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Evidence bases dentistry

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https://www.readbyqxmd.com/read/29033526/complexity-of-comprehensive-care-treatments-in-undergraduate-dental-programs-the-benefits-of-observing-and-assisting-experienced-faculty-members
#1
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
#2
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
#3
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
#4
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
#5
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
https://www.readbyqxmd.com/read/28921533/dental-treatment-in-the-era-of-new-anti-thrombotic-agents
#6
REVIEW
Sharonit Sahar-Helft, Tali Chackartchi, David Polak, Mordechai Findler
BACKGROUND: In recent years, there have been dramatic changes in anti-thrombotic treatment as a result of new anti-thrombotic agents, as well as changes in the indications for their use. As a consequence, dentists are encountering larger numbers of patients who are undergoing anti-thrombotic treatment and who have increased risk for bleeding. The current paper aims to review the literature regarding up-to-date anti-thrombotic treatment and provide information regarding their implications on dentistry...
September 17, 2017: International Dental Journal
https://www.readbyqxmd.com/read/28891406/clinical-practice-guideline-evaluation-of-the-neck-mass-in-adults
#7
Melissa A Pynnonen, M Boyd Gillespie, Benjamin Roman, Richard M Rosenfeld, David E Tunkel, Laura Bontempo, Itzhak Brook, Davoren Ann Chick, Maria Colandrea, Sandra A Finestone, Jason C Fowler, Christopher C Griffith, Zeb Henson, Corinna Levine, Vikas Mehta, Andrew Salama, Joseph Scharpf, Deborah R Shatzkes, Wendy B Stern, Jay S Youngerman, Maureen D Corrigan
Objective Neck masses are common in adults, but often the underlying etiology is not easily identifiable. While infections cause most of the neck masses in children, most persistent neck masses in adults are neoplasms. Malignant neoplasms far exceed any other etiology of adult neck mass. Importantly, an asymptomatic neck mass may be the initial or only clinically apparent manifestation of head and neck cancer, such as squamous cell carcinoma (HNSCC), lymphoma, thyroid, or salivary gland cancer. Evidence suggests that a neck mass in the adult patient should be considered malignant until proven otherwise...
September 2017: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/28879313/developmental-procedures-for-the-clinical-practice-guidelines-for-conscious-sedation-in-dentistry-for-the-korean-academy-of-dental-sciences
#8
So-Youn An, Kwang-Suk Seo, Seungoh Kim, Jongbin Kim, Deok-Won Lee, Kyung-Gyun Hwang, Hyun Jeong Kim
BACKGROUND: Evidence-based clinical practice guidelines (CPGs) are defined as "statements that are scientifically reviewed about evidence and systematically developed to assist in the doctors' and patients' decision making in certain clinical situations." This recommendation aims to promote good clinical practice for the provision of safe and effective practices of conscious sedation in dentistry. METHODS: The development of this clinical practice guideline was conducted by performing a systematic search of the literature for evidence-based CPGs...
December 2016: J Dent Anesth Pain Med
https://www.readbyqxmd.com/read/28876966/the-effect-of-resin-bonding-on-long-term-success-of-high-strength-ceramics
#9
M B Blatz, M Vonderheide, J Conejo
Digital manufacturing, all-ceramics, and adhesive dentistry are currently the trendiest topics in clinical restorative dentistry. Tooth- and implant-supported fixed restorations from computer-aided design (CAD)/computer-aided manufacturing (CAM)-fabricated high-strength ceramics-namely, alumina and zirconia-are widely accepted as reliable alternatives to traditional metal-ceramic restorations. Most recent developments have focused on high-translucent monolithic full-contour zirconia restorations, which have become extremely popular in a short period of time, due to physical strength, CAD/CAM fabrication, and low cost...
