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Occlusion: reflections on science and clinical reality
1Dean's Office-Administration, School of Dentistry, University of Michigan, Ann Arbor, MI 48109-1078, USA. mmash@umich.edu
The Journal of Prosthetic Dentistry
|October 18, 2003
Summary
Scientific evidence in dentistry, particularly occlusal therapy, has advanced. This discussion explores the science-practice gap in occlusion, considering evidence quality and clinical application for better dental care.
Area of Science:
- Dental Science
- Evidence-Based Dentistry
- Occlusal Therapy
Background:
- The last 50 years show progress in evidence-based dental practice, including occlusal therapy.
- While occlusion's role in temporomandibular disorders is recognized, its broader importance in dental education and practice is often overlooked.
Purpose of the Study:
- To discuss the challenges in integrating scientific evidence with clinical reality in the context of occlusion.
- To examine information transfer, evidence quality, clinical trials, and clinical aspects of occlusion within the evidence-based paradigm.
Main Methods:
- Literature review and critical analysis of the evidence-based paradigm in dentistry.
- Exploration of the duality between scientific findings and clinical application in occlusal therapy.
Main Results:
- Identified challenges in information transfer and quality of evidence related to occlusion.
- Highlighted discrepancies between clinical trials and real-world clinical practice for occlusal interventions.
Conclusions:
- Addressing the science-practice gap in occlusion is crucial for advancing dental education and patient care.
- Suggested solutions and future perspectives are proposed to improve the application of scientific evidence in occlusal therapy.