Adherence in Dental Settings
Abstract
Adherence is of central importance to promoting positive oral health behaviours. Understanding the processes involved in behaviour change and how change may be sustained is essential to support patients to change their behaviour successfully. We review the concept of adherence, the oral health behaviours of interest to the dental team and how change around these behaviours is currently managed. Theoretical models of behaviour change are reviewed and their possible implications for every day practice described.
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Goal setting, planning and self-monitoring are successful methods in promoting behavioural change in oral health, especially in patients with periodontitis, and are beneficial in the long run.
“Goal setting, planning and self-monitoring are successful methods in promoting behavioural change in oral health, especially in patients with periodontitis. This approach is also beneficial in the long run as it encourages adherence to oral hygiene practices, particularly regarding interproximal surfaces and the reduction of plaque and bleeding scores [52–54].”
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The contributions of behaviour change science towards dental public health practice: a new paradigm
Asimakopoulou, K., & Newton, J. T. (2015) · Community Dentistry and Oral Epidemiology · doi:10.1111/cdoe.12131 · Cited by 74 · see citing works
“While some authors (4) have outlined the evidence in favour of social cognition models in dental practice, critics have advised against an ‘one size fits all’ approach (5) and have argued that individual behaviours need to be tackled by different models, depending on the complexity of the behaviour.”
BackgroundSelf-citationAsimakopoulou, K., Newton, J. T., Daly, B., Kutzer, Y., & Ide, M. (2015) · Journal of Clinical Periodontology · doi:10.1111/jcpe.12377 · Cited by 59 · see citing works
“Whilst knowledge and manual dexterity may be addressed in the dental surgery fairly easily, supporting patients’ motivation to adhere with oral health instructions can be less straightforward (Asimakopoulou and Daly, 2009, Renz and Newton, 2009, Asimakopoulou and Newton, 2014).”
BackgroundSelf-citationFactors affecting patients' adherence to orthodontic appointments
Bukhari, O. M., Sohrabi, K., & Tavares, M. A. (2016) · American Journal of Orthodontics and Dentofacial Orthopedics · doi:10.1016/j.ajodo.2015.07.040 · Cited by 44 · see citing works
“Achallenging task facing a dental team is supporting patients in changing their oral health behaviors and maintaining those changes.(1) According to the American Association of Orthodontists, because orthodontic treatment is seldom finished rapidly, the assumption would be that patients who want good-looking smiles an…”
BackgroundAljabaa, A., McDonald, F., & Newton, T. (2014) · The Angle Orthodontist · doi:10.2319/031214-184.1 · Cited by 30 · see citing works
“Adherence is defined as the extent to which a person’s behavior, such as taking medication, following a diet, and/or executing lifestyle changes, corresponds with recommendations the person has agreed to with a healthcare provider.(3) It also implies that people freely choose to undertake behavioral plans, have input…”
BackgroundInfluentialKitsaras, G., Asimakopoulou, K. G., Henshaw, M., & Borrelli, B. (2023) · Community Dentistry And Oral Epidemiology · doi:10.1111/cdoe.12817 · Cited by 28 · see citing works
Self-citationOral Health Knowledge, Attitudes, and Perceptions of Pregnant Kuwaiti Women
Khamis, S. A., Asimakopoulou, K., Newton, J., & Daly, B. (2016) · JDR Clinical & Translational Research · doi:10.1177/2380084416665075 · Cited by 13 · see citing works
“Although they are sound theoretically, when applied to oral health behaviors, they explain rather moderate variance in people’s oral health practices (Asimakopoulou and Daly 2009; Renz and Newton 2009; Asimakopoulou and Newton 2014).”
