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Published on: August 5, 2021
"Evidence-based dentistry in oral surgery: could we do better?"
Pier Francesco Nocini1, Giuseppe Verlato, Andrea Frustaci
1Department of Maxillo-facial Surgery and Dentistry, Faculty of Medicine, University of Verona. Piazzale L. A. Scuro 10, 37134, Verona, Italy.
The Open Dentistry Journal
|September 28, 2010
Summary
Evidence-based Dentistry (EBD) integrates research evidence with clinical expertise for optimal dental care. This approach combines established guidelines with surgeon experience, advancing dental practice to modern standards.
Area of Science:
- Dental Science
- Evidence-Based Practice
Background:
- Evidence-based Dentistry (EBD) aims to identify the best research evidence for dental practice.
- Unlike drug efficacy, surgical procedure effectiveness is influenced by clinician expertise, posing a challenge for objective measurement.
- Dentistry shares research challenges with other surgical fields, where guidelines often integrate evidence-based medicine (EBM) with consensus data.
Purpose of the Study:
- To address the challenges in measuring evidence in dentistry.
- To explore methods for integrating research evidence with clinical expertise in dental practice.
Main Methods:
- Discusses the limitations of purely evidence-based approaches in healthcare fields where clinician expertise is crucial.
- Highlights the development of technologies like CAD-CAM for standardizing procedures.
- Mentions the GRADE System as a tool for integrating EBM with expert clinical opinions.
Main Results:
- Standardization tools (e.g., CAD-CAM) and expert integration systems (e.g., GRADE) are being developed.
- Effective EBD requires a simultaneous consideration of research evidence, clinical expertise, and surgical procedure quality.
Conclusions:
- Instruments from evidence-based medicine are necessary but insufficient for sound dental knowledge.
- Achieving true evidence-based dentistry requires a holistic approach combining research, expertise, and procedural quality for 21st-century standards.
