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10:07
Using Learning Outcome Measures to assess Doctoral Nursing Education
Published on: June 21, 2010
Outcomes
1Department of Endodontics, University of Iowa College of Dentistry, Iowa City, Iowa 52242, USA. Richard-walton@uiowa.edu
Journal of Endodontics
|February 27, 2013
Summary
Assessing dental treatment outcomes requires considering biological factors, dentist profitability, and patient safety. Current guidelines offer the best available evidence, though high-level research is often limited, especially for trauma and new regenerative procedures.
Area of Science:
- Dental science
- Evidence-based dentistry
- Clinical research methodology
Background:
- Dental treatment outcomes extend beyond success/failure to include practicality, profitability, and patient safety.
- Biological outcomes are paramount, with predictability varying based on treatment complexity.
- Existing evidence often relies on lower-level studies like case reports and expert opinions.
Purpose of the Study:
- To evaluate the spectrum of dental treatment outcomes and their measurement.
- To highlight the challenges in obtaining high-level evidence for certain dental conditions, such as impact trauma.
- To discuss the evidence base for emerging treatments like revitalization and regeneration.
Main Methods:
- Analysis of the evidence pyramid to illustrate outcome predictability.
- Review of common evidence sources in dentistry, including cohort studies, case reports, and expert opinion.
- Discussion of the limitations in designing randomized controlled trials for specific dental scenarios.
Main Results:
- High-level evidence is scarce for impact trauma due to injury variability and trial design difficulties.
- Current clinical guidelines are based on the best available, albeit often lower-level, evidence.
- Revitalization and regeneration lack sufficient high-level evidence for routine clinical adoption.
Conclusions:
- Dental treatment evaluation necessitates a multifactorial approach, integrating biological, clinical, and economic factors.
- Randomized controlled trials are most feasible in preventive dentistry, such as mouthguard research.
- Further high-level research is crucial to validate new regenerative and restorative dental procedures.
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