what was the archeological discovery of caries in ancient egypt
ancient ppl in lower SES had a LOWER caries rate than royalty
-proved that dental caries was correlated to a great extend with diet
when and where did dentistry become a separate medical profession
1840
Baltimore college of dental surgery
what cultures developed the toothbrush
chinese and babylonian cultures
they came from chewsