MOBILE

Principle #2: Strong recommendations build trust

Make the recommendation clear, calm, and unambiguous

Parents take cues from how confidently and clearly a clinician recommends preventive care.

Core Behaviour

QuickTalking Tips

Strong recommendations signal importance and safety, while hesitant language can unintentionally suggest doubt and uncertainty.

DOThis

(Clear, confident recommendation)

Use language that communicates certainty and professional confidence:

These statements:

AVOIDThis

(Hedged or diluted recommendation)

Avoid language that sounds uncertain, apologetic, or optional:

These phrases unintentionally:

Standard Chairside Language

“Fluoride toothpaste is one of the most effective tools we have to prevent cavities in children. Used in the right amount, it’s safe and works very well.”

“This is something we strongly recommend because it helps protect teeth before decay starts.”

“This is an important part of keeping your child’s teeth healthy.”

General Delivery Tips

Clear, strong recommendations:

Confidence is conveyed as much by delivery as by wording.

Evidence Base

In paediatric preventive care, the strength and clarity of the clinician’s recommendation are among the strongest predictors of parental acceptance.

Parents interpret hesitation from clinicians (even symbolically by use of “hesitant words”  as uncertainty about safety).

 

Strong recommendations are associated with:
  • Higher uptake of preventive interventions
  • Lower persistence of hesitancy
  • Greater trust in clinical advice

 

Key evidence
  • Gilkey MB et al. Quality of Physician Communication About HPV Vaccine. Human Vaccines & Immunotherapeutics. 2016.
    Shows strong, unambiguous recommendations significantly influence parental decisions.  https://pmc.ncbi.nlm.nih.gov/articles/PMC4964668/ 
  • Brewer NT et al. Increasing Vaccination: Putting Psychological Science Into Action. Psychological Science in the Public Interest. 2017.
    Highlights clinician recommendation strength as a central driver of acceptance. https://pubmed.ncbi.nlm.nih.gov/29611455/ 

Other Principles

Disclaimer – Professional Communication Tools

The communication principles and practical examples presented on this page are provided for educational and informational purposes only. They are intended to support reflective practice and professional development in the context of dentist–parent communication around preventive oral health care. These materials do not constitute clinical, medical, legal, or professional advice, and they are not a substitute for individual clinical judgement, professional training, or applicable national guidelines, regulations, or standards of care. The International Association of Paediatric Dentistry (IAPD) does not mandate the use of these principles, nor does it guarantee any specific clinical or behavioural outcomes resulting from their application. The examples provided are illustrative and non-exhaustive, and their appropriateness may vary depending on individual circumstances, patient needs, cultural context, and local regulatory frameworks. By using these materials, users acknowledge that responsibility for clinical decisions, professional conduct, and patient communication remains solely with the treating professional. To the fullest extent permitted by applicable law, the IAPD disclaims any liability for loss, damage, or claims arising from the use or interpretation of the content provided.

The Fluoriders campaign is an initiative of the International Association of Paediatric Dentistry (IAPD) designed to promote good oral hygiene habits in children.

The Fluoriders initiative is supported by an educational grant from Colgate’s Bright Smiles, Bright Futures® programme. All educational content is developed independently by IAPD.