Dissemination and Implementation Science for Oral Health: Why not consider de-implementation of low-value care to target oral health equity?

Bomfim, Rafael Aiello; Arriola-Pacheco, Fabio

doi:10.1177/0265539x251355214

Cited by 4Healthcare cost, quality, practicesHealth Policy Implementation ScienceHealth Sciences Research and Education

Dissemination and Implementation Science for Oral Health: Why not consider de-implementation of low-value care to target oral health equity?

Bomfim, Rafael Aiello, Arriola-Pacheco, Fabio·2025·Community Dental Health

DOI 10.1177/0265539x251355214

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Abstract

Dissemination and implementation sciences provide oral health professionals with an opportunity to understand which determinants promote the adoption of evidence-based innovations and interventions. Within this dynamic field, de-implementation provides the other side of the coin, that is, finding the ways to halt or modify practices that may be harmful to patients, do not hold sufficient scientific backing, or are simply not cost-efficient; conjointly known as low-value care. Scrutinizing low-value care procedures in oral health is essential, as identifying such practices creates opportunities to replace, update, or enhance them with approaches that offer greater benefits to patients, practitioners, and healthcare systems. Effective de-implementation begins with a clear understanding of which low-value practices persist. Only then can we conceptualize strategies to overcome barriers and promote more efficient, evidence-based care within the field. Furthermore, de-implementation can serve as a way to target oral health equity, as shifting away from low value care practices can lead to the better use of human and economic resources in those places where it is needed most. This commentary serves as a conceptualization of de-implementation within oral health, as well as, an invitation for the broader community to reflect on the importance of adequately mobilizing towards the delivery of more equitable care using the vigorous elements that dissemination and implementation science…

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Implementation science has gradually entered oral health, contributing to guideline uptake, behavioral interventions, and deimplementation of low-value care.
“Implementation science has gradually entered the field of oral health, with important contributions to the adoption of clinical guidelines and recent debates on the deimplementation of low-value care.”
From New Frontiers for Implementation Science in Oral Health: Digital and Equity-Driven Pathways (2026) · cites this paper as Bomfim and Arriola-Pacheco 2025

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Authors: Bomfim, R. A., & Arriola-Pacheco, F.
Affiliations: Universidade Federal de Mato Grosso do Sul (BR)
Dental Public Health Discipline, Faculty of Dentistry, University of Toronto, ON, Canada
Corresponding author: Bomfim, Rafael Aiello
ORCID: Bomfim, Rafael Aiello
Venue: Community Dental Health
Publisher: SAGE Publications
Published: 2025-06-26
Volume: 42
Issue: 3
Pages: 83-89
ISSN: 0265-539X (ISSN-L)
2515-1746
DOI: 10.1177/0265539x251355214
OpenAlex: W4411667461
Cited by: 2
References: 39
Citations by year: 2026: 2
FWCI: 2.54
Type: journal article
Language: en
Open access: closed
Licence: journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations: Community Dental Health (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Health Professions › General Health Professions › Healthcare cost, quality, practices
Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
Health Sciences › Health Professions › General Health Professions › Health Sciences Research and Education
Keywords: de-implementation, low-value care, oral health equity, dissemination and implementation research, evidence-based practice, oral care, barriers to care, healthcare resource allocation
MeSH terms: Health Equity, Implementation Science, Dental Care, Humans, Oral Health, Evidence-Based Dentistry

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Dissemination and Implementation Science for Oral Health: Why not consider de-implementation of low-value care to target oral health equity?

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