September 1, 2017: Journal of Dental Research
https://www.readbyqxmd.com/read/28873021/parameters-to-define-peri-implantitis-a-review-and-a-proposed-multi-domain-scale
#10
Guo-Hao Lin, Yvonne Kapila, Hom-Lay Wang
Peri-implant diseases have received much attention since dental implants are generally used in contemporary dentistry. Several contributing factors associated with the development of peri-implant diseases have also been investigated. The prevalence of peri-implantitis has been reported but with great heterogeneity due to a lack of a universally accepted classification system to define the extent and severity of peri-implantitis. Several parameters, including radiographic bone loss, probing depth, bleeding on probing, and suppuration, have been introduced in these reports aiming to assist with clinical diagnosis...
September 5, 2017: Journal of Oral Implantology
https://www.readbyqxmd.com/read/28872991/understanding-and-appraising-systematic-reviews-and-meta-analysis
#11
Neeti Mittal, Manoj Goyal, Parteek K Mittal
Systematic reviews and meta-analysis seek to answer a pre-framed research question to lead to a valid answer through a systematic, explicit and reproducible method of locating; identifying, including and appraising appropriate trials. The results are synthesized considering the methodological rigor of included trials. While the meta-analysis quantitatively pools the results from individual included studies, the systematic review summarizes the findings as qualitative conclusions. These reviews are crux of evidence based dentistry for various stake-holders, i...
2017: Journal of Clinical Pediatric Dentistry
https://www.readbyqxmd.com/read/28865813/concordance-between-clinical-practice-and-published-evidence-findings-from-virginia-commonwealth-university-school-of-dentistry
#12
Harmeet K Chiang, Al M Best, David C Sarrett
OBJECTIVES: To evaluate the concordance between clinical practice and published evidence by dental faculty and graduating students of the Virginia Commonwealth University School of Dentistry. METHODS: A questionnaire previously developed by the National Dental Practice-Based Research Network with 12 clinical scenarios was administered to VCU faculty and graduating students. Responses were scored as either consistent or inconsistent with published evidence and then analyzed for differences between dental faculty, graduating students, and the national results...
September 2017: Journal of Evidence-based Dental Practice
https://www.readbyqxmd.com/read/28864811/the-impact-of-research-on-the-future-of-dental-education-how-research-and-innovation-shape-dental-education-and-the-dental-profession
#13
Harold C Slavkin
Scientific inquiry and discovery are the fuel for education, research, technology, and health care in all the health professions: dentistry, medicine, nursing, pharmacy, and allied health sciences. The progression of discoveries from basic or fundamental to clinical research is followed by the progression from clinical to implementation and improved health outcomes and processes. Generally, implementation science is the scientific study of methods to promote the systematic uptake of research findings (e.g., basic, translational, behavioral, socioeconomic, and clinical) as well as other related evidence-based practices into standards of care, thereby improving the quality, effectiveness, and cost benefits of health care services...
September 2017: Journal of Dental Education
https://www.readbyqxmd.com/read/28864809/the-future-of-dental-schools-in-research-universities-and-academic-health-centers
#14
Laurie K McCauley
As a profession, dentistry is at a point of discernible challenge as well as incredible opportunity in a landscape of evolving changes to health care, higher education, and evidence-based decision making. Respecting the past yet driving forward, a well-mapped future course is critical. Orchestrating this course in a collaborative manner is essential for the visibility, well-being, and potentially the existence of the dental profession. The research performed in dental institutions needs to be contemporary, aligned with biomedical science in general, and united with other disciplines...
September 2017: Journal of Dental Education
https://www.readbyqxmd.com/read/28856133/pioneering-and-interprofessional-pediatric-dentistry-programs-aimed-at-reducing-oral-health-disparities
#15
Francisco Ramos-Gomez, Hamida Askaryar, Cambria Garell, Jennifer Ogren
Early Childhood Caries (ECC) is the most chronic childhood disease and more predominant in low-income and underserved children. Although easily transmitted, ECC is entirely preventable. Dr. Ramos-Gomez and his team at the University of California, Los Angeles put together an interprofessional curriculum where both medical and dental knowledge and practice is integrated to prepare dentists and primary care providers to more cost effectively address ECC and thereby reduce disparities in oral health. The curriculum, known as the Strategic Partnership for Interprofessional Collaborative Education in Pediatric Dentistry (SPICE-PD), consists of nine evidence-based training modules: applied statistics and research, community partners, interprofessional education/training, quality improvement, policy and advocacy, disease management/risk assessment, ethics/professionalism, cultural competency and children with special heath-care needs...
