Answering Clinical Questions using the Principles of Evidence-Based Dentistry

Gillette, Jane

doi:10.1016/j.jebdp.2008.12.013

Cited by 8 publications

(10 citation statements)

References 15 publications

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“…Patients’ desires and preferences may be the result of many factors including perceived needs, past dental experiences, health values, and financial issues. Finally, it is essential that these three elements are present in order to obtain the greatest benefits 1 …”

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confidence: 99%

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Complete Denture Occlusion: An Evidence‐Based Approach

Farias-Neto

Carreiro

2012

Journal of Prosthodontics

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The article is associated with the American College of Prosthodontists' journal-based continuing education program. It is accompanied by an online continuing education activity worth 1 credit. Please visit www.wileyonlinelearning.com/jopr to complete the activity and earn credit. KeywordsBilateral balanced occlusion; canine guidance; conventional complete denture. Correspondence AbstractPurpose: This study involved an extensive search for randomized controlled clinical trials comparing bilateral balanced and canine-guided dentures, and questioned whether a bilateral balanced occlusion is imperative for successful denture treatment. Materials and Methods: Studies were identified by searching electronic databases (PubMed/MEDLINE, ISI Web of Science, LILACS, and BBD). The keywords "denture" and "occlusion" were used. The minimum inclusion requirements were (1) randomized controlled trials with patients of any age wearing both maxillary and mandibular conventional complete dentures (CDs), (2) comparison between bilateral balanced and canine-guided dentures, and (3) assessment of masticatory function and/or patients' satisfaction. Results: The search resulted in the identification of 5166 articles. Subsequently, 5156 articles were excluded on the basis of title and abstract. By the end of the search phase, seven randomized controlled trials were considered eligible. Conclusions: Current scientific evidence suggests that bilateral balanced occlusion is not imperative for successful treatment with conventional CDs in average patients. More studies are necessary to identify if specific clinical conditions may benefit from a balanced occlusion.According to the American Dental Association, evidence-based dentistry is an approach to oral healthcare requiring the judicious integration of systematic assessments of clinically relevant scientific evidence with the dentist's clinical expertise and the patient's treatment needs and preferences.1 Assessment of scientific evidence obtained from reliable sources may be the most challenging element for dentists to master. Clinical expertise is often obtained by practitioners engaging in clinical experiences over time. Patients' desires and preferences may be the result of many factors including perceived needs, past dental experiences, health values, and financial issues. Finally, it is essential that these three elements are present in order to obtain the greatest benefits. 2 presented examples of "old truths" in the field of prosthodontics. One of these so-called "old truths" is the bilateral balanced occlusion (BBO), held by many authors as fundamental for successful treatment with conventional complete dentures (CDs). For more than a hundred years, textbooks and undergraduate teaching have stated that canine guided dentures should be avoided, since they would result in denture instability and impaired masticatory function; however, recent research has shown that conventional CDs can function successfully without a balanced occlusion.3 Also, it is interesting to note that 1 year...

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“…Finally, it is essential that these three elements are present in order to obtain the greatest benefits. 1 In the face of this new paradigm of clinical decision making, numerous clinical procedures have become questionable. In 2009, Carlsson 2 presented examples of "old truths" in the field of prosthodontics.…”

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Complete Denture Occlusion: An Evidence‐Based Approach

Farias-Neto

Carreiro

2012

Journal of Prosthodontics

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“…Fortunately, over the past decade there has been the development of many Internet-based clinical decision support resources for practitioners to use that allow dentists to lessen the amount of time and training the evidence finding and critical appraisal process requires. This simplified and expedited approach [27][28][29][30] focuses on the use of high-quality SRs such as those developed by the Cochrane Collaboration 31,32 and preappraised evidence, 33 thereby increasing the likelihood that a clinician will complete the process (Fig. 3).…”

Section: Journal Of Evidence-based Dental Practicementioning

confidence: 99%

Striving for Excellence with Evidence-Based Dentistry

Gillette

2009

Journal of Evidence Based Dental Practice

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“…There has been a recent focused movement by national organizations, such as the American Dental Association, to embed the principles of evidence‐based dentistry (EBD) into mainstream care delivered by private practicing dentists. To assist dentists who encounter barriers, such as the time it takes to review evidence or the identification of reliable resources, recent advances in electronic clinical decision support have enabled busy and even novice EBD practitioners to implement the foundational elements of EBD into clinical care 7 . It is hoped that the broader implantation of such a portal in the near future would provide easy access to thousands of clinicians.…”

Section: Availability Of Clinical Evidencementioning

confidence: 99%

“…To assist dentists who encounter barriers, such as the time it takes to review evidence or the identification of reliable resources, recent advances in electronic clinical decision support have enabled busy and even novice EBD practitioners to implement the foundational elements of EBD into clinical care. 7 It is hoped that the broader implantation of such a portal in the near future would provide easy access to thousands of clinicians. Another valuable resource to support clinical decision making might be the Cochrane Collaboration, 4 a non-profit organization that publishes systematic reviews of medical and dental interventions.…”

Section: Availability Of Clinical Evidencementioning

confidence: 99%

Clinical Decisions and the Quality of Evidence Available for Dental Implants

Bhatavadekar

2009

Journal of Periodontology

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As more types of implants have become available, clinicians have been faced with the task of choosing a specific implant from a wide array of options for a given clinical situation, which has led to an ever-increasing need for clinical evidence to help clinicians choose an implant. This article highlights the need for clinicians to look beyond the claims proposed by manufacturers because several of those claims are not substantiated by randomized controlled trials but by in vitro data alone. Recent advances in clinical evidence-based decision portals might enable busy clinicians to adopt an evidence-based approach to choosing implant systems. Also, the standardization of study-reporting criteria might enable comparisons across implant systems in the future.

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Answering Clinical Questions using the Principles of Evidence-Based Dentistry

Cited by 8 publications

References 15 publications

Complete Denture Occlusion: An Evidence‐Based Approach

Complete Denture Occlusion: An Evidence‐Based Approach

Striving for Excellence with Evidence-Based Dentistry

Clinical Decisions and the Quality of Evidence Available for Dental Implants

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