{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T02:07:35Z","timestamp":1787882855878,"version":"build-2784847793"},"reference-count":52,"publisher":"MDPI AG","issue":"10","license":[{"start":{"date-parts":[[2024,10,8]],"date-time":"2024-10-08T00:00:00Z","timestamp":1728345600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dentistry Journal"],"abstract":"<jats:p>Dietary Factors and Oral Health: Risky dietary behaviors, particularly excessive sugar consumption, significantly contribute to dental caries. Dental practitioners are tasked with detecting and managing these behaviors to effectively treat caries and prevent recurrences. Although dietary assessment tools exist to identify such behaviors, they have limits. Furthermore, traditional methods, focused on information dissemination and advice, often fall short in promoting sustainable changes in patient behavior toward oral health. From our perspective, there is a necessity to integrate educational approaches with therapeutic management for enhancing the ability current and future dental practitioners to effectively care for their patients\u2019 oral health needs. Discussion: Specific educational models have been developed for patients with chronic diseases, through Therapeutic Patient Education (TPE), defined as helping patients acquire or maintain the skills they need to best manage their lives with a chronic disease. Future Directions: By incorporating TPE into dental practice, oral health professionals can empower patients to take control of their eating habits and reduce their risk of caries disease. This holistic approach addresses both the carious lesions and underlying causes of tooth decay, leading to better oral health outcomes for patients.<\/jats:p>","DOI":"10.3390\/dj12100322","type":"journal-article","created":{"date-parts":[[2024,10,8]],"date-time":"2024-10-08T12:03:49Z","timestamp":1728389029000},"page":"322","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Therapeutic Patient Education and Eating Habits: A Challenge in Caries Disease"],"prefix":"10.3390","volume":"12","author":[{"given":"Marjorie","family":"Zanini","sequence":"first","affiliation":[{"name":"Dental School, University of Paris Cit\u00e9, F-75006 Paris, France"},{"name":"Department of Restorative Dentistry, Piti\u00e9 Salpetri\u00e8re Hospital APHP, F-75013 Paris, France"},{"name":"URP 2496 Orofacial Pathologies, Imaging and Biotherapies, University of Paris Cit\u00e9, F-92120 Montrouge, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9675-4904","authenticated-orcid":false,"given":"M\u00e9lodie","family":"Clerc","sequence":"additional","affiliation":[{"name":"Dental School, University of Paris Cit\u00e9, F-75006 Paris, France"},{"name":"Department of Periodontics, Rothschild Hospital APHP, F-75012 Paris, France"},{"name":"Laboratory of Molecular Oral Physiopathology, UMR 1138, University of Paris Cit\u00e9, F-75006 Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sylvie","family":"Azogui-Levy","sequence":"additional","affiliation":[{"name":"Dental School, University of Paris Cit\u00e9, F-75006 Paris, France"},{"name":"Department of Dental Public Health, Piti\u00e9 Salpetri\u00e8re Hospital APHP, F-75013 Paris, France"},{"name":"Laboratoire Educations et Promotion de la Sant\u00e9 (LEPS\u2014UR 3412), Universit\u00e9 Sorbonne Paris Nord, F-93430 Villetaneuse, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0337-7703","authenticated-orcid":false,"given":"Annabelle","family":"Tenenbaum","sequence":"additional","affiliation":[{"name":"Dental School, University of Paris Cit\u00e9, F-75006 Paris, France"},{"name":"Department of Dental Public Health, Piti\u00e9 Salpetri\u00e8re Hospital APHP, F-75013 Paris, France"},{"name":"Laboratoire Educations et Promotion de la Sant\u00e9 (LEPS\u2014UR 3412), Universit\u00e9 Sorbonne Paris Nord, F-93430 Villetaneuse, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,10,8]]},"reference":[{"key":"ref_1","unstructured":"(2024, March 26). World Health Organization (WHO). Available online: https:\/\/www.who.int."},{"key":"ref_2","unstructured":"GBD 2019 Diseases and Injuries Collaborators (2020). Global burden of 369 diseases and injuries in 204 countries and territories, 1990\u20132019: A systematic analysis for the Global Burden of Disease Study 2019. Lancet, 396, 1204\u20131222."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1177\/0022034515616572","article-title":"The Shape of the Dose-Response Relationship between Sugars and Caries in Adults","volume":"95","author":"Vehkalahti","year":"2016","journal-title":"J. Dent. Res."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"881S","DOI":"10.1093\/ajcn\/78.4.881S","article-title":"Sugars and dental caries","volume":"78","year":"2003","journal-title":"Am. J. Clin. Nutr."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1111\/j.1467-789X.2008.00564.x","article-title":"Sucrose and dental caries: A review of the evidence","volume":"10","author":"Anderson","year":"2009","journal-title":"Obes. Rev."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"952","DOI":"10.1016\/j.jdent.2014.04.011","article-title":"Sugar-sweetened beverages and dental caries in adults: A 4-year prospective study","volume":"42","author":"Vehkalahti","year":"2014","journal-title":"J. Dent."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"232","DOI":"10.3109\/00016355308993925","article-title":"The Vipeholm dental caries study; the effect of different levels of carbohydrate intake on caries activity in 436 individuals observed for five years","volume":"11","author":"Gustafsson","year":"1954","journal-title":"Acta Odontol. Scand."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"983","DOI":"10.1016\/0003-9969(84)90145-6","article-title":"Relationship between dietary habits and caries increment assessed over two years in 405 English adolescent school children","volume":"29","author":"Hackett","year":"1984","journal-title":"Arch. Oral. Biol."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1949","DOI":"10.1177\/00220345010800101701","article-title":"Sugared soda consumption and dental caries in the United States","volume":"80","author":"Heller","year":"2001","journal-title":"J. Dent. Res."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1079\/PHN2003589","article-title":"Diet, nutrition and the prevention of dental diseases","volume":"7","author":"Moynihan","year":"2004","journal-title":"Public Health Nutr."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1177\/0022034513508954","article-title":"Effect on caries of restricting sugars intake: Systematic review to inform WHO guidelines","volume":"93","author":"Moynihan","year":"2014","journal-title":"J. Dent. Res."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1812","DOI":"10.1111\/jgs.13614","article-title":"The Dietary Approaches to Stop Hypertension Diet and New and Recurrent Root Caries Events in Men","volume":"63","author":"Kaye","year":"2015","journal-title":"J. Am. Geriatr. Soc."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1177\/08959374940080021401","article-title":"Diet patterns and caries","volume":"8","author":"Geddes","year":"1994","journal-title":"Adv. Dent. Res."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1016\/S0002-8223(21)03606-3","article-title":"Variability of nutrient intake over a 3-day period","volume":"85","author":"Guthrie","year":"1985","journal-title":"J. Am. Diet. Assoc."},{"key":"ref_15","doi-asserted-by":"crossref","unstructured":"Godin, G. (2012). Les Comportements Dans le Domaine de la Sant\u00e9: Comprendre Pour Mieux Intervenir, Presses de l\u2019Universit\u00e9 de Montr\u00e9al. Available online: https:\/\/books.openedition.org\/pum\/8822.","DOI":"10.4000\/books.pum.8822"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"e53","DOI":"10.1111\/cdoe.12031","article-title":"Caries management by risk assessment","volume":"41","author":"Young","year":"2013","journal-title":"Community Dent. Oral Epidemiol."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1038\/s41415-019-0678-8","article-title":"CariesCare practice guide: Consensus on evidence into practice","volume":"227","author":"Martignon","year":"2019","journal-title":"Br. Dent. J."},{"key":"ref_18","unstructured":"(2024, March 29). ADA.org. ADA_Caries_Risk_Assessment_Instructions. Available online: https:\/\/www.ada.org\/-\/media\/project\/ada-organization\/ada\/ada-org\/files\/resources\/public-programs\/give-kids-a-smile\/gkas_caries_risk_assessment_forms.pdf."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"256","DOI":"10.1111\/j.1600-0528.2005.00233.x","article-title":"Cariogram--a multifactorial risk assessment model for a multifactorial disease","volume":"33","author":"Bratthall","year":"2005","journal-title":"Community Dent. Oral. Epidemiol."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"670","DOI":"10.14219\/jada.archive.2009.0252","article-title":"Chairside diet assessment of caries risk","volume":"140","author":"Marshall","year":"2009","journal-title":"J. Am. Dent. Assoc."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"e41","DOI":"10.1111\/cdoe.12025","article-title":"International Caries Detection and Assessment System (ICDAS) and its International Caries Classification and Management System (ICCMS)\u2014Methods for staging of the caries process and enabling dentists to manage caries","volume":"41","author":"Pitts","year":"2013","journal-title":"Community Dent. Oral. Epidemiol."