2017: Frontiers in Public Health
https://www.readbyqxmd.com/read/28836365/use-of-antidepressants-in-dentistry-a-systematic-review
#16
REVIEW
P A Lino, C C Martins, Gfpc Miranda, M E de Souza E Silva, Mhng de Abreu
OBJECTIVE: Previous research has suggested that antidepressants can be used in oral health care. The aim of this systematic review was to search for scientific evidence of the efficacy of the use of antidepressants in dentistry. MATERIALS AND METHODS: The clinical question was as follows (PICO question): dentistry patients (Patients); antidepressants (Intervention); no use or placebo or other drug (Comparison); and efficacy in oral health problems (Outcome). An electronic search was conducted in seven databases, as well as a manual search without restriction regarding language and date of publication...
August 24, 2017: Oral Diseases
https://www.readbyqxmd.com/read/28815253/-a-survey-on-knowledge-attitude-and-practice-related-to-evidence-based-dentistry-among-dental-students
#17
Zhong-Fu Chang, Ce Zhu, Dan-Ying Tao, Xi-Ping Feng, Hai-Xia Lu
PURPOSE: To investigate the knowledge, attitude and practice related to evidence-based dentistry among dental students, and to provide a reference for targeted evidence-based dentistry teaching and practice evidence-based dentistry in dental students. METHODS: Dental students who attended the internship in Shanghai Ninth People's Hospital and Pudong People's Hospital were invited to attend this survey. Information on knowledge, attitude and practices related evidence-based dentistry was collected through questionnaires...
April 2017: Shanghai Kou Qiang Yi Xue, Shanghai Journal of Stomatology
https://www.readbyqxmd.com/read/28798450/atraumatic-restorative-treatment-and-minimal-intervention-dentistry
#18
J E Frencken
Too many people worldwide suffer from the consequences of untreated dentine carious lesions. This finding reflects the inability of the currently used traditional mode of treatments to manage such lesions. A change is needed. Dental training institutions should depart from the traditional 'drill and fill' treatments and embrace the holistic oral healthcare approach that is minimal intervention dentistry (MID) and includes within it minimally invasive operative skills. Dental caries is, after all, a preventable disease...
August 11, 2017: British Dental Journal
https://www.readbyqxmd.com/read/28798433/a-guide-to-building-mi-oral-healthcare-practice
#19
B Dawett, B Atkins, A Banerjee
Minimum intervention dentistry (MID) is the evidence-based delivery of oral healthcare which aims to maximise preservation of tooth structure and longevity of tooth life, improving long-term oral health and wellbeing. In general dental practice implementing such an ethos and approach can require change in the practice structure and processes. Such change in processes requires careful management and planning. Planning should include financial as well as business planning. A detailed understanding of the planning that may be required is described here as a guide to help oral healthcare practice staff and other stakeholders to facilitate the delivery of MID...
August 11, 2017: British Dental Journal
https://www.readbyqxmd.com/read/28798429/dento-legal-considerations-about-an-mi-approach
#20
L D'Cruz
Over the years there have been many conceptual changes in how dental disease is prevented and managed. What is now the norm and standard practice was at some earlier time considered to be at best pioneering, and at its worst, heresy or negligent. When we look, for example at how we conservatively manage periodontal disease when less than a generation ago we were wielding surgical knives far more frequently than we do now, we can see how research and evidence-based dentistry has influenced our thinking. We are very much at that tipping point now with minimum intervention (MI) dentistry...
August 11, 2017: British Dental Journal
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