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evidence based dentistry

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https://www.readbyqxmd.com/read/29143199/cone-beam-ct-in-paediatric-dentistry-dimitra-project-position-statement
#1
REVIEW
Anne Caroline Oenning, Reinhilde Jacobs, Ruben Pauwels, Andreas Stratis, Mihaela Hedesiu, Benjamin Salmon
DIMITRA (dentomaxillofacial paediatric imaging: an investigation towards low-dose radiation induced risks) is a European multicenter and multidisciplinary project focused on optimizing cone-beam CT exposures for children and adolescents. With increasing use of cone-beam CT for dentomaxillofacial diagnostics, concern arises regarding radiation risks associated with this imaging modality, especially for children. Research evidence concerning cone-beam CT indications in children remains limited, while reports mention inconsistent recommendations for dose reduction...
November 15, 2017: Pediatric Radiology
https://www.readbyqxmd.com/read/29136646/the-effect-of-interventions-aiming-to-optimise-the-prescription-of-antibiotics-in-dental-care-a-systematic-review
#2
Christin Löffler, Femke Böhmer
BACKGROUND: Abundant evidence in dentistry suggests that antibiotics are prescribed despite the existence of guidelines aiming to reduce the development of antibiotic resistance. This review investigated (1) which type of interventions aiming to optimise prescription of antibiotics exist in dentistry, (2) the effect of these interventions and (3) the specific strengths and limitations of the studies reporting on these interventions. METHOD: Literature search was based on Medline, Embase, Global Health, Cochrane CENTRAL, ClinicalTrials...
2017: PloS One
https://www.readbyqxmd.com/read/29135328/when-the-solution-becomes-a-problem-an-educational-discussion
#3
Gustavo Frainer Barbosa
Presenting patients with the opportunity to restore their smiles using dental implants, which is a reliable and widely accepted technique, is highly recommended. Therefore, a correct clinical judgment and a, consequently, dental implant treatment planning is a central component of a good practice of implant dentistry. Moreover, to the oral clinician be able to make better decisions and reach a more accurate clinical judgment, it is necessary continuing professional development being, this development, an essential professional activity for dentists that intend planning implant treatments...
November 14, 2017: Journal of Oral Implantology
https://www.readbyqxmd.com/read/29123283/book-review-evidence-based-decision-making-in-dentistry
#4
S Pervin
No abstract text is available yet for this article.
November 10, 2017: British Dental Journal
https://www.readbyqxmd.com/read/29122065/evidence-based-dental-care-perspective-on-levels-of-evidence
#5
S M Hashim Nainar
The objective of this review was to consider compilation of evidence from literature and its interpretation. Evidence-based dentistry during its implementation has sometimes emphasized randomized clinical trials with exclusion of all other evidence. Systematic reviews must compile evidence from all study types, with the collected evidence processed through the Grading of Recommendations Assessment, Development and Evaluation system prior to their application in clinical decision-making. Evidence-based clinical practice should be based upon transparently reported evidence from all study types...
July 15, 2017: Pediatric Dentistry
https://www.readbyqxmd.com/read/29097795/cochrane-and-the-comet-initiative-developing-the-evidence-base-in-oral-medicine
#6
J Taylor, T Walsh, H Worthington, P Brocklehurst, M N Pemberton, A M Glenny
All clinicians in medicine and dentistry aim to deliver evidence-based practice; however, it is widely recognised that the current evidence base for interventions in oral medicine, as with many other specialties, is of a low quality. The highest level of evidence is considered to be the systematic review and meta-analysis. The Cochrane Collaboration and the Cochrane Oral Health group produce high quality systematic reviews, however, despite the large number of trials carried out for treatments in oral medicine, the results are often not able to be utilised to guide clinical care due to the various methodological limitations of the trials including the heterogeneity of outcome measures used...
