Introduction To Evidence-Based Dentistry (Hadeel)

EVIDENCE-BASED
DENTISTRY
Ass.Prof. Hadeel Farouk
Associate Professor of Conservative Dentistry
Al-Ryada University For Science and Technology
NEW ACADEMIC YEAR
FALL 2024-2025
Faculty Elective course

FEL08
WHAT IS EVIDENCE-BASED MEDICINE?
• Clinical practice is about making choices. Shall I order a test?

Should I treat the patient? What should I treat them with? The
decision depends on the doctor’s knowledge, skills, attitudes, and
available resources and tests. The patient’s concerns, expectations,
and values must also be considered.
• The term ‘evidence-based medicine’ (EBM) was first used by a
Canadian, David Sackett and his colleagues at McMaster University in
Ontario, Canada in the early 1990s.
THEY HAVE SUBSEQUENTLY REFINED THE
DEFINITION OF EBM AS
• Integrating the best research evidence with clinical

expertise and patient values to achieve the best possible
patient management.
• EBM is about improving the quality of the information on which
decisions are based. It helps practitioners to avoid ‘information
overload’ but, at the same time, to find and apply the most useful
information.
WHY DO WE NEED EBM?
• Unfortunately, there is a large information gap between research and
clinical practice. Because so much research is published all the time,
clinicians understandably are unaware of most of it or do not have
the ‘tools’ to assess its quality.
• Researchers, on the other hand, do not understand the information
needs of clinicians and continue to present their work in a way that is
not easily accessible to busy practitioners. In 1972, British
epidemiologist Archie Cochrane highlighted that most treatment-
related decisions were based on an ad hoc selection of information
from the vast and variable quality scientific literature, on expert
opinion, or, worse of all, on trial and error.
• Since the establishment of the Cochrane Oral Health Group in 1994,
evidence-based dentistry (EBD) has been evolving for almost 30
years, exerting profound effects on oral healthcare.
• The traditional dental practice has been shifting gradually to a new
paradigm based on evidence-informed clinical decision-making.
• Contrary to the traditional approach which relies heavily on
clinicians’ personal experience, evidence-based dental practice
provides personalized oral healthcare via the judicious combination
of the best available research evidence, the dentist’s clinical
expertise and the patient’s values and preferences.
THE AMERICAN DENTAL ASSOCIATION CENTER FOR
EVIDENCE-BASED DENTISTRY DEFINITION OF EBD:
• Evidence-based dentistry (EBD) is 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.
• In other words, dentists are expected to provide the best
possible health care for their patients as possible
VENN DIAGRAM
UNITED STATES COMMISSION ON DENTAL
ACCREDITATION (CODA)
• CODA stipulates that oral health clinical programs should

teach and evaluate graduates on their competency to
access, critically appraise and apply scientific literature to
deliver evidence-based care.
• The need to modify dental educators’ teaching strategies
parallels the prospect of preparing oral healthcare
providers as critical thinkers, problem solvers, and lifelong
learners.
THE CONTENTS, METHODS, AND ASSESSMENT OF EVIDENCE-BASED DENTISTRY EDUCATION: A SCOPING
REVIEW: QIUJING LI, SHIJIA TANG, XUEQIAN YU, ANNE-MARIE GLENNY, AND FANG HUA. J Evid Base Dent Pract
2023: [101895]
INFORMED CONSENT
• Another way of looking at evidence-based dentistry is that it represents or is

part of the informed consent process.
• Informed consent is a process that evolves through an open dialogue with
the patient.
• Components of the informed consent process include the patient’s condition
as well as potential methods for how this condition may best be addressed.
What are the best treatment options, including possibly no treatment at all?
What risks and benefits of each of the reasonable treatment options exist
including no treatment? How competent is the provider’s ability to deliver
these options?
• In today’s litigious society, a recurrent theme is the lack
of informed consent. Probably one of the best ways to
avoid these legal consequences is to apply the
evidence-based dentistry model, incorporate EBD into
the informed consent process, and then, of course,
document the process.
Evidence-Based Dentistry Links
• Agency for Healthcare Research and Quality
• American Dental Association: Evidence-Based Dentistry
• Centre for Evidence-Based Dentistry
• Cochrane Collaboration: Oral Health Group
• Evidence-Based Dentistry
• Evidence-based Endodontics Literature Database
• Journal of Evidence-Based Dental Practice
• National Health Service (NHS) Evidence: Oral Health
• TRIP Database

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EVIDENCE-BASED

Faculty Elective course

• Clinical practice is about making choices. Shall I order a test?

• Integrating the best research evidence with clinical

• Evidence-based dentistry (EBD) is an approach to oral

• CODA stipulates that oral health clinical programs should

• Another way of looking at evidence-based dentistry is that it represents or is

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