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Related Experiment Videos

Evidence-based esthetic dentistry.

R Niederman1, M Ferguson, R Urdaneta

  • 1Office of Evidence-Based Dentistry, Harvard School of Dental Medicine, Boston, Massachusetts, USA.

Journal of Esthetic Dentistry
|May 13, 1999
PubMed
Summary
This summary is machine-generated.

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This guide explains evidence-based practice (EBP) using a four-step approach for clinical decision-making. It demonstrates how to find and apply research evidence, highlighting limitations in current data.

Area of Science:

  • Dental Materials Science
  • Evidence-Based Dentistry
  • Clinical Research Methodology

Background:

  • Evidence-based clinical practice combines research findings with clinical expertise.
  • A systematic four-step approach facilitates the integration of evidence into patient care.
  • This methodology addresses the need for efficient and effective information retrieval in dentistry.

Observation:

  • A clinical case scenario illustrates the four-step evidence-based approach.
  • A MEDLINE search strategy was developed to answer: Does bleaching bonded porcelain veneers increase marginal leakage?
  • The search yielded a highly specific result after filtering for human randomized controlled trials.

Findings:

  • The critical appraisal of the single identified study indicated valid methods but questionable clinical significance.

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  • Evidence-based methods can rapidly identify the extent of available research, often within 15 minutes.
  • The process reveals knowledge gaps, underscoring areas for future research.

    • Implications:

    • Practitioners can communicate more effectively and truthfully with patients about treatment options.
    • Informed clinical choices are enhanced by a systematic approach to evaluating scientific evidence.
    • This methodology supports the advancement of evidence-based dentistry by identifying research needs.