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Dental Clinics of North America

journal
https://www.readbyqxmd.com/read/30447796/evidence-based-dentistry-the-foundation-for-modern-dental-practice
#1
EDITORIAL
Robert J Weyant
No abstract text is available yet for this article.
January 2019: Dental Clinics of North America
https://www.readbyqxmd.com/read/30447795/teaching-evidence-based-practice-considerations-for-dental-education
#2
REVIEW
Robert J Weyant
The motivation for teaching evidence-based practice is that, through the use of high-quality clinically relevant evidence, clinicians will make rationale decision that optimally improve patient health outcomes. Achieving that goal requires clinicians who are able to answer patient care-relevant clinical questions efficiently, which means that they must be able rapidly to retrieve, assess, and apply evidence of direct relevance to their patients. Educational programs designed to accomplish this vary in their effectiveness...
January 2019: Dental Clinics of North America
https://www.readbyqxmd.com/read/30447794/how-evidence-based-dentistry-has-shaped-the-practice-of-oral-medicine
#3
REVIEW
Katherine France, Thomas P Sollecito
Oral medicine is "the discipline of dentistry concerned with the oral health care of medically complex patients, including the diagnosis and primarily nonsurgical treatment and/or management of medically related conditions affecting the oral and maxillofacial region." In each of these areas, evidence-based medicine has shaped theoretic understanding and clinical practice. The available evidence allows for improved patient management. Further evidence, as it becomes available, should be reviewed on a regular basis to guide our clinical practice...
January 2019: Dental Clinics of North America
https://www.readbyqxmd.com/read/30447793/evidence-based-update-on-diagnosis-and-management-of-gingivitis-and-periodontitis
#4
REVIEW
Satish Kumar
This article is an overview to update the practicing general dental practitioner about clinically relevant evidence-based topics published in the recent past in the diagnosis, etiopathogenesis, and management of gingivitis and periodontitis.
January 2019: Dental Clinics of North America
https://www.readbyqxmd.com/read/30447792/evidence-based-dentistry-update-on-silver-diamine-fluoride
#5
REVIEW
Yasmi O Crystal, Richard Niederman
This article reviews current evidence on the effectiveness of silver diamine fluoride (SDF) as a caries arresting and preventive agent. It provides clinical recommendations around SDF's appropriate use as part of a comprehensive caries management program. Systematic reviews confirm that SDF is effective for caries arrest on cavitated lesions in primary teeth and root caries in the elderly. It may also prevent new lesions. Application is easy, noninvasive, affordable, and safe. Although it stains the lesions dark as it arrests them, it provides clinicians with an additional tool for caries management when esthetics are not a primary concern...
January 2019: Dental Clinics of North America
https://www.readbyqxmd.com/read/30447791/analgesic-therapy-in-dentistry-from-a-letter-to-the-editor-to-an-evidence-base-review
#6
REVIEW
Paul A Moore, Elliot V Hersh
It has been known for centuries that opioids are highly addictive when consumed for prolonged periods of time. Pharmacologic tolerance to the efficacy of opioid analgesic results in a need for increased dosing and drug dependence. One must question the empirical sources of evidence that justified the belief that prescription opioids were safe and effective for treating acute and chronic pain. Progress in developing and applying evidence-based analgesic therapies for acute inflammatory pain is presented.
January 2019: Dental Clinics of North America
https://www.readbyqxmd.com/read/30447790/added-sugar-and-dental-caries-in-children-a-scientific-update-and-future-steps
#7
REVIEW
Donald L Chi, JoAnna M Scott
Excess added sugars, particularly in the form of sugar-sweetened beverages, is a leading cause of tooth decay in US children. Although added sugar intake is rooted in behavioral and social factors, few evidence-based, theory-driven socio-behavioral strategies are currently available to address added sugar intake. Dental health professionals are in a position to help identify and address problematic sugar-related behaviors in pediatric patients and advocate for broader upstream approaches, including taxes, warning labels, and policy changes, that can help reduce added sugar intake, prevent tooth decay, and improve health outcomes in vulnerable child populations...
