One-to-one dietary interventions undertaken in a dental setting to change dietary behaviour
Open accessAbstract
BACKGROUND: The dental care setting is an appropriate place to deliver dietary assessment and advice as part of patient management. However, we do not know whether this is effective in changing dietary behaviour. OBJECTIVES: To assess the effectiveness of one-to-one dietary interventions for all ages carried out in a dental care setting in changing dietary behaviour. The effectiveness of these interventions in the subsequent changing of oral and general health is also assessed. SEARCH METHODS: The following electronic databases were searched: the Cochrane Oral Health Group Trials Register (to 24 January 2012), the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library 2012, Issue 1), MEDLINE via OVID (1950 to 24 January 2012), EMBASE via OVID (1980 to 24 January 2012), CINAHL via EBSCO (1982 to 24 January 2012), PsycINFO via OVID (1967 to 24 January 2012), and Web of Science (1945 to 12 April 2011). We also undertook an electronic search of key conference proceedings (IADR and ORCA between 2000 and 13 July 2011). Reference lists of relevant articles, thesis publications (Dissertations Abstracts Online 1861 to 2011) were searched. The authors of eligible trials were contacted to identify any unpublished work. SELECTION CRITERIA: Randomised controlled trials assessing the effectiveness of one-to-one dietary interventions delivered in a dental care setting. DATA COLLECTION AND ANALYSIS: Abstract screening, eligibility screening and data extraction decisions were all carried out independently and in duplicate by two review authors. Consensus between the two opinions was achieved by discussion, or involvement of a third review author. MAIN RESULTS: Five studies met the criteria for inclusion in the review. Two of these were multi-intervention studies where the dietary intervention was one component of a wider programme of prevention, but where data on dietary behaviour change were reported. One of the single intervention studies was concerned with dental caries prevention. The other two concerned general health outcomes. There were no studies concerned with dietary change aimed at preventing tooth erosion. In four out of the five included studies a significant change in dietary behaviour was found for at least one of the primary outcome variables. AUTHORS' CONCLUSIONS: There is some evidence that one-to-one dietary interventions in the dental setting can change behaviour, although the evidence is greater for interventions aiming to change fruit/vegetable and alcohol consumption than for those aiming to change dietary sugar consumption. There is a need for more studies, particularly in the dental practice setting, as well as greater methodological rigour in the design, statistical analysis and reporting of such studies.
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The current individualistic, downstream preventive approach has failed to achieve significant population oral health gain or to effectively tackle inequalities.
“we also highlight the urgent need to change the individualistic, downstream preventive approach that currently dominates, but which has failed to achieve significant population oral health gain or to effectively tackle inequalities.”
From Ending the neglect of global oral health: time for radical action. (2019) · cites this paper as [74]
While topical fluorides are proven clinical preventive agents, caries will still develop in the presence of free sugars above 10% of total energy intake.
“While topical fluorides are proven clinical preventive agents, 69 caries will still develop in the presence of free sugars above 10% of total energy intake.70”
From Ending the neglect of global oral health: time for radical action. (2019) · cites this paper as [70]
This clinical approach to prevention has been unsuccessful at achieving long-term oral health gains or in tackling oral health inequalities.
“This clinical approach to prevention has been unsuccessful at achieving long-term oral health gains or in tackling oral health inequalities.[72][73][74]”
From Ending the neglect of global oral health: time for radical action. (2019) · cites this paper as [74]
National and international nutrition guidelines now advocate for population-wide reduction in free sugars consumption.
“Informed by comprehensive and detailed reviews of the international scientific evidence on the role of free sugars on weight gain and dental caries, 70,95 national and international nutrition guidelines now advocate for population-wide reduction in free sugars consumption.9,96,97”
From Ending the neglect of global oral health: time for radical action. (2019) · cites this paper as [70]
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MethodSurvey on patients’ attitude towards the nutritional counselling in the dental setting
Iriti, M., Spallino, G., Franchini, R., Rigoni, M., Muti, P., Lodi, G., Sardella, A., & Varoni, E. (2024) · BDJ Open · doi:10.1038/s41405-024-00229-0 · Cited by 4 · see citing works
“A Cochrane review suggested that one-to-one dietary interventions in dental clinics, to provide nutritional assessment and advice as part of patient management, can change behaviour [34].”
BackgroundAgrawal, S., Sathe, S., Paul, P., Doshi, K., Agrawal, A., & Rathi, N. (2023) · Cureus · doi:10.7759/cureus.47736 · Cited by 4
“Harris et al. [12] described that the dental environment has been suggested as a suitable place to conduct dietary evaluations and offer advice on nutritional habits.”
