What is Evidence-Based Dentistry?
The aim of evidence-based dentistry (EBD) is to encourage the ordinary dental practitioner in primary dental care to look for and make sense of the evidence available in order to apply it to every day clinical problems (Richards & Lawrence, 1995). The most widely accepted definition of evidence-based medicine is, "the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients. It means integrating individual clinical expertise with the best available external clinical evidence from systematic research" (Sackett, Rosenberg, Gray, Haynes, & Richardson, 1996, p. 71). This definition easily translates over to dental medicine as well. Clinical expertise and best evidence MUST be considered in the context of individual patient values and wishes.
The clinician should research the best evidence available and synthesize that with his or her own expertise and the client's values and expectations to determine the best course of action.
"None of the three core elements can stand alone; they work in concert by using practitioner skills to develop a client-sensitive case plan that utilizes interventions with a history of effectiveness. In the absence of relevant evidence, the other two elements are weighted more heavily, whereas in the presence of overwhelming evidence the best-evidence component might be weighted more heavily (Rubin & Bellamy, 2012, p. 7-8).
Evidence-based practice has five main steps:
Introduction to Evidence- Based Searching:
Hopp, L., & Rittenmeyer, L. (2012). Introduction to evidence-based practice: A practical guide for nursing. FA Davis.
McKibbon, K. A. (1998). Evidence-based practice. Bulletin of the Medical Library Association, 86(3), 396.
Richards, D., & Lawrence, A. (1995). Evidence based dentistry. British Dental Journal, 179(7), 270.
Rubin, A., & Bellamy, J. (2012). Practitioner's guide to using research for evidence-based practice. John Wiley & Sons.
Sackett, D. L., Rosenberg, W. M., Gray, J. M., Haynes, R. B., & Richardson, W. S. (1996). Evidence based medicine: what it is and what it isn't.
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