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02/12/2002 1
Evidence Based Dentistry
Current International Developments and
TrendsAsbjorn Jokstad
University of Oslo, Norway
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A rapidly changing society• The production of new
knowledge is at maximum in historical context
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Dental journals in circulation
0100200300400500600700800900
1000
1900 1910 1920 1930 1940 1950 1960 1970 1980 1990 2000
N=933
Source: Ulrich’s International Periodicals Directory
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A rapidly changing society
• The production of new knowledge is at maximum in historical context
• Incessant replacements of established ideas and concepts
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Dentists’ daily situation: An information overload
Meetings/ courses
Colleagues
Advertising- producers- colleagues
Dental literature “Vitenskap
”
WWW
Patients & (-groups)
Dental‘science’700 journals: 25 000 articles/yr
Popular magazines & Media
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Applying EBM in dental practice
1. Learn how to practice evidence-based dentistry –Books –Seminars–Internet
• Online link banks• Online courses• Online resources• Articles
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A rapidly changing society• The production of new knowledge
is at maximum in historical context
• Incessant replacements of established ideas and concepts
• Information technology has improved the potential for information transfer to everybody
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Applying EBM in dental practice
1. Learn how to practice evidence-based dentistry
2. Seek and apply evidence-based dentistry summaries generated by others
• Journals that critically appraise primary studies
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Online secondary publication - EBD:
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Online secondary publication - EBDP:
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Applying EBM in dental practice
1. Accept and apply practice protocols, policies and guidelines based on evidence-based principles
2. Seek and apply evidence-based dentistry summaries generated by others
• Journals that critically appraiseprimary studies
• Systematic reviews• Cochrane Collaboration • NHS R&D • Literature
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The Cochrane Collaboration
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Cochrane Oral Health Group
• 250 members from 25 countries• Specialist trials register ~14,000 entries• Systematic reviews: near 90• OHG offers help to complete reviews
Contact: [email protected]
http://www.cochrane-oral.man.ac.uk
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0
50
100
150
200
250
1981
-19
85
1986
-19
90
1991
-19
95
1996
-20
00
2001
-20
02
(Cumulative)
N=225
Systematic reviews in dentistry
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Topics (n=236)• Pain & pharmacotherapy (n=51)• Periodontology (n=31)• Restorative dentistry (n=28)• Caries (n=23)• Fluoride issues (n=17)• Orthodontics (n=16)• Implant-related (n=11)• Antibiotics, acupuncture, apnea, infection
control, oral medicine, sealants, sedation, treatment decisions, toxicology,TMD...
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1st. Pan-European IADR meeting, Cardiff, 25 September 2002
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Topics (n=236)• Pain (n=51)• Periodontology (n=31)• Restorative dentistry (n=28)• Caries (n=23)• Fluorides (n=17)• Orthodontics (n=16)• Implant-based prosthetics (n=11)• Antibiotics, acupuncture, apnea, infection
control, oral medicine, sealants, sedation, treatment decisions, toxicology,TMD...
Guided tissue regeneration
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1st. Pan-European IADR meeting, Cardiff, 25 September 2002
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Topics (n=236)• Pain (n=51)• Periodontology (n=31)• Restorative dentistry (n=28)• Caries (n=23)• Fluorides (n=17)• Orthodontics (n=16)• Implant-based prosthetics (n=11)• Antibiotics, acupuncture, apnea, infection
control, oral medicine, sealants, sedation, treatment decisions, toxicology,TMD...
RestorativeDentistry
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1st. Pan-European IADR meeting, Cardiff, 25 September 2002
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Topics (n=236)• Pain (n=51)• Periodontology (n=31)• Restorative dentistry (n=28)• Caries (n=23)• Fluorides (n=17)• Orthodontics (n=16)• Implant-based prosthetics (n=11)• Antibiotics, acupuncture, apnea, infection
control, oral medicine, sealants, sedation, treatment decisions, toxicology,TMD...
1st. Pan-European IADR meeting, Cardiff, 25 September 2002
19Dental caries
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1st. Pan-European IADR meeting, Cardiff, 25 September 2002
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Topics (n=236)• Pain (n=51)• Periodontology (n=31)• Restorative dentistry (n=28)• Caries (n=23)• Fluorides (n=17)• Orthodontics (n=16)• Implant-based prosthetics (n=11)• Antibiotics, acupuncture, apnea, infection
control, oral medicine, sealants, sedation, treatment decisions, toxicology,TMD...
Water fluoridation
NHS CRD Report 18Synopsis:Br Med J 2000;321:855-9
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1st. Pan-European IADR meeting, Cardiff, 25 September 2002
11
Topics (n=236)• Pain (n=51)• Periodontology (n=31)• Restorative dentistry (n=28)• Caries (n=23)• Fluorides (n=17)• Orthodontics (n=16)• Implant-based prosthetics (n=11)• Antibiotics, acupuncture, apnea, infection
control, oral medicine, sealants, sedation, treatment decisions, toxicology,TMD...
Impacted third molars
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1980 1990 2000
USA
1980: NIH Consensus dev. Conf. For removal of third molars
1995: AAOMS Parameters of Care
1995: BAOMS Pilot Clinical Guidelines
1996: NHS R&D. National guidelines
1991: AAOMS Parameters of Care
1994: Workshop on the managem. of patients with third molar teeth
1997: FDS RCS(Eng)
1993: Health Care Evaluation Unit, UK
1998: Effectiveness Matters 3(2)
UK 2000: SIGN Guidelines
2000: NICE Guidelines
2000: NHS R&D HTA Programme
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We have learned:
Systematic reviews and guidelines are not necessarily known to the community of dental practitioners
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Who’s responsibility to disseminate new research findings to the community of dental practitioners?
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Who’s responsibility for disseminating new research findings to the community of dental practitioners?
… and verify that this is also implemented?
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Applying EBM in dental practice
3. Accept and apply practice protocols, policies and guidelines based on evidence-based principles
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Agency for Healthcare Research & Quality, USA
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SIGN, UK
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www.fdiworldental.org
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Thank you for your
kind attention