BackgroundLimited evidence available for the impact of school-based behavioural interventions on oral health
Richards, D. (2013) · Evidence-Based Dentistry · doi:10.1038/sj.ebd.6400929 · Cited by 4 · see citing works
Approaches to Oral Nutrition Health Risk Screening and Assessment
Touger-Decker, R. (2014) · Springer eBooks · doi:10.1007/978-1-60761-490-6_19 · Cited by 4 · see citing works
Vijaya, S., Rodrigues, A., Garg, M., Vijaya, S., Shetty, M. J., & Dhanania, S. (2024) · The Journal of Indian Prosthodontic Society · doi:10.4103/jips.jips_166_24 · Cited by 3 · see citing works
“[17] Moreover, numerous studies demonstrated that one‑on‑one dietary counseling along with dental care could influence the dietary habits of patients.”
Determinants of dietary behaviors among dental professionals: insights across educational levels
Tantimahanon, A., Sipiyaruk, K., & Tantipoj, C. (2024) · BMC Oral Health · doi:10.1186/s12903-024-04502-4 · Cited by 3
“Studies have revealed that eating disorders can have a significant impact on oral health [4–6].”
BackgroundKariesprävention bei Kleinkindern durch Ernährungsmaßnahmen
Schiffner, U. (2021) · Oralprophylaxe & Kinderzahnheilkunde · doi:10.1007/s44190-021-0005-3 · Cited by 3 · see citing works
Behavioral and Social Determinants of Oral Health in Children With Special Health Care Needs
Burgette, J. M., & Chi, D. L. (2021) · Pediatrics · doi:10.1542/peds.2021-050886 · Cited by 3 · see citing works
Interventions for increasing health promotion practices in dental healthcare settings
Talla, P. K., Gagnon, M., Dupéré, S., Bedos, C. P., Légaré, F., & Dawson, A. B. (2017) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd010955.pub2 · Cited by 2 · see citing works
Hussein, R., Schneller, T., & Walter, U. (2013) · Journal of public health · doi:10.1007/s10389-013-0566-7 · Cited by 2
“These included lifestyle advice, counselling, behavioural change, and educational materials (Harris et al. 2012).”
BackgroundParise-Vasco, J., Angamarca-Iguago, J., Cagua-Ordoñez, J., Cabrera, B., Gavilanes, D. J., Horowitz, R., Reytor-González, C., & Simancas-Racines, D. (2026) · International Journal of Molecular Sciences · doi:10.3390/ijms27052412 · Cited by 1 · see citing works
“A systematic review [125] of RCTs that evaluated dietary interventions delivered in dental care settings found some evidence of effectiveness, although the results were mixed.”
Lind, E., Suominen, A., Loimaranta, V., Pöllänen, M., & Laine, M. (2025) · Acta Odontologica Scandinavica · doi:10.2340/aos.v84.44568 · Cited by 1
“While altering dietary habits can be challenging, prior research [22, 35] has shown that dietary interventions conducted by dental personnel are an effective method for modifying patients’ dietary behaviour.”
Cunha-Cruz, J., Ko, L. K., Mancl, L. L., Rothen, M. L., Harter, C., Davis, S., & Koday, M. (2022) · JMIR Research Protocols · doi:10.2196/37200 · Cited by 1 · see citing works
“Unfortunately, the trials of one-on-one dietary counseling undertaken in dental settings have been neither promising nor rigorous [27].”
Farghaly, M. M., Keraa, K. M., & Badran, A. S. (2018) · Journal of preventive medicine and hygiene · doi:10.15167/2421-4248/jpmh2019.60.2.1098 · Cited by 3 · see citing works
“Similarly, diet has a direct, local effect on oral health, on the integrity of the teeth, and on the pH and composition of saliva and plaque [33].”
BackgroundCustodio-Lumsden, C. L. (2013) · doi:10.7916/d8t72qp9 · Cited by 1 · see citing works
Duan, X.-T., Yu, Y., Li, J., Zi, S.-H., Liu, X.-N., Wang, W.-H., Liu, Y., & Si, Y. (2027) · International Dental Journal · doi:10.1016/j.identj.2026.111282
Dietary Advice in Dental Practice for Young Adolescents to Prevent Dental Caries: A Scoping Review
Gunasinghe, K., Subramaniyan, R., Cheung, W., & Moynihan, P. (2026) · International Journal of Paediatric Dentistry · doi:10.1111/ipd.70133
“Several reviews have explored the involvement of oral health professionals in providing dietary advice in dental settings [15, 16].”