January 2019: Dental Clinics of North America
https://www.readbyqxmd.com/read/30447789/how-should-we-evaluate-and-use-evidence-to-improve-population-oral-health
#8
REVIEW
Paul R Brocklehurst, Sarah R Baker, Stefan Listl, Marco A Peres, Georgios Tsakos, Jo Rycroft-Malone
Generating and implementing evidence-based policy is an important aim for many publicly funded health systems. In dentistry, this is based on the assumption that evidence-based health care increases the efficiency and effectiveness of interventions to improve oral health at a population level. This article argues that a linear logic model that links the generation of research evidence with its use is overly simplistic. It also challenges an uncritical interpretation of the evidence-based paradigm and explores approaches to the evaluation of complex interventions and how they can be embedded into policy and practice to improve oral health at a population level...
January 2019: Dental Clinics of North America
https://www.readbyqxmd.com/read/30447788/translational-research-bringing-science-to-the-provider-through-guideline-implementation
#9
REVIEW
Julie Frantsve-Hawley, D Brad Rindal
Significant variation exists in health care practice patterns that creates concerns regarding the quality of care delivered. Clinical practice based on high-quality evidence provides a rationale for clinical decision making. Resources, such as evidence-based guidelines, provide that evidence to clinicians and improve patient outcomes by decreasing unwanted variation in clinical practice. Because knowledge dissemination alone is ineffective to translate scientific evidence into clinical practice, the field of implementation science has emerged to facilitate this translation of research into routine clinical practice...
January 2019: Dental Clinics of North America
https://www.readbyqxmd.com/read/30447787/evidence-based-dentistry-caries-risk-assessment-and-disease-management
#10
REVIEW
Margherita Fontana, Carlos Gonzalez-Cabezas
The objective of this article was to provide a summary of evidence-based recommendations for the assessment of caries risk and management of dental caries. The goal is to help clinicians manage the caries disease process using personalized interventions supported by the best available evidence, taking into account the clinician's expertise and the patient's needs and preferences, to maintain health and preserve tooth structure.
January 2019: Dental Clinics of North America
https://www.readbyqxmd.com/read/30447786/simple-approaches-for-establishing-an-evidence-based-dental-practice
#11
REVIEW
Jane Gillette, Ben Balevi
Constructing an evidence-based dental practice requires leadership, commitment, technology support, and time, as well as skill practice in searching, appraising, and organizing evidence. In mastering the skills of evidence-based dentistry, clinicians can implement high-quality science into practice through a variety of opportunities including the development of clinical care guidelines, procedural technique protocols, and electronic dental record auto-note templates, as well as treatment planning, care prioritization, and case presentation...
January 2019: Dental Clinics of North America
https://www.readbyqxmd.com/read/30189991/orofacial-pain-where-we-are-and-where-we-are-going
#12
EDITORIAL
Steven D Bender
No abstract text is available yet for this article.
October 2018: Dental Clinics of North America
https://www.readbyqxmd.com/read/30189990/mind-body-considerations-in-orofacial-pain
#13
REVIEW
Hayley A Cole, Charles R Carlson
This article summarizes the cognitive, behavioral, and emotional factors that contribute to the onset and maintenance of orofacial pain. These orofacial pain conditions illustrate the dynamic interplay of the mind and body and the importance of multimodal treatment approaches addressing simultaneously the cognitive, behavioral, and physiologic dimensions of facial pain. Cognitive and behavioral treatments of temporomandibular disorders based on the outcomes of randomized controlled trials are also discussed with an emphasis on using a biopsychosocial perspective when working with the persons who have temporomandibular disorders...
October 2018: Dental Clinics of North America
https://www.readbyqxmd.com/read/30189989/sex-gender-and-orofacial-pain
#14
REVIEW
Jeffry Rowland Shaefer, Shehryar Nasir Khawaja, Paula Furlan Bavia
This review examines gender prevalence in orofacial pain to elucidate underlying factors that can explain such differences. This review highlights how gender affects (1) the association of hormonal factors and pain modulation; (2) the genetic aspects influencing pain sensitivity and pain perception; (3) the role of resting blood pressure and pain threshold; and (4) the impact of sociocultural, environmental, and psychological factors on pain.
October 2018: Dental Clinics of North America
https://www.readbyqxmd.com/read/30189988/sleep-bruxism-and-pain
#15
REVIEW
Eduardo E Castrillon, Fernando G Exposto
Bruxism is an oral behavior that may lead to repetitive jaw-muscle activity characterized by clenching or grinding of the teeth and/or by bracing or thrusting of the mandible with 2 distinct circadian manifestations: sleep bruxism or awake bruxism. They share common risk factors and lead to similar consequences for the masticatory system but may have different etiology and pathophysiology. This oral behavior has been associated with tooth wear, masticatory muscle tenderness, headaches, and painful temporomandibular disorders...
October 2018: Dental Clinics of North America
https://www.readbyqxmd.com/read/30189987/sleep-and-orofacial-pain
#16
REVIEW
Gary D Klasser, Galit Almoznino, Giulio Fortuna
Sleep and pain share a bidirectional relationship. Therefore, it is important for practitioners managing patients experiencing either sleep and/or pain issues to recognize and understand this complex association from a neurobiological perspective involving neuroanatomic and neurochemical processes. Accounting for the influence of pain on the various aspects of sleep and understanding its impact on various orofacial pain disorders assists in developing a prudent management approach. Screening for sleep disorders benefits practitioners in identifying these individuals...
October 2018: Dental Clinics of North America
https://www.readbyqxmd.com/read/30189986/primary-headaches
#17
REVIEW
Robert W Mier, Shuchi Dhadwal
The primary headaches are composed of multiple entities that cause episodic and chronic head pain in the absence of an underlying pathologic process, disease, or traumatic injury. The most common of these are migraine, tension-type headache, and the trigeminal autonomic cephalalgias. This article reviews the clinical presentation, pathophysiology, and treatment of each to help in differential diagnosis. These headache types share many common signs and symptoms, thus a clear understanding of each helps prevent a delay in diagnosis and inappropriate or ineffective treatment...
October 2018: Dental Clinics of North America
https://www.readbyqxmd.com/read/30189985/painful-oral-lesions
#18
REVIEW
Istvan A Hargitai
Painful oral vesiculoerosive diseases (OVD) include lichen planus, pemphigus vulgaris, mucous membrane pemphigoid, erythema multiforme, and recurrent aphthous stomatitis. OVD lesions have an immunopathic cause. Treatment is aimed at reducing the immunologic and the following inflammatory response. The mainstay of OVD management is topical or systemic corticosteroids to include topical triamcinolone, fluocinonide, and clobetasol, whereas systemic medications used in practice can include dexamethasone, prednisone, and prednisolone...
October 2018: Dental Clinics of North America
https://www.readbyqxmd.com/read/30189984/burning-mouth-syndrome
#19
REVIEW
Steven D Bender
Burning mouth syndrome (BMS) is a chronic disorder for which a definitive etiopathology is not known. The BMS patient often experiences a continuous burning pain in the mouth without any clinical signs. This confusing condition can create frustration for both patient and practitioner. Ultimately, it is important for the practitioner who treats head and face pain to become knowledgeable in the recognition of the many complexities and various presentations associated with BMS. In doing so, the practitioner can be better prepared to help patients cope with this confounding disorder and gain a better quality of life...
October 2018: Dental Clinics of North America
https://www.readbyqxmd.com/read/30189983/neuropathic-orofacial-pain
#20
REVIEW
Janina Christoforou
Neuropathic pain of the orofacial region can cause much distress in individuals presenting with this condition. It may be easily mistaken for dental pain, and hence many individuals may undergo unnecessary dental work. Knowledge of the types of neuropathic orofacial pain may assist in timely diagnosis and improvement of a patient's quality of life.
October 2018: Dental Clinics of North America
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