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Mcq on limitation of evidence based dentistry
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Evidence-based dentistry (EBD) has become an important factor in how dentists work and has become a well-developed concept that is integral to the everyday life of dental practitioners. It helps achieve more effective practice therefore there has been a push for progress meaning EBD is now incorporated into dental education. (1) EBD is ‘a method for rapidly aggregating, distilling and implementing the best evidence in the clinical practice.’(2) This means combining the best updated evidence with the experience of the dentist.(3) It also involves taking the health, history and autonomy of the patient into account to produce a tailored approach to treatment decisions.(4,5) EBD is about decision-making,(6) i.e. choosing the most effective treatments and techniques for each patient individually.(7) EBD involves research, making sure that dentists are up-to-date with new developments and have the ability to use the information effectively in practice.(8) The General Dental Council (GDC) requires students to ‘explain, evaluate and apply the principle of evidence based approach to learning, clinical and professional practice and decision-making.’(5) This is included to ‘protect patients,’ (5) and ‘assure the quality of dental education.’(1) This requirement enables the delivery of …show more content…
In clinical practice, problem solving is implemented so the use of continually updated research evidence means there is a greater depth of knowledge from which an informed decision can be synthesised (3) as well as ‘earlier uptake of new and better treatment and abandoning ineffective ones sooner,’(9) leading to improvements in the quality of services provided.(4, 10) Students will be working alongside patients during clinical study and will be taught to put patients first thereby preparing them to use EBD in practice when they
EBP is defined by Sacket et al as 'the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients.' (Duncan, 2006) The best evidence in this context could therefore be argued to come from information that has been researched using quantitative methods that is numerical data that tests a hypothesis such as randomized control trials (RCT)(Duncan, 2006).
It is essential that when using evidence-based practice guidelines to choose a treatment, that variety of research methods are applied so that the best relevant data can be produced. Such methods include qualitative/quantitative research, randomised controlled trials and systematic reviews. Both qualitative and quantative methods produce valuable data. Quantative research produces numeric evidence that is necessary for practice and can be measured and qualitative research produces descriptive data about the subject by using patients views etc. which can also be applied to clinical practice (Broeder et al, 2010)
Davies, K. S. (2011). Formulating the evidence based practice question: A review of the frameworks. Evidence Based Library and Information Practice, 6(2), 75–80. Retrieved from https://ejournals.library.ualberta.ca/index.php/EBLIP/article/viewFile/9741/8144
EBP is a method of finding evidence and using it in practice: as Blaney (1986) states, it is used to assess health, plan, implement, and evaluate individualized care (p.182). Finotto et al. (2013) breaks EBP down into steps as follows: Formulate a research question; find the most relevant evidence; appraise evidence; integrate evidence with clinical experience and patient values to make practical decisions; and evaluate the outcome (p.460). Carrazzone (2009) and Moch et al. (2010) argue that didactic components with EBP integrated into the education are believed to be beneficial to studen...
Dr. Gary Silva and his team are highly trained and experienced in providing restorations for all sorts of dental issues. We offer complete and partial dentures, tooth-colored fillings, crowns, bridges, and more. Dr. Silva’s unique background gave him real restorative experience early in his career. For more than 20 years, Dr. Silva has been offering patients the chance to gain a beautiful, functional smile with his restorative dentistry.
Dentistry as a profession over the years has evolved rapidly in light of new scientific evidence. Rapidly evolving science and technology have implemented changes within dentistry as evidenced by new standards and guidelines being produced by nationally recognised associations including National Institute for Health and Clinical Excellence (NICE), Faculty of General Dental Practice (FGDP) and Scottish Intercollegiate Guidelines Network (SIGN) in Scotland, in provision of new scientific evidence. The latest standards and guidelines produced, endorse everyday clinical practice through evidence based dentistry (REF). All dental professionals as part of continued professional development are expected to keep to date on relevant guidelines and knowledge related to their practice (REF). This is supported by the General Dental Council who state all clinicians must maintain their professional knowledge and competence throughout their working career (REF).
