Accessing the best available evidence

From Volume 40, Issue 6, July 2013 | Pages 482-486

Authors

Thomas J Lamont

BDS, MFDS RCPS(Glasg)

Clinical Research Fellow/Honorary Specialty Registrar in Restorative Dentistry, University of Dundee, Dundee Dental Hospital and School, Park Place, Dundee, DD1 4HN

Articles by Thomas J Lamont

Alexander Keightley

BDS, MFDS RCPS(Glasg), MPaed Dent RCSEd

Clinical Research Fellow/Honorary Post-CCST Trainee in Paediatric Dentistry, University of Dundee, Dundee Dental Hospital and School, Park Place, Dundee, DD1 4HN

Articles by Alexander Keightley

Jan Clarkson

BSc, BDS, PhD, FDS RCS(Ed), FDS(Paed) RCS(Ed)

Co-Director Dental Health Services Research Unit, Director Scottish Dental Clinical Effectiveness Programme, Joint Co-ordinating Editor Cochrane Oral Health Group, University of Dundee, Dental Health Services Research Unit, University of Dundee, Dundee Dental Hospital and School, Park Place, Dundee, DD1 4HN

Articles by Jan Clarkson

Abstract

This narrative review aims to highlight sources of the best available evidence and describe primary clinical trials currently taking place in primary dental care across the United Kingdom which will add to the evidence base.

Clinical Relevance: To provide evidence-based dental care, dental professionals have to integrate the best available evidence, their clinical experience and their patients' values; this paper should help to identify user-friendly sources of the best available evidence.

Article

With the constant change in the dental landscape, it is becoming increasingly difficult for dental professionals to ensure that they are keeping up-to-date with legislation whilst also providing the best available care for their patients. At the same time, they could easily be pressured into believing that the latest dental material or product will solve all their clinical woes by the sheer strength of conviction of an advertising campaign or sales people. Patients' perceptions, priorities and expectations are also moving goalposts; with the widespread use of the internet, they can be quick to tell even the most experienced dental professional about the latest ‘breakthrough treatment’ that they expect to be provided. Many dental professionals will question where to seek reliable information, in a timely manner, without resulting in even more confusion.

The American Dental Association defines Evidence-based Dentistry (EBD) as:

‘an approach to oral healthcare that requires the judicious integration of systematic assessments of clinically relevant scientific evidence, relating to the patient's oral and medical condition and history, with the dentist's clinical expertise and the patient's treatment needs and preferences’.1

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