November 3, 2017: British Dental Journal
https://www.readbyqxmd.com/read/29095537/evidence-based-dentistry-challenges-and-possibilities
#7
EDITORIAL
Paulo Antônio Martins-Júnior, Ricardo Santiago Gomez, Peter A Brennan, Lucas Guimarães Abreu
No abstract text is available yet for this article.
November 2017: Journal of Oral Pathology & Medicine
https://www.readbyqxmd.com/read/29077195/developing-a-caries-risk-registry-to-support-caries-risk-assessment-and-management-for-children-a-quality-improvement-initiative
#8
Jesley C Ruff, Jill Boylston Herndon, Roger A Horton, Julie Lynch, Dawn C Mathwig, Audra Leonard, Krishna Aravamudhan
OBJECTIVES: Health registries are commonly used in medicine to support public health activities and are increasingly used in quality improvement (QI) initiatives. Illustrations of dental registries and their QI applications are lacking. Within dentistry, caries risk assessment implementation and documentation are vital to optimal patient care. The purpose of this article is to describe the processes used to develop a caries risk assessment registry as a QI initiative to support clinical caries risk assessment, caries prevention, and disease management for children...
October 27, 2017: Journal of Public Health Dentistry
https://www.readbyqxmd.com/read/29073653/the-state-of-quality-improvement-and-patient-safety-teaching-in-health-professional-education-in-new-zealand
#9
Gillian Robb, Iwona Stolarek, Susan Wells, Gillian Bohm
AIM: To investigate how quality and patient safety domains are being taught in the pre-registration curricula of health profession education programmes in New Zealand. METHODS: All tertiary institutions providing training for medicine, nursing, midwifery, dentistry, pharmacy, physiotherapy, dietetics and 11 other allied health professions in New Zealand were contacted and a person with relevant curriculum knowledge was invited to participate. Interviews were conducted using a semi-structured interview guide to explore nine quality and safety domains; improvement science, patient safety, quality and safety culture, evidence-based practice, patient-centred care, teamwork and communication, leadership for change, systems thinking and use of information technology (IT)...
October 27, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/29070156/born-into-addiction-neonatal-abstinence-syndrome-and-pediatric-dentistry
#10
Jennifer L Cully
Drug overdose and opioid-involved deaths continue to increase across the United States. An end-condition related to opioid abuse is neonatal abstinence syndrome (NAS). The implications for pregnant or post-partum women using an opioid, whether prescribed or illicit, can have significant effects on their infant. First described in the 1970s, NAS is defined as a postnatal drug withdrawal syndrome that primarily occurs in opioid-exposed infants. There are no nationally accepted, evidence-based treatment protocols for these infants...
September 15, 2017: Pediatric Dentistry
https://www.readbyqxmd.com/read/29070150/use-of-vital-pulp-therapies-in-primary-teeth-with-deep-caries-lesions
#11
Vineet Dhar, Abdullah A Marghalani, Yasmi O Crystal, Ashok Kumar, Priyanshi Ritwik, Ozlem Tulunoglu, Laurel Graham
PURPOSE: This manuscript presents evidence-based guidance on the use of vital pulp therapies for treatment of deep caries lesions in children. A guideline panel convened by the American Academy of Pediatric Dentistry formulated evidence-based recommendations on three vital pulp therapies: indirect pulp treatment (IPT; also known as indirect pulp cap), direct pulp cap (DPC), and pulpotomy. METHODS: The basis of the guideline's recommendations was evidence from "Primary Tooth Vital Pulp Therapy: A Systematic Review and Meta-Analysis...
September 15, 2017: Pediatric Dentistry
https://www.readbyqxmd.com/read/29070149/use-of-silver-diamine-fluoride-for-dental-caries-management-in-children-and-adolescents-including-those-with-special-health-care-needs
#12
Yasmi O Crystal, Abdullah A Marghalani, Steven D Ureles, John Timothy Wright, Rosalyn Sulyanto, Kimon Divaris, Margherita Fontana, Laurel Graham
BACKGROUND: This manuscript presents evidence-based guidance on the use of 38 percent silver diamine fluoride (SDF) for dental caries management in children and adolescents, including those with special health care needs. A guideline workgroup formed by the American Academy of Pediatric Dentistry developed guidance and an evidence-based recommendation regarding the application of 38 percent SDF to arrest cavitated caries lesions in primary teeth. TYPES OF STUDIES REVIEWED: The basis of the guideline's recommendation is evidence from an existing systematic review "Clinical trials of silver diamine fluoride in arresting caries among children: A systematic review...
