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Evidence-based practice and barriers to compliance: Face bow transfer
1Division of Advanced Prosthodontics, University of California Los Angeles, Los Angeles, CA, USA.
Despite lacking clinical evidence, the teaching of face bow transfer in US dental schools has increased from 84% in 2003 to 93.75% in 2015. This study explores reasons for this continued, unjustified practice in dental education.
Area of Science:
- Dental education
- Prosthodontics
- Evidence-based dentistry
Background:
- The face bow transfer is a technique used in complete denture fabrication.
- Previous studies have questioned the clinical efficacy of the face bow transfer.
- Compliance with evidence-based practices in dental education is crucial for patient outcomes.
Purpose of the Study:
- To assess the current prevalence of face bow transfer (FBT) teaching in US dental schools.
- To compare current FBT teaching rates with a 2003 study.
- To investigate potential reasons for non-compliance with clinical evidence regarding FBT.
Main Methods:
- A survey was administered to 54 US dental schools.
- The survey replicated questions from a 2003 study on FBT curriculum content.
- Data were collected in 2015 to track changes over time.
Main Results:
- The prevalence of teaching face bow transfer increased significantly from 84% in 2003 to 93.75% in 2015.
- A majority of surveyed dental schools continue to teach FBT.
- This increase occurred despite a lack of compelling evidence supporting its use.
Conclusions:
- The continued teaching of face bow transfer in dental schools is not supported by robust clinical evidence.
- Reasons for non-compliance with best evidence may include tradition, perceived clinical benefit, or lack of awareness.
- Further investigation into the factors influencing curriculum decisions in dental education is warranted.
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