Abstract
Data sources
The Cochrane Oral Health Group Trials Register CENTRAL, Medline, Embase, PsycINFO, CINAHL, Web of Science conference proceedings (IADR and ORCA), reference lists and Dissertations Abstracts were searched.
Study selection
Randomised controlled trials assessing the effectiveness of 1:1 dietary interventions in a dental care setting were included. This could be brief advice, skills training, self help materials, counselling or lifestyle strategies delivered by any member of the dental team.
Data extraction and synthesis
Two reviewers independently screened and abstracted data with disagreements resolved by discussion and a third review author. The Cochrane risk of bias assessment tool was used.
Results
Five studies were included; two were at high risk of bias, three were at unclear risk of bias. Two 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 concerned caries prevention. The others concerned general health outcomes. No studies were aimed at preventing tooth erosion. Four out of five studies found a significant change in dietary behaviour in at least one of the primary outcomes.
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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References
Marinho VCC, Higgins JPT, Logan S, Sheiham A . Fluoride toothpastes for preventing dental caries in children and adolescents. Cochrane Database of Syst Rev. 2003; Issue 1. Art. No. CD002278. DOI: 10.1002/14651858.CD002278.
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Authors and Affiliations
Additional information
Address for Correspondence Luisa Fernandez Mauleffinch, Review Group Co-ordinator, Cochrane Oral Health Group, MANDEC, School of Dentistry, University of Manchester, Higher Cambridge Street, Manchester, M15 6FH, UK. E-mail luisa.fernandez@manchester.ac.uk
Harris R, Gamboa A, Dailey Y, Ashcroft A. One-to-one dietary interventions undertaken in a dental setting to change dietary behaviour. Cochrane Database of Syst Rev. 2012; Issue 3. Art. No. CD006540
This paper is based on a Cochrane Review published in the Cochrane Library 2012, issue 3 (see www.thecochranelibrary.com for information). Cochrane Reviews are regularly updated as new evidence emerges and in response to feedback, and the Cochrane Library should be consulted for the most recent version of the review.
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Evans, D. Some evidence that one-to-one dietary interventions in the dental setting can change behaviour. Evid Based Dent 13, 42 (2012). https://doi.org/10.1038/sj.ebd.6400855
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DOI: https://doi.org/10.1038/sj.ebd.6400855