September 15, 2017: Pediatric Dentistry
https://www.readbyqxmd.com/read/29064220/the-management-of-infections-and-the-use-of-antibiotic-prophylaxis-by-dentists-a-review-of-the-evidence
#13
George Maranon
Dentistry plays an important role in managing the antibiotic resistance problem. Guidelines for the use of antibiotics for prevention of endocarditis, prosthetic joint infections and other medical conditions have changed frequently. Unfortunately, the original guidelines and subsequent changes were often made through consensus opinions and not evidence based. Clinical decisions on the use of antibiotics must be made on the basis of the scientific evidence with knowledge of the most current guidelines and indications...
March 2017: Journal of the California Dental Association
https://www.readbyqxmd.com/read/29057527/exploring-the-genomic-basis-of-early-childhood-caries-a-pilot-study
#14
Jami L Ballantine, Jenna C Carlson, Andrea G Ferreira Zandoná, Cary Agler, Leslie P Zeldin, Richard Gary Rozier, Michael W Roberts, Patricia V Basta, Jason Luo, Mikafui E Antonio-Obese, Daniel W McNeil, Robert J Weyant, Richard J Crout, Rebecca L Slayton, Steven M Levy, John R Shaffer, Mary L Marazita, Kari E North, Kimon Divaris
OBJECTIVE: A genetic component in early childhood caries (ECC) is theorized, but no genome-wide investigations of ECC have been conducted. This pilot study is part of a long-term research program aimed to: (1) determine the proportion of ECC variance attributable to the human genome and (2) identify ECC-associated genetic loci. METHODS: The study's community-based sample comprised 212 children (mean age=39 months; range = 30-52 months; males = 55%; Hispanic/Latino = 35%, African-American = 32%; American Academy of Pediatric Dentistry definition of ECC prevalence = 38%)...
October 23, 2017: International Journal of Paediatric Dentistry
https://www.readbyqxmd.com/read/29053658/low-level-laser-therapy-for-treatment-of-neurosensory-disorders-after-orthognathic-surgery-a-systematic-review-of-randomized-clinical-trials
#15
M-A-V Bittencourt, L-R Paranhos, P-R-S Martins-Filho
BACKGROUND: Low-level laser has been widely used in Dentistry and many studies have focused on its application in oral surgeries. This study was conducted with the aim of searching for scientific evidence concerning the effectiveness of laser to reduce pain or paresthesia related to orthognathic surgery. MATERIAL AND METHODS: An electronic search was performed in PubMed, Scopus, Science Direct, LILACS, SciELO, CENTRAL, Google Scholar, OpenGrey, and ClinicalTrials...
November 1, 2017: Medicina Oral, Patología Oral y Cirugía Bucal
https://www.readbyqxmd.com/read/29033526/complexity-of-comprehensive-care-treatments-in-undergraduate-dental-programs-the-benefits-of-observing-and-assisting-experienced-faculty-members
#16
Moataz Elgezawi, Khalid Hassan, Adel Alagl, Ahmad M Al-Thobity, Basel Al-Mutairi, Thamir Al-Houtan, Shazia Sadaf
OBJECTIVE: To improve the confidence of the final year dental students in completing occlusal and oral rehabilitation of patients, with complexities beyond their scope, based on full analysis of the biomechanical and esthetic considerations of each case. MATERIAL & METHODS: Two comprehensive patient situations presenting with special difficulties including extensive, reduced vertical dimension of occlusion, limited interocclusal space and maxillary alveolar bone for implant insertion necessitating bone augmentation and a sinus lift surgery was managed by two students at our institute...
