PMID- 30926103

OWN - NLM
STAT- MEDLINE
DCOM- 20200327
LR - 20200327
IS - 1532-3390 (Electronic)
IS - 1532-3382 (Linking)
VI - 19
IP - 1
DP - 2019 Mar
TI - Evidence-Based Dentistry: Two Decades and Beyond.
PG - 7-16
LID - S1532-3382(18)30151-9 [pii]
LID - 10.1016/j.jebdp.2018.05.001 [doi]
AB - BACKGROUND: In 1999, the American Dental Association proffered a definition
of the
term evidence-based dentistry, which is still very much used to this day. It
stated
that "… evidence-based dentistry is an approach to oral health care 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." Concerted research during the past 2 decades have defined and
characterized the protocols that obtain the qualitative and quantitative
consensus
of the best evidence base. This component of evidence-based dentistry, which
is
referred to as evidence-based dental research, is brought about as
comparative
effectiveness research with the research synthesis design. The best evidence
base is
judiciously used to generate evidence-based clinical practice guidelines,
which in
turn inform evidence-based dental practice. DISCUSSION: At this juncture, the

complexity of the construct of evidence-based dentistry dictates several

avenues of
current and future inquiry and development. The most urgent and important of
these
is undoubtedly to craft and validate novel didactic and practical
methodologies to
teach evidence-based dentistry-both research and practice-to the next
generation of
dental researchers and clinical dentists and to optimize the integration of
evidence-based dentistry in the dental curriculum. Secondarily, but certainly
not of
lesser importance, is the need to open and expand new research opportunities
in
subdomains critical to successful evidence-based dental practice, such as
stakeholder engagement, teledentistry, patient-centered care, individual
patient
data analysis, and health literacy of the patients and caregivers.
CONCLUSIONS: The
course that has led evidence-based dentistry from its infancy in 1999 to a
state of
relative recognition, if not acceptance across academic and private clinical
 dentistry in the United States and abroad that the field enjoys today, has
been
arduous. The concerted efforts by researchers and clinicians were aided
considerably
by the political environment, which, during the years, proffered funding to
the
Agency for Healthcare Research and Quality and the Patient-Centered Outcome
Research
Institute. These have been significant catalysts of the field of comparative
effectiveness research and evidence-based research in medicine and dentistry
and
have fostered and defended the pursuit of evidence-based endeavors in
translational
health care. The road ahead does not promise to be easier in next 2 decades.
In
fact, it has become all the murkier and more complicated now as phrases such
as
science based and evidence based have presently been banned and declared
politically
incorrect.
CI - Copyright © 2018 Elsevier Inc. All rights reserved.
FAU - Chiappelli, Francesco
AU - Chiappelli F
AD - Division of Oral Biology & Medicine, School of Dentistry, Center for the
Health
Sciences University of California Los Angeles, Los Angeles, CA, USA; Health
Sciences, California State University, Northridge, CA, USA; Evidence-Based
Decisions
Practice-Based Research Network, Los Angeles, CA, USA; Dental Group of
Sherman Oaks,
Los Angeles, CA, USA; International Research Consulting, Los Angeles, CA.
Electronic
address: fchiappelli@dentistry.ucla.edu.
LA - eng
PT - Journal Article
PT - Research Support, Non-U.S. Gov't
PT - Review
DEP - 20180525
PL - United States
TA - J Evid Based Dent Pract
JT - The journal of evidence-based dental practice
JID - 101083101
SB - D
SB - IM
MH - *Dental Research
MH - Dentistry
MH - *Evidence-Based Dentistry
MH - Humans
MH - Patient-Centered Care
MH - Research Design
MH - United States
OTO - NOTNLM
OT - *Comparative effectiveness research
OT - *Evidence-based dentistry
OT - *Health literacy
OT - *Individual patient data
OT - *Patient-centered care
OT - *Qualitative consensus
OT - *Quantitative consensus
OT - *Stakeholders
OT - *Teledentistry
EDAT- 2019/03/31 06:00
MHDA- 2020/03/28 06:00
CRDT- 2019/03/31 06:00
PHST- 2018/04/26 00:00 [received]
PHST- 2018/05/21 00:00 [accepted]
PHST- 2019/03/31 06:00 [entrez]
PHST- 2019/03/31 06:00 [pubmed]
PHST- 2020/03/28 06:00 [medline]
AID - S1532-3382(18)30151-9 [pii]
AID - 10.1016/j.jebdp.2018.05.001 [doi]
PST - ppublish
SO - J Evid Based Dent Pract. 2019 Mar;19(1):7-16. doi:
10.1016/j.jebdp.2018.05.001. Epub
2018 May 25.