},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Myers, E.A., Passaro, E.M., and Hedrick, V.E. (2018). The Comparative Reproducibility and Validity of a Non-Nutritive Sweetener Food Frequency Questionnaire. Nutrients, 10.","DOI":"10.3390\/nu10030334"},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Patenaude, S.A., Papagerakis, P., and Lieffers, J.R.L. (2020). Development of a Nutrition Questionnaire for Dental Caries Risk Factors. Int. J. Environ. Res. Public Health, 17.","DOI":"10.3390\/ijerph17051793"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1016\/S0002-8223(21)08878-7","article-title":"Accuracy of 24-hr.recalls of young children","volume":"62","author":"Emmons","year":"1973","journal-title":"J. Am. Diet. Assoc."},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"Shinga-Ishihara, C., Nakai, Y., Milgrom, P., Murakami, K., and Matsumoto-Nakano, M. (2014). Cross-cultural validity of a dietary questionnaire for studies of dental caries risk in Japanese. BMC Oral Health, 14.","DOI":"10.1186\/1472-6831-14-1"},{"key":"ref_26","doi-asserted-by":"crossref","unstructured":"Miller, W., and Rollnick, S. (2002). Motivational Interviewing: Preparing People for Change.","DOI":"10.1097\/01445442-200305000-00013"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"426","DOI":"10.1902\/jop.2013.130205","article-title":"Motivational interviewing in improving oral health: A systematic review of randomized controlled trials","volume":"85","author":"Gao","year":"2014","journal-title":"J. Periodontol."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1016\/j.revmed.2013.08.009","article-title":"Motivational interviewing use for promoting health behavior: An approach of doctor\/patient relationship","volume":"35","author":"Benarous","year":"2014","journal-title":"Rev. Med. Interne"},{"key":"ref_29","doi-asserted-by":"crossref","unstructured":"Soldani, F.A., Lamont, T., Jones, K., Young, L., Walsh, T., Lala, R., and Clarkson, J.E. (2018). One-to-one oral hygiene advice provided in a dental setting for oral health. Cochrane Database Syst. Rev., 10.","DOI":"10.1002\/14651858.CD007447.pub2"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1111\/cdoe.12904","article-title":"Motivational interviewing for preventing oral morbidities in adults: Systematic review and meta-analysis","volume":"52","year":"2024","journal-title":"Community Dent. Oral. Epidemiol."},{"key":"ref_31","first-page":"43","article-title":"Effectiveness of motivational interviewing on oral healthcare in pediatric patients","volume":"47","author":"Uguz","year":"2023","journal-title":"J. Clin. Pediatr. Dent."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"112","DOI":"10.5005\/jp-journals-10005-2497","article-title":"The Effect of Motivational Interviewing on Reduction of New Carious Lesions in Children with Early Childhood Caries: A Systematic Review and Meta-analysis","volume":"16","author":"Manek","year":"2023","journal-title":"Int. J. Clin. Pediatr. Dent."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"1662","DOI":"10.1002\/j.0022-0337.2013.77.12.tb05645.x","article-title":"Motivational Interviewing in Dental Hygiene Education: Curriculum Modification and Evaluation","volume":"77","author":"Bray","year":"2013","journal-title":"J. Dent. Educ."},{"key":"ref_34","unstructured":"World Health Organization (WHO) (2024, March 29). Therapeutic Patient Education: Continuing Education Programmes for Health Care Providers in the Field of Prevention of Chronic Diseases: Report of a WHO Working Group. Available online: https:\/\/iris.who.int\/handle\/10665\/108151."},{"key":"ref_35","unstructured":"World Health Organization (WHO) (2023). Therapeutic Patient Education: An Introductory Guide, WHO Regional Office for Europe. Available online: https:\/\/www.who.int\/europe\/publications\/i\/item\/9789289060219."},{"key":"ref_36","unstructured":"Haute Autorit\u00e9 en Sant\u00e9 (HAS) Education Th\u00e9rapeutique du Patient (2024, March 29). Comment la Proposer et la R\u00e9aliser. Available online: https:\/\/www.has-sante.fr\/upload\/docs\/application\/pdf\/etp_-_comment_la_proposer_et_la_realiser_-_recommandations_juin_2007.pdf."},{"key":"ref_37","unstructured":"d\u2019Ivergnois, J.F., and Gagnayre, R. (2013). Apprendre \u00e0 \u00c9duquer Le Patient, Maloine."