Introduction To Evidence-Based Dentistry (PDF)

EVIDENCE-BASED DENTISTRY Ass.Prof. Hadeel Farouk Associate Professor of Conservative Dentistry Al-Ryada University For Science and Technology NEW ACADEMIC YEAR FALL 2024-2025 Faculty Elective course FEL08  WHAT IS EVIDENCE-BASED MEDICINE? Clinical practice is about...

EVIDENCE-BASED DENTISTRY Ass.Prof. Hadeel Farouk Associate Professor of Conservative Dentistry Al-Ryada University For Science and Technology NEW ACADEMIC YEAR FALL 2024-2025 Faculty Elective course FEL08  WHAT IS EVIDENCE-BASED MEDICINE? Clinical practice is about making choices. Shall I order a test? Should I treat the patient? What should I treat them with? The decision depends on the doctor’s knowledge, skills, attitudes, and available resources and tests. The patient’s concerns, expectations, and values must also be considered. The term ‘evidence-based medicine’ (EBM) was first used by a Canadian, David Sackett and his colleagues at McMaster University in Ontario, Canada in the early 1990s. THEY HAVE SUBSEQUENTLY REFINED THE DEFINITION OF EBM AS Integrating the best research evidence with clinical expertise and patient values to achieve the best possible patient management. EBM is about improving the quality of the information on which decisions are based. It helps practitioners to avoid ‘information overload’ but, at the same time, to find and apply the most useful information.  WHY DO WE NEED EBM? Unfortunately, there is a large information gap between research and clinical practice. Because so much research is published all the time, clinicians understandably are unaware of most of it or do not have the ‘tools’ to assess its quality. Researchers, on the other hand, do not understand the information needs of clinicians and continue to present their work in a way that is not easily accessible to busy practitioners. In 1972, British epidemiologist Archie Cochrane highlighted that most treatment- related decisions were based on an ad hoc selection of information from the vast and variable quality scientific literature, on expert opinion, or, worse of all, on trial and error.  Since the establishment of the Cochrane Oral Health Group in 1994, evidence-based dentistry (EBD) has been evolving for almost 30 years, exerting profound effects on oral healthcare. The traditional dental practice has been shifting gradually to a new paradigm based on evidence-informed clinical decision-making. Contrary to the traditional approach which relies heavily on clinicians’ personal experience, evidence-based dental practice provides personalized oral healthcare via the judicious combination of the best available research evidence, the dentist’s clinical expertise and the patient’s values and preferences.  THE AMERICAN DENTAL ASSOCIATION CENTER FOR EVIDENCE-BASED DENTISTRY DEFINITION OF EBD: Evidence-based dentistry (EBD) is an approach to oral healthcare that requires the judicious integration of systematic assessments of clinically relevant scientific evidence, relating to the patient's oral and medical condition and history, with the dentist's clinical expertise and the patient's treatment needs and preferences. In other words, dentists are expected to provide the best possible health care for their patients as possible VENN DIAGRAM  UNITED STATES COMMISSION ON DENTAL ACCREDITATION (CODA) CODA stipulates that oral health clinical programs should teach and evaluate graduates on their competency to access, critically appraise and apply scientific literature to deliver evidence-based care. The need to modify dental educators’ teaching strategies parallels the prospect of preparing oral healthcare providers as critical thinkers, problem solvers, and lifelong learners.  THE CONTENTS, METHODS, AND ASSESSMENT OF EVIDENCE-BASED DENTISTRY EDUCATION: A SCOPING REVIEW: QIUJING LI, SHIJIA TANG, XUEQIAN YU, ANNE-MARIE GLENNY, AND FANG HUA. J Evid Base Dent Pract 2023:  INFORMED CONSENT Another way of looking at evidence-based dentistry is that it represents or is part of the informed consent process. Informed consent is a process that evolves through an open dialogue with the patient. Components of the informed consent process include the patient’s condition as well as potential methods for how this condition may best be addressed. What are the best treatment options, including possibly no treatment at all? What risks and benefits of each of the reasonable treatment options exist including no treatment? How competent is the provider’s ability to deliver these options?  In today’s litigious society, a recurrent theme is the lack of informed consent. Probably one of the best ways to avoid these legal consequences is to apply the evidence-based dentistry model, incorporate EBD into the informed consent process, and then, of course, document the process. Evidence-Based Dentistry Links Agency for Healthcare Research and Quality American Dental Association: Evidence-Based Dentistry Centre for Evidence-Based Dentistry Cochrane Collaboration: Oral Health Group Evidence-Based Dentistry Evidence-based Endodontics Literature Database Journal of Evidence-Based Dental Practice National Health Service (NHS) Evidence: Oral Health TRIP Database