To critically evaluate the evidence on knowledge changes observed after the application of evidence-based dentistry (EBD) educational interventions to dental students. Methods:We included studies that assessed EBD knowledge after applying educational interventions to undergraduates. Studies that evaluated post-graduate students or professionals, that exclusively described educational interventions, programs, or the application of curriculum revisions were excluded. Electronic databases (PubMed, Embase, Scopus, and Web of Science), unpublished gray literature, and manual searches were performed. Data concerning "perceived" and "actual knowledge" was extracted. The quality of the studies was appraised according to the Mixed Methods Appraisal Tool. Results: The 21 selected studies enrolled students at different stages, and the intervention formats were diverse. The educational interventions could be categorized into three modalities, that is, regular, EBD-focused disciplines or courses, and other educational interventions including one or more of the EBD principles, methods, and/or practices. Despite the format, knowledge was generally improved after the implementation of educational interventions. Overall, perceived and actual levels of knowledge increased considering EBD general concepts, principles, and/or practices, and concerning the "acquire" and "appraise" skills. Among the selected studies, two were randomized controlled trials, while most were non-randomized or descriptive studies.Conclusions: EBD-related educational interventions seem to improve dental students' perceived and actual knowledge, according to literature with a high risk of bias. Therefore, more complete, methodologically rigorous, and longer-term studies are still recommended to confirm and expand the current knowledge.
Introduction and aims:Considering that attitudes toward evidence-based dentistry (EBD) may predict implementation behaviors, the objective of this systematic review was to synthesize and evaluate the existing evidence related to dentists’ attitudes and practices toward EBD.Methods:We included primary studies that collected information from interviews, questionnaires, or conversation sessions with dentists. The following sources were searched: Cochrane Central Register of Controlled Trials, Embase, PubMed, Scopus, and Web of Science, in addition to gray literature. The included studies were appraised according to the assessment tools recommended by JBI for qualitative and quantitative observational studies. Data were collected in standardized tables and descriptively synthesized.Results:The selection process resulted in 36 included studies. Dentists share positive opinions about EBD and predominantly report willingness to learn or adopt these practices. Despite high methodological risks and significant heterogeneity, the results collected in this review indicated that scientific journals, clinical practice guidelines, and trusted colleagues are generally perceived as influential and useful by dentists, who highly consulted these information sources.Conclusion:Despite supportive attitudes toward EBD, very low certainty exists about actual EBD-related practices.
Primeiramente quero agradecer a Deus e a Nossa Senhora de Aparecida, pois sem eles, eu nada seria.Aos meus pais, Rubens e Regina. Pai, obrigada por sempre ter sido rígido comigo, por me mostrar que nada vem facilmente, e que apesar de sempre poder realizar tudo o que eu desejo, me mostrou que para conseguirmos as coisas precisamos batalhar muito, pode ter certeza que o espelho nunca vai se quebrar.Obrigada também por estar ao meu lado em um dos meus primeiros dias como dentista, eu estava apavorada, pois estava fazendo um procedimento que eu morria de medo, e você estava lá (como sempre), ao meu lado. Mãe, obrigada por ser esse equilíbrio em pessoa, por levar a vida com tanta leveza, essa que muitas vezes me falta, mas que você sempre me lembra dela. Obrigada por se dedicar tanto a mim, por sempre estar do meu lado e ser minha melhor amiga. Não há palavras que descrevam o quanto sou grata por serem meus alicerces e exemplos, e por sempre fazerem o possível e o impossível por mim. Ao Daniel, por estar sempre ao meu lado nessa jornada, sonhando e realizando comigo. Sou muito grata por tudo o que já fez por mim e por tudo o que ainda vamos construir juntos. Deus foi muito bom comigo em ter te colocado na minha vida, eu admiro e amo você.Aos meus avós Hermes e Leticia, que sempre me mostraram que com amor e paciência podemos construir qualquer coisa, e que eu agradeço a Deus todos os dias por ainda tê-los. Aos meus avós Rubens e Lydia (in memorian), me falta palavras pra dizer o quanto eu gostaria que estivessem aqui comigo, sei que você, vó, sempre falava que não me veria crescer, mas sei que de alguma forma você está sempre por perto, sinto a presença de vocês sempre.À minha sogra Regina (in memorian), por eu ter tido a honra de conhecer uma pessoa tão delicada e querida, sua paixão pelos livros e pelo estudo são eternas inspirações para mim, obrigada por me fazer uma pessoa mais corajosa e obrigada pelo tempo que passamos juntas, saudades eternas. AGRADECIMENTOSUm agradecimento especial a Profa. Dra. Mírian Aiko Nakane Matsumoto, orientadora desta dissertação, muito obrigada por todos os ensinamentos, conselhos, paciência e por dividir comigo seu conhecimento. Obrigada por estar comigo neste desafio, e tenho certeza que todos estes anos me mudaram não apenas como profissional, mas como pessoa.
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