},{"key":"ref_38","doi-asserted-by":"crossref","unstructured":"S\u00f8rensen, K., Van den Broucke, S., Fullam, J., Doyle, G., Pelikan, J., Slonska, Z., Brand, H., and (HLS-EU) Consortium Health Literacy Project European (2012). Health literacy and public health: A systematic review and integration of definitions and models. BMC Public Health, 12.","DOI":"10.1186\/1471-2458-12-80"},{"key":"ref_39","doi-asserted-by":"crossref","unstructured":"Dieng, S., Cisse, D., Lombrail, P., and Azogui-L\u00e9vy, S. (2020). Mothers\u2019 oral health literacy and children\u2019s oral health status in Pikine, Senegal: A pilot study. PLoS ONE, 15.","DOI":"10.1371\/journal.pone.0226876"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1111\/j.1752-7325.2010.00165.x","article-title":"Measuring conceptual health knowledge in the context of oral health literacy: Preliminary results","volume":"70","author":"Macek","year":"2010","journal-title":"J. Public Health Dent."},{"key":"ref_41","unstructured":"Prochaska, J.O., and DiClemente, C.C. (1984). The Transtheoretical Approach: Crossing Traditional Boundaries of Therapy, Dow Jones-Irwin, Dow Jones-Irwin Dorsey Professional Books."},{"key":"ref_42","doi-asserted-by":"crossref","unstructured":"Rondier, M., and Bandura, A. (2003). Auto-Efficacit\u00e9. Le Sentiment d\u2019efficacit\u00e9 Personnelle, Edition de Boeck Universit\u00e9.","DOI":"10.4000\/osp.741"},{"key":"ref_43","unstructured":"Simon, D., Traynard, P.-Y., Bourdillon, F., Gagnayre, R., and Grimaldi, A. (2013). Education th\u00e9rapeutique nutritionnelle et p\u00e9dagogie de l\u2019alimentation; chap19. Education Th\u00e9rapeutique. Pr\u00e9vention et Maladies Chroniques, Elsevier Masson."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1159\/000489571","article-title":"Sugar Restriction for Caries Prevention: Amount and Frequency. Which Is More Important?","volume":"53","year":"2019","journal-title":"Caries Res."},{"key":"ref_45","unstructured":"Simon, D., Traynard, P.-Y., Bourdillon, F., Gagnayre, R., and Grimaldi, A. (2013). \u00c9ducation Th\u00e9rapeutique, Pr\u00e9vention et Maladies Chroniques, Elsevier."},{"key":"ref_46","doi-asserted-by":"crossref","unstructured":"Golay, A., Lagger, G., and Giordan, A. (2010). Comment Motiver le Patient \u00e0 Changer?. Maloine.","DOI":"10.1016\/S1957-2557(10)70070-5"},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"20105","DOI":"10.1051\/tpe\/2015016","article-title":"Recherche, analyse de conceptions chez des patients diab\u00e9tiques et leurs soignants. Comparaison entre deux milieux socioculturels diff\u00e9rents : Le d\u00e9partement du Cher et celui de l\u2019\u00eele de La R\u00e9union","volume":"7","author":"Authier","year":"2015","journal-title":"Educ. Th\u00e9rapeutique Patient Ther. Patient Educ."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"20203","DOI":"10.1051\/tpe\/2021013","article-title":"L\u2019impact diff\u00e9rentiel des dimensions de la litt\u00e9ratie en sant\u00e9 sur l\u2019adh\u00e9sion au traitement des patients diab\u00e9tiques","volume":"13","author":"Leemans","year":"2021","journal-title":"Educ. Ther. Patient Ther. Patient Educ."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"2161","DOI":"10.1016\/j.dsx.2020.10.033","article-title":"Dietary self-management practices among persons with T2DM: An exploratory qualitative study from western-coast of India","volume":"14","author":"Matpady","year":"2020","journal-title":"Diabetes Metab. Syndr."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1016\/j.jemep.2018.03.009","article-title":"Pr\u00e9vention de la maladie cariesue chez l\u2019enfant: De l\u2019approche populationnelle aux interventions cibl\u00e9es","volume":"5","author":"Marquillier","year":"2018","journal-title":"Ethics Med. Public Health"},{"key":"ref_51","first-page":"521","article-title":"The Health Belief Model\u2019s Application in the Development of Health Behaviors","volume":"9","author":"Daniati","year":"2021","journal-title":"Health Educ. Health Promot."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"328","DOI":"10.1177\/109019817400200403","article-title":"Historical Origins of the Health Belief Model","volume":"2","author":"Rosenstock","year":"1974","journal-title":"Health Educ. Monogr."}],"container-title":["Dentistry Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2304-6767\/12\/10\/322\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T16:09:11Z","timestamp":1760112551000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2304-6767\/12\/10\/322"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,8]]},"references-count":52,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2024,10]]}},"alternative-id":["dj12100322"],"URL":"https:\/\/doi.org\/10.3390\/dj12100322","relation":{},"ISSN":["2304-6767"],"issn-type":[{"value":"2304-6767","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10,8]]}}}