Evidence-Based Dentistry in My Practice

The American Dental Association defines Evidence-Based Dentistry (EBD) as: Evidence-based dentistry is an approach to oral healthcare that requires the judicious integration of systemic 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 preference What does that mean in regards to our patient’s dental care now and into the future? Does the evidence limit the patient choices of treatments? EBD should only be looked at as just another “tool” in the decision making process in the practice of dentistry. It is far from a cookbook to treatment plans, but it may allow dentists and patients an opportunity to review the body of evidence that exists before clinical treatments are rendered. Patient needs and patient’s preferences must always be considered in determining what ultimately acceptable dental treatment for each clinical situation. Sharing and informing the patient of the body of evidence that exists in the area of their treatment needs is good way to incorporate EBD into practice. It is also important to inform the patients of what and when reasonable alternatives exist, so the patient can be fully be involved with the decision making surrounding their dental care. The internet has become a great resource for information, but sometimes it can be used as a marketing tool for new products. Therefore knowledge of the science and its applications is crucial in evaluating the credibility of the “so called” studies and the validity of the body of evidence presented. It is also important to understand the principles of scientific studies and how their results should be weighted in their clinical relevance to a specific clinical question. Simply put; Does the study results apply to my current clinical problem? Co-diagnosis and treatment planning should be an open dialogue that takes into consideration all aspects related to dental care. Second opinions and consultations with specialists should be considered, more information is always welcomed when their expertise or opinions would offer alternative treatment options that could benefit the patient’s outcome.