October 2017: Saudi Dental Journal
https://www.readbyqxmd.com/read/28988780/clinical-studies-in-restorative-dentistry-design-conduct-analysis
#17
REVIEW
Falk Schwendicke, Niek Opdam
OBJECTIVE: Clinical studies should be one main aspect underlying dentists' decision-making towards dental materials. Study design, conduct, analysis and reporting impact on the usefulness of studies. We discuss problems with current studies and highlight areas where improvement might be possible. METHODS: Based on systematically and non-systematically collected data, we demonstrate where and why current studies in clinical dentistry deliver less-than-optimal results...
October 5, 2017: Dental Materials: Official Publication of the Academy of Dental Materials
https://www.readbyqxmd.com/read/28986205/-conception-and-implementation-of-a-novel-e-learning-module-with-ebm-learning-contents-in-operative-dentistry
#18
Susanne Gerhardt-Szép, Stefanie Dreher, Stefan Rüttermann, Tobias Weberschock
PURPOSE: Computer-assisted learning (CAL) programs are becoming more widely used in medical and dental training. However, the combination of CAL programs and evidence-based education in dentistry has not been described previously. The aim was to determine the acceptance and user-friendliness of a CAL program combined with evidence-based training. METHODS: The didactic concept of the module includes the case-oriented, problem-based embedding of a total of 32 EbM learning assignments, which can be completed interactively and self-determinedly in an interdisciplinary context using focus patients with different diseases...
October 3, 2017: Zeitschrift Für Evidenz, Fortbildung und Qualität Im Gesundheitswesen
https://www.readbyqxmd.com/read/28965361/mouthguards-and-their-use-in-sports-report-of-the-1-st-international-sports-dentistry-workshop-2016
#19
Jeffrey D Lloyd, Wayne S Nakamura, Yoshinobu Maeda, Tomotaka Takeda, Richard Leesungbok, David Lazarchik, Brett Dorney, Tomoya Gonda, Kazunori Nakajima, Toshikazu Yasui, Yoshihiro Iwata, Hiroshi Suzuki, Naoki Tsukimura, Hiroshi Churei, Kung-Rock Kwon, Melvin M H Choy, James B Rock
There appears to be much confusion or misinformation worldwide regarding mouthguards and their use in sports. In an effort to clarify where the international dental community stands on mouthguards and mouthguard research, the workshop looked at some important questions. The goal is to one day formulate consensus statements related to these questions, which will be based on current scientific evidence-based research, to motivate the international community of the importance of dentally fitted laminated mouthguards and the wearing of them by athletes of all sports...
October 1, 2017: Dental Traumatology: Official Publication of International Association for Dental Traumatology
https://www.readbyqxmd.com/read/28958308/evidence-based-clinical-practice-guideline-for-the-evaluation-of-potentially-malignant-disorders-in%C3%A2-the-oral-cavity-a-report-of-the-american-dental-association
#20
Mark W Lingen, Elliot Abt, Nishant Agrawal, Anil K Chaturvedi, Ezra Cohen, Gypsyamber D'Souza, JoAnn Gurenlian, John R Kalmar, Alexander R Kerr, Paul M Lambert, Lauren L Patton, Thomas P Sollecito, Edmond Truelove, Malavika P Tampi, Olivia Urquhart, Laura Banfield, Alonso Carrasco-Labra
BACKGROUND: An expert panel convened by the American Dental Association (ADA) Council on Scientific Affairs and the Center for Evidence-Based Dentistry conducted a systematic review and formulated clinical recommendations to inform primary care clinicians about the potential use of adjuncts as triage tools for the evaluation of lesions, including potentially malignant disorders (PMDs), in the oral cavity. TYPES OF STUDIES REVIEWED: This is an update of the ADA's 2010 recommendations on the early diagnosis of PMDs and oral squamous cell carcinoma...
October 2017: Journal of the American Dental Association
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