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 Table of Contents  
GUEST EDITORIAL
Year : 2015  |  Volume : 2  |  Issue : 2  |  Page : 59

Evidence-based dentistry: What do we really know?


Department of Pediatric Dentistry, LSUHSC School of Dentistry, New Orleans, Louisiana 70119, USA

Date of Web Publication20-Jul-2015

Correspondence Address:
Dr. Priyanshi Ritwik
Department of Pediatric Dentistry, LSUHSC School of Dentistry, New Orleans, Louisiana 70119
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2348-2915.161199

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How to cite this article:
Ritwik P. Evidence-based dentistry: What do we really know?. J Dent Res Rev 2015;2:59

How to cite this URL:
Ritwik P. Evidence-based dentistry: What do we really know?. J Dent Res Rev [serial online] 2015 [cited 2019 Oct 23];2:59. Available from: http://www.jdrr.org/text.asp?2015/2/2/59/161199

A recently published Swedish systematic review of topics pertinent to pediatric dentistry summarized that there is high quality of evidence to support the caries preventive effect of daily use of fluoridated toothpaste, moderate for resin-based fissure sealant and low to very low quality of evidence for the effects of interventions in pediatric dentistry. [1] On the basis of this systematic review of 81 systematic reviews, the authors concluded that there is an urgent need for good quality research in clinical domains within pediatric dentistry. The Chochrane review also reports similarly an urgent need to conduct high-quality clinical studies to assess the outcomes of dental restorations with different materials in children. [2] Their review identified three studies, which could be included and the data were insufficient to make any recommendations regarding which material to use. It is baffling that with the numerous peer-reviewed journals available, we cannot find high-quality evidence to support restorative care in pediatric dentistry. What does this mean for the practicing clinician?

The logistic barriers in conducting high quality, randomized, double-blind clinical studies in the various domains of dental and oral care contribute to this problem. The clinician still has the ethical responsibility to make the best chairside decision of each patient and can do this by connecting the dots between current research and clinical problems of patients. Evidence-based practice is the confluence of the dentist's expertise, the patient's needs and preferences and current evidence. In this context, the development of research ideas from the National Dental Practice-Based Research Network appears promising because clinically relevant problems are investigated in the "real world" clinical practice. The American Dental Association's evidence-based dentistry website (http://ebd.ada.org/en/) provides access to current critical summaries, which can be used by dentists and patients to make clinical decisions. The paucity of clear outcomes in systematic reviews and meta-analyses tell us that the clinician has to learn critical appraisal of evidence and its applicability. Transforming the clinician to a clinician-investigator will certainly make a difference in the world of scientifically valid, statistically significant but the clinically inconclusive abundance of data.

 
  References Top

1.
Mejàre IA, Klingberg G, Mowafi FK, Stecksén-Blicks C, Twetman SH, Tranæus SH. A systematic map of systematic reviews in pediatric dentistry - What do we really know? PLoS One 2015;10:e0117537.  Back to cited text no. 1
    
2.
Yengopal V, Harnekar SY, Patel N, Siegfried N. Dental fillings for the treatment of caries in the primary dentition. Available from: http://www.cochrane. org/CD004483/ORAL_dental-fillings-for-the-treatment-of-caries-in-the-primary-dentition. [Last accessed on 2015 May 18].  Back to cited text no. 2
    




 

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