F . Pickard's guide to minimally invasive operative dentistry. 10th edn. Oxford: Oxford University Press, 2015.

    Google Scholar 

  2. 2

    Public Health England. Delivering better oral health. 3rd edn. London: Department of Health, 2014.

  3. 3

    Michie S, West R . Behaviour change theory and evidence: A presentation to government. Health Psychol Rev 2012; 7: 1–22.

    Article  Google Scholar 

  4. 4

    Michie S, van Stralen M, West R . The behaviour change wheel: A new method for characterising and designing behaviour change interventions. Implement Sci 2011; 6: 42.

    Article  Google Scholar 

  5. 5

    French S D, Green S E, O'Connor D A et al. Developing theory-informed behaviour change interventions to implement evidence into practice: A systematic approach using the theoretical domains framework. Implement Sci 2012; 7: 38.

    Article  Google Scholar 

  6. 6

    Michie S, Richardson M, Johnston M et al. The behaviour change technique taxonomy (v1) of 93 hierarchically clustered techniques: Building an international consensus for the reporting of behaviour change interventions. Ann Behav Med 2013; 46: 81–95.

    Article  Google Scholar 

  7. 7

    Misra S, Daly B, Dunne S, Millar B, Packer M, Asimakopoulou K . What do patients and dentists remember following a consultation? An exploratory study. Patience Prefer Adherence 2013: 7: 543–549.

    Google Scholar 

  8. 8

    Ley P . Communicating with patients. London: Chapman and Hall Press, 1992.

    Google Scholar 

  9. 9

    Newton J T, Asimakopoulou K . Managing oral hygiene as a risk factor for periodontal disease: A systematic review of psychological approaches to behaviour change for improved plaque control in periodontal management. J Clin Periodontol 2015; 42: S36–S46.

    Article  Google Scholar 

  10. 10

    Lench H C, Levine L J . Effects of fear on risk and control judgements and memory: implications for health promotion messages. Cognition and Emotion 2005; 19: 1049–1069.

    Article  Google Scholar 

  11. 11

    Asimakopoulou K, Newton J T, Daly B, Kutzer Y, Ide M . The effects of providing periodontal disease risk information on psychological outcomesa randomized controlled trial. J Clin Periodontol 2015; 42: 350–355.

    Article  Google Scholar 

  12. 12

    Gollwitzer P M, Sheeran P . Implementation intentions and goal achievement: A meta-analysis of effects and processes. Adv Exp Soc Psych 2006; 38: 69–119.

    Article  Google Scholar 

  13. 13

    Schüz B, Sniehotta F F, Wioedemann A, Seemann R . Adherence to a daily flossing regimen in university students: effects of planning when, where, how and what to do in the face of barriers. J Clin Periodontol 2006; 33: 612–619.

    Article  Google Scholar 

  14. 14

    Sniehotta F F, Araujo Soares V . Dombrowski S U. Randomized controlled trial of a one-minute intervention changing oral self-care behaviour. J Dent Res 2007; 86: 641–645.

    Article  Google Scholar 

  15. 15

    Asimakopoulou K, Nolan M, McCarthy C, Newton J T . Risk communication improves periodontal outcomes; a randomised trial. ISRCTN59696243. In press.

  16. 16

    Suresh R, Jones K, Newton J T, Asimakopoulou K . An exploratory study into whether self-monitoring improves adherence to daily flossing among dental patients. J Public Health Dent 2012; 72: 1–7.

    Article  Google Scholar 

  17. 17

    Kwasnicka D, Dombrowski S U, White M, Sniehotta F . Theoretical explanations for maintenance of behaviour change: a systematic review of behaviour theories. Health Psychol Rev 2016, 10.1080/17437199.2016.1151372.

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Newton, J., Asimakopoulou, K. Minimally invasive dentistry: Enhancing oral health related behaviour through behaviour change techniques. Br Dent J 223, 147–150 (2017).

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