A New Perspective: Evidence-Based Dentistry

Year 2007, Volume: 1 Issue: 4, 37 - 43, 01.06.2007

Nilay Tekel

Abstract

Dentists, are confused with the change of the recentdental knowledge and need to determine his clinicalexperience through these knowledge. Neverthelessthe information in these sources may have a valuableor confusing content. Evidence-based dentistry EBD is a new perspective which is developed after therecognition of the need for determining a clinical evidence through the researchs. Evidence-based dentistry supplies guidlines to help the clinician to makean intelligent decision. The aim of the evidencebased dentistry is to encourage the dental practitioner in dental care to look for and make sense of theevidence available in order to apply it to Every dayclinical problems. EBD is the process of making decisions Based on known evidence. EBD is a way ofthinking a philophy, a paradigm. The ultimate gol ofevidence-based dentistry is to aid clinical judgement,to minimize errors in diagnosis, and to ensure optimal decision making about therapies and treatment

Keywords

Evidence-based dentistry, PICO, Systematic review

Yeni Bir Bakış Açısı: Kanıt-Destekli Dişhekimliği

Abstract

Diflhekimleri son yıllarda hızla geliflen ve değiflenmesleki bilgileri takip etmekte ve bu bilgileri meslekiuygulamalarında nasıl uygulayacakları konusundazorluk çekmekte, bu amaçla birçok kaynağa baflvurmaktadır. Bu kaynaklardaki bilgiler değerli olabileceği kadar, hekimi yanıltıcı içerikte de olabilmektedir. Diflhekimliğinde bu eksikliğin hissedilmesi veuygulamaların arafltırma kanıtlarına dayandırılmasıgerekliliğinin fark edilmesi ile kanıt-desteklidiflhekimliği genel anlamda kanıt-destekli sağlıkuygulamalarının bir alt dalı olarak, diflhekimliğineson yıllarda girmifl bir terimdir. Kanıt-desteklidiflhekimliği “her bir hastaya en yüksek düzeydeyarar sağlayabilmek üzere, elde edilen en iyiarafltırma kanıtlarını klinik uygulamalar ilebirlefltiren; oral biyoloji ve diflhekimliği uygulamalarındaki yeni yaklaflım” fleklinde tanımlanmaktadır. Kanıt-destekli diflhekimliğinin daha genifl alanda uygulanması sayesinde, bugün artık önemli olanhastaya tedavi vermek değil, hastayla beraberuygun tedavi seçenekleri arasından, hastanınflikayetlerini en iyi flekilde çözümleyen, en zararsız,en yararlı, en ucuz, en kısa süreli ve en güvenilirtedavi yöntemini belirlemek ve bunu uygulamak olacaktır. Bu flekilde, tedavisi hakkında bilgi sahibi olanhastanın ve elindeki en iyi olanaklarla hastasının dakabul ettiği tedaviyi uygulayan hekimin haklarıkorunmufl olacaktır

Keywords

Kanıt-destekli diflhekimliği, PICO, sistematik tarama

References

• Chiappelli F, Prolo P. Evidence-based Dentistry and trans- lational Research. J Evid Base Dent Pract 2003;3:5-7.
• Coulter ID. Treating the Patient with evidence can we get there from here? J Evid Base Dent Pract. 2002;2:83-88.
• Glossary of evidence- based terms. J Evid Base Dent Pract. 2002;2:89-92.
• Lund AE. How do you define and see evidence based Dentistry? JADA 2003;134:690.
• Richards D, Lawrence A. Evidence based Dentistry. Evid Base Dent . 1998;3:7-10.
• Carr AB. Systematic reviews of the literature: The overview and meta-analysis. Dent Clin North Am. 2002;46(1):79- 86.
• Chambers DW. The ethics of experimenting in dental prac- tice. Dent Clin North Am. 2002;46(1):29-44.
• Goldstein GR, Preston JD. Therapy: Anectode, experience or evidence. Dent Clin North Am. 2002;46(1):21-28.
• Chiappelli F, Prolo P, Newman M, Cruz M, Sunga E, Concepcion E, Edgerton M. Evidence-based practice in Dentistry: Benefit or hindrance. JDent Res 2003;82(1):6-7.
• Dodson TB. Managing anticoagulated patients requiring dental extractions: an exercise in evidence-based clinical practice. Evid Base Dent. 2002;3:23-26.
• Felton DA. Conducting a search of the literature. Dent Clin North Am. 2002;46(1):45-50
• Goldstein Gr, Preston JD. How to evaluate an article about therapy. J Prosthet Dent. 2000;83(6):599-603.
• Guyatt GH, Sackett DL, Cook DJ. Users’ guides to the med- ical literature. II. How to use an article about therapy or prevention. A. Are the results of the study valid? JAMA 1993;270(21):2598-2601.
• Guyatt GH, Sackett DL, Cook DJ. Users’ guides to the med- ical literature. II. How to use an article about therapy or prevention. B. What were the results and will they help me in caring for my patients? JAMA 1994;271(1):59-63.
• Jacob RF, Carr AB. Hierarchy of Research design used to categorize the “strength of evidence” in answering clinical dental questions. J Prosthet Dent. 2000;83(2):137-152.
• Jacob RF. Bias in dental Research can lead to inappropri- ate treatment selection. Dent Clin North Am. 2002;46(1):61-78.
• Hayes C. Evidence based Dentistry: Design architecture. Dent Clin North Am. 2002;46(1):51-60.
• Coulter ID. Observational studies and evidence-based practice: Can’t live with them, can’t live without them. J Evid Base Dent Pract 2003;3:1-4.
• Drangsholt M, Hancock P, Truelove E. A 31-year-old woman with jaw deviation and pain:Part II. J Evid Base Dent Pract. 2002;2:254-257.
• John MT. Orofacial pain is prevalent- a systemic review. J Evid Base Dent Pract. 2002;2:252-253.
• Ohrbach R. Hard tissue relationships identified on tomo- grams differ in individuals with disk displacement with and without joints that have been surgically reduced J Evid Base Dent Pract. 2002;2:246-248.
• Clive J. Biostatistical consultation for dental Research. Dent Clin North Am. 2002;46(1):137-156.
• Clauser C. Unclear association between membrane and greft augmentation of implant recipient sites and failure rates. J Evid Base Dent Pract. 2003;3:88-89.
• Cochran DL. Two percent of lower third molar surgical extractions are associated with only temporary nevre dam- age. J Evid Base Dent Pract. 2001;1:36-37.
• Florellini J. Consumption of tomatoes may lower risk of squamous cell carcinoma. J Evid Base Dent Pract. 2001;1:24-25.
• Klakkevold PR. Cancer treatment. J Evid Base Dent Pract. 2003;3:52-53.
• Levin K.A. Evidence-Based Dentistry. 2007;8:22-23
• Klakkevold PR. On the horizon: Advances and new tech- nology. J Evid Base Dent Pract. 2002;2:305-307.
• Yeung C.A, Evidence-Based Dentistry. 2007;8:24.