Minimally invasive oral care (MIOC) represents a transition from a predominantly procedure-oriented model to a personalized approach in oral healthcare, in which priority is given to prevention and preservation of tooth structure. Despite the availability of scientific evidence of its effectiveness, MIOC remains inconsistently integrated into everyday clinical practice. An international expert consensus published in June proposed evidence-based recommendations to address this gap and support its broader implementation.
The document was developed based on an expert consensus workshop held in December of last year in Munich with the support of the International Society for Minimally Invasive Dentistry. Fourteen recommendations cover clinical practice, education, workforce organization, and healthcare system design, emphasizing the need for coordinated action at multiple levels.
The development process involved 16 experts who reviewed draft recommendations, refined them, and then voted anonymously. Consensus was predefined as a minimum of 75% agreement among participants.
The resulting document “Minimally invasive oral care — overcoming implementation barriers: an international expert consensus” recommends MIOC as the default standard of care and draws attention to reimbursement system reform, teamwork, specialist retraining, and ethical application of digital tools and artificial intelligence.
Rather than narrow clinical guidelines, the document proposes coordinated principles for translating established evidence into routine practice. Particular emphasis is placed on alignment of reimbursement systems, quality metrics, coding structures, and digital infrastructure with clinical-diagnostic pathways that support prevention, active monitoring, and long-term treatment.
The consensus document serves as an important step in advancing MIOC as a structured approach to improving the delivery of oral healthcare and developing more sustainable, evidence-based practice at the system level.
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