“At its core evidence based ‘anything’ is concerned with using valid and relevant information in decision making” “high quality research is the most important source of valid information”. Psychological Association (2006, p. 273) defines EBP as "the integration of the best available research with clinical expertise in the context of patient characteristics, culture and preferences. " When caring for patients it is fundamentally important to have a good selection of up to date evidence Based Practice clinical articles to support research strategies, this allows professionals to assemble the most recent and accurate information known which enables them to make decisions tailored to the individual’s plan of care. It is essential to have clinical expertise and have the involvement of the individual patient, they must have full engagement and incorporation in order to have the accurate evaluation.... ... middle of paper ...
The process of EBP has several models with common elements that start from uncertainty in the clinical setting, and lead to making an informed decision by assessing and implementing the latest research evidence into practice (Stevens, 2013). Melnyk and Fineout-Overholt (2010) define the seven step process of EBP as:
At CADH, I was taught how to act upon the eight competencies in different aspects for the public. As a clinician I was taught how to apply the dental hygiene process of care; assessing signs and symptoms, as well as risks factors related to oral disease, and then make a diagnosis, plan, implement, and evaluate the treatment within the dental hygiene scope of practice. One of many important roles of being a dental hygienist is being part of a dental care team where I we work in collaboration with a dentist or a dental specialist. I have been able to extensively develop my management skills to understand the administrative setting of the school, as well as the authority responsibilities and roles of my faculty and other professionals involved. As an administrator, I am responsible to manage my clients’ periodontal status, by identifying presence of disease, setting care priorities, eliminating risk factors, and deciding whether the client is already in the maintenance state or needs further special treatment. As ...
I decided to do my research report on dentistry because it is a perfect blend of science and art. It is a science in that you must fully comprehend on the different types of diagnostic and procedures you are doing. It is an art in that you are constantly working with your hands to create a beautiful smile. The impact you make on helping a person achieve an impeccable smile is not one to compare with materialistic things like money or cars. People often mistake dentist as only doing practices when in fact they could do more, like research. I was fortunate enough to have been given the opportunity to interview Dr. Sarah Pham, DDS, a close family friend who practices dentistry in her own private office in Los Angeles, California. Dr. Pham was
A patient’s treatment needs may differ widely based on stage of their illness experience. Treatment for a newly diagnosed, moderately ill patient may be very different than the treatment of an end stage, seriously ill patient. In addition, working with patients in various settings as a part of their multi-disciplinary team requires an added consideration of the approach to the staff in the setting. Each patient care setting has a culture of it’s own and requires that a clinician be mindful of how to work with the staff as well as the patient in that particular
Using the six assumptions of adult learning I can implement what pro instructors in the art of andragogy do by designing the tooth anatomy class to be self-directed, creative and collaborative as opposed to the teacher-directed lecture format. These changes should better engage the students, allow them to express what experience they already possess in this area, and apply the information directly to the patient and satisfy their need and emotions as to how the information can better help society.
The importance of Evidence-Based Practice is to ensure the best possible care is provided for patients. Evidence-Based Practice functions by measuring the effectiveness of a treatment and differentiating findings between high-quality and low-quality. It also helps with health development and improves the reliability and facilitates students to become reflecti...
Pursuing a career in the dental public health field was a decision influenced by many factors starting by my passion for research. One of the main reasons for applying for my dental public health residency at Columbia University is the fact that it has a great research program, which is ranked among the top research facilities in the world. Columbia university’s dental public health residency department possess ample opportunities for research for those motivated to take advantage enough to r...
Teaching materials provided and the vast reading helped me to clear my doubts along with the help of the tutors. The topic I had a chosen was of a particular interest to me as I was having trouble managing the patients with the similar symptoms on a day to day basis. I wanted to have a clearer idea myself and to show to the dental field overall the evidence if found any in the research for the well being of the patients and to increase the efficiency of the dentist in providing the similar treatment for the patients suffering from dentinal hypersensitivity . I took it as a challenge and started making a draft, going through the teaching materials provided by the university and the feedback by my tutor.