BackgroundSelf-citationKhamis, S. A., Asimakopoulou, K., Newton, T., & Daly, B. (2017) · Community Dentistry and Oral Epidemiology · doi:10.1111/cdoe.12311 · Cited by 19 · see citing works
Self-citationAbbinante, A., Antonacci, A., Antonioni, M., Butera, A., Castaldi, M., Cotellessa, S., Di Marco, C., Gangale, M., Izzetti, R., Luperini, M., et al. (2024) · International Journal of Dentistry · doi:10.1155/2024/8592336 · Cited by 15 · see citing works
Zadik, Y., Jeffet, U., & Levin, L. (2010) · Military Medicine · doi:10.7205/milmed-d-10-00150 · Cited by 12 · see citing works
Understanding behaviour change to promote regular dental attendance
Holloway, J. (2021) · Primary Dental Journal · doi:10.1177/20501684211029424 · Cited by 11 · see citing works
Aljabaa, A., McDonald, F., & Newton, J. T. (2016) · JDR Clinical & Translational Research · doi:10.1177/2380084415627130 · Cited by 5 · see citing works
“Patient adherence to the recommendations of health care providers remains a significant problem, which has implications for the outcome of treatment and is potentially costly (Asimakopoulou and Daly 2009).”
BackgroundInfluentialKristensen, C. B., Ide, M., Forbes, A., & Asimakopoulou, K. G. (2022) · Frontiers in Oral Health · doi:10.3389/froh.2022.1068905 · Cited by 8 · see citing works
“Furthermore, there is often a need to validate selfreported oral health against formal clinical assessment because of the discrepancy between self-reported oral health and periodontal disease (55, 56).”
BackgroundMethodSelf-citationPrevention of Disease and the Absent Body: A Phenomenological Approach to Periodontitis
Rakhra, D., & Grīnfelde, M. (2023) · The Journal of Medicine and Philosophy A Forum for Bioethics and Philosophy of Medicine · doi:10.1093/jmp/jhad015 · Cited by 3 · see citing works
de Oliveira, M. C., da Cunha, I. P., Cortellazzi, K. L., et al. (2025) · Brazilian journal of oral sciences/Brazilian Journal of Oral Sciences · doi:10.20396/bjos.v24i00.8668221 · Cited by 1 · see citing works
“The intention of adhering to professional guidelines is to build behavior that leads to the self-care necessary for maintaining one’s health 2 .”
Patient adherence in orthodontics: a protocol for a scoping review
van der Bie, R. M., Bos, A., Bruers, J. J. M., et al. (2024) · BDJ Open · doi:10.1038/s41405-024-00249-w · Cited by 1 · see citing works
“Since both the terms ‘ adherence ’ and ‘ compliance ’ are commonly used in dentistry [9] these terms will be used interchangeably in this review.”
Costa, P. A., Conti, A. C. D. C. F., de Almeida‐Pedrin, R. R., et al. (2020) · Research Society and Development · doi:10.33448/rsd-v9i10.8844 · Cited by 1 · see citing works
Matching Perception with Reality: How Patients Develop Perceptions of Treatment
Newton, T. (2015) · Primary Dental Journal · doi:10.1177/205016841500400118
Compliance in orthodontics: a protocol for a scoping reviewPreprint
van der Bie, R. M., Bos, A., Bruers, J. J. M., & Jonkman, R. E. G. (2022) · Research Square · doi:10.21203/rs.3.rs-1358006/v1
Razak, A. R. A., Batchelor, P., & Tsakos, G. (2026) · British Dental Journal · doi:10.1038/s41415-026-9808-2
- Authors
- Asimakopoulou, K., & Daly, B.
- Affiliations
- King's College London (GB)
- Venue
- Dental Update
- Publisher
- Mark Allen Group
- Published
- 2009-12-02
- Volume
- 36
- Issue
- 10
- Pages
- 626-630
- ISSN
- 0305-5000 (ISSN-L)
- 2515-589X
- OpenAlex
- W168310488
- Cited by
- 19
- References
- 0
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 2 · 2023: 2 · 2022: 2 · 2021: 1 · 2020: 1 · 2017: 1 · 2016: 3 · 2015: 2 · 2014: 2
- FWCI
- 0.39
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Dental Update (publishedVersion)
- PubMed (publishedVersion)
- Research Portal (King's College London) (submittedVersion)
- Topics
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Health Sciences › Dentistry › Periodontics › Dental Health and Care Utilization
- Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
- Keywords
- medication adherence, oral health behavior, behavior change, behaviour change theory, patient motivation, dental practice, behavior maintenance
- MeSH terms
- Attitude to Health, Dental Care, Humans, Health Knowledge, Attitudes, Practice, Models, Psychological, Oral Health, Oral Hygiene, Patient Compliance, Health Behavior
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