Yu, J.-L., Ji, Z., Jiang, R., Islam, R., Li, X., & Nie, E.-M. (2026) · Dental journal · doi:10.3390/dj14070460
Aktuelle Bewertung von Süßungsmitteln
Schiffner, U. (2023) · Oralprophylaxe & Kinderzahnheilkunde · doi:10.1007/s44190-023-0670-5
“Zwar gibt es über den Erfolg von Ernährungsempfehlungen im Zuge einer Präventionsberatung in der zahnärztlichen Praxis für den Endpunkt Kariesreduktion kaum belastbare Literatur [4, 5].”
BackgroundInfluentialCharacteristics of Nutrition in Adolescent Patients Undergoing Orthodontic Treatment
Tapeshkina, N. V., Tapeshkina, M. M., Erdeeva, S. V., & Korsakova, T. G. (2022) · ЗДОРОВЬЕ НАСЕЛЕНИЯ И СРЕДА ОБИТАНИЯ - ЗНиСО / PUBLIC HEALTH AND LIFE ENVIRONMENT · doi:10.35627/2219-5238/2022-30-11-40-46
Bryman, J., O'Callaghan, L., & Daghem, A. (2022) · British Dental Journal · doi:10.1038/s41415-022-5268-5
Suzuki, H., Komagamine, Y., Kanazawa, M., Iwaki, M., Doke, M., Mizuno, T., Sema, M., Okayasu, K., Miyazaki, Y., & Minakuchi, S. (2019) · doi:10.21203/rs.2.479/v1
“Indeed, the dental consultation room may be an ideal setting to provide advice on diet or exercise [39].”
BackgroundProposal of dental attention model for children with disabilities in Ecuador
Ebingena, V. C., Cristina, A. C. M., del Carmen, P. M. M., & Rafael, V. A. (2018) · Interventions in Pediatric Dentistry Open Access Journal · doi:10.32474/ipdoaj.2018.01.000125
Cunha-Cruz, J., Huebner, C., Ludwig, S., Conrad, D., Dysert, J., Mitchell, M., Allen, G., Shirtcliff, R. M., Spiekerman, C., Bailit, H., et al. (2018) · doi:10.2196/preprints.11178
“Other traditional dental services and activities that do not reduce tooth decay are discouraged, including dental prophylaxis [14], dietary counseling for sugar consumption [48], changes in oral hygiene behavior [49, 50] and biannual fluoride varnish applications [5154].”
BackgroundEvidence of dietary calcium and vitamin D inadequacies in a population of dental patients.
Pehowich, D., & Pehowich, E. (2016) · Journal of Evidence-Based Dental Practice · doi:10.1016/j.jebdp.2016.07.005
Caries associated with orthodontic care part 1: aetiology, prevalence and prevention
Vanat, M., Hyde, A. C., & Deery, C. (2016) · Orthodontic Update · doi:10.12968/ortu.2016.9.3.82
Odontoiatria e nutraceutica: applicazioni cliniche
Varoni, E., & Iriti, M. (2014) · Dental Cadmos · doi:10.1016/s0011-8524(14)70161-8
- Authors
- Harris, R., Gamboa, A., Dailey, Y., & Ashcroft, A.
- Affiliations
- University of Liverpool (GB)
- Queen Mary University of London, Barts & The London School of Medicine and Dentistry; Centre for Clinical and Diagnostic Oral Sciences, Institute of Dentistry; Turner Street Whitechapel London UK E1 2AD
- NHS Western Cheshire; Public Health Department; 1829 Building, Countess of Chester Business Park Liverpool Road Chester UK CH2 1HJ
- Venue
- Cochrane Database of Systematic Reviews
- Publisher
- Wiley
- Published
- 2012-03-14
- Volume
- 2012
- Issue
- 5
- Pages
- CD006540-CD006540
- ISSN
- 1361-6137 (ISSN-L)
- 1465-1858
- PMC
- PMC6464965
- OpenAlex
- W1715409495
- Cited by
- 120
- References
- 0
- Citations by year
- 2026: 4 · 2025: 5 · 2024: 9 · 2023: 6 · 2022: 10 · 2021: 9 · 2020: 11 · 2019: 10 · 2018: 12 · 2017: 10 · 2016: 9 · 2015: 7 · 2014: 8 · 2013: 7 · 2012: 2
- FWCI
- 1.53
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Cochrane Database of Systematic Reviews (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Explore Bristol Research (submittedVersion)
- Topics
- Health Sciences › Dentistry › Periodontics › Dental Health and Care Utilization
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Keywords
- dietary behavior change, dental caries prevention, oral health, dietary recommendations, oral health promotion, prevention programmes, children and adolescents, adults, older adults, pregnant women, people with disabilities
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Alcohol Drinking, Carbonated Beverages, Child, Dental Care, Dental Caries, Dietary Carbohydrates, Feeding Behavior, Fruit, Humans, Middle Aged, Oral Hygiene, Vegetables, Randomized Controlled Trials as Topic
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