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Judgment and decision-making in clinical dentistry.

Liviu Feller1, Johan Lemmer2, Mbulaheni Simon Nemutandani3

  • 1Office of the Chair of School, School of Oral Health Sciences. Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.

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Developing clinical judgment requires integrating experience, collaboration, and literature review. This review explores factors influencing clinical decision-making and expertise in dentistry.

Keywords:
Clinical judgmentclinical practicecognitive executive functiondecision-making in dentistrydental educationnarrative review

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Area of Science:

  • Dental Education
  • Clinical Practice
  • Cognitive Science

Background:

  • Clinical judgment and decision-making are crucial for all dental practitioners.
  • Acquiring expertise involves synthesizing diverse information sources.
  • Effective knowledge translation into practice is essential for patient care.

Purpose of the Study:

  • To review factors influencing clinical judgment and decision-making in dentistry.
  • To explore the roles of narrative, intuitive, and evidence-based approaches in developing expertise.
  • To discuss the integration of statistical methods in clinical decision-making.

Main Methods:

  • This study employed a narrative review methodology.
  • It synthesized information from clinical experience, collegial discussions, professional meetings, and literature.
  • The review considered both qualitative and quantitative data-driven approaches.

Main Results:

  • Clinical expertise is built upon a foundation of experience and continuous learning.
  • A combination of intuitive and evidence-based reasoning enhances decision-making.
  • Feedback from patient cases is vital for consolidating knowledge and improving practice.

Conclusions:

  • Developing robust clinical judgment in dentistry is a multifaceted process.
  • Integrating diverse information sources, including evidence-based data and statistical insights, is key.
  • Continuous learning and reflective practice are fundamental to achieving clinical expertise.