Presenters Name What does EBD mean Three Components of EBD Is an approach to oral health care Is a method to acquire understand and apply the most current science The Clinicians Role ID: 535473
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Slide1
Evidence-Based Dentistry
Presenter’s NameSlide2
What does EBD mean?Slide3
Three Components of EBD
Is an
approach
to oral health care
Is a method to acquire, understand and apply the most current scienceSlide4
The Clinician’s Role
Information
Data
Statistics
Knowledge
Judgment
Values
Decisions
InformsSlide5
Acknowledging the DifferenceSlide6
The Value of
Evidence-Based PracticeSlide7
Barriers to changeTime
Access
Complexity of
informationSlide8
What is evidence?Slide9
What
is pre-appraised evidence?Slide10
Systematic reviews
Implementation into clinical practice
1. Clinical Practice Guidelines
2. Critical summaries of systematic reviews
3. Independent appraisal of systematic reviews (
and/or other trials)
Tiered approach to finding evidence-based informationSlide11
How do I find the best evidence-based information to guide my practice?Slide12Slide13
ADA clinical practice guidelinesSlide14Slide15
What are the levels of
primary evidence
?Slide16
How does EBD work?Slide17
The EBD ProcessSlide18
Population or Problem
Step 1: Framing the Answerable Question
P
I
C
O
Intervention
Comparison (Optional)
OutcomeSlide19
Framing the question
Increase chances of finding the answer
Know when you’ve found the answer
Help to find it quickly
Identify search termsSlide20
In patients with periodontal disease, will short-term systemic antibiotics, when compared to surgery, reduce pocket
depth?
PopulationSlide21
In patients with periodontal disease
, will short-term systemic antibiotics, when compared to surgery, reduce pocket
depth?
PopulationSlide22
In patients with periodontal disease, will short-term systemic antibiotics, when compared to surgery, reduce pocket
depth?
InterventionSlide23
In patients with periodontal disease, will
short-term systemic antibiotics
, when compared to surgery, reduce pocket
depth?
InterventionSlide24
In patients with periodontal disease, will short-term systemic antibiotics, when compared to surgery, reduce pocket
depth?
ComparisonSlide25
In patients with periodontal disease, will short-term systemic antibiotics, when compared to
surgery
, reduce pocket
depth?
ComparisonSlide26
In patients with periodontal disease, will short-term systemic antibiotics, when compared to surgery, reduce pocket
depth?
OutcomeSlide27
In patients with periodontal disease, will short-term systemic antibiotics, when compared to surgery,
reduce pocket
depth
?
OutcomeSlide28Slide29
EBD website ebd.ada.org
YES
STOP
EBD website and PubMed
YES
STOP
PubMed
(Clinical Studies)
YES
STOP
SEARCH STRATEGYSlide30Slide31
Other levels of evidenceSlide32Slide33
Are the results valid
?
Quality
Are the studies well designed and executed?
What types of studies are there?
Quantity
How many studies are there?
What are the population sizes?
Consistency
How consistent are
their
results?Slide34
Are the results
valid
?
What are the
results?
Certainty of the effect
Magnitude of the effectSlide35
Are the results
valid
?
What are the
results?
Can the results be
applied
to my patient?
Is the population similar
?
Is the provider similar?
Is the setting similar?Slide36Slide37
EBD Champions 2.0
Implementing Science in PracticeSlide38Slide39
"Perhaps the best course of my dental career.“
"Highly recommend the program . . . a great means of extending the practice of EBD."
Advanced Evidence-Based Dentistry Workshop: Assessing the Quality of
EvidenceSlide40
The better the research, the more confident the decision
.
Victor
Montori
, Mayo Clinic
Evidence alone is never sufficient to make a clinical decision
.
Victor
Montori
, Mayo Clinic
External clinical evidence can inform, but can never replace, individual clinical expertise.
David SackettSlide41
THANK YOU!
ADA Contact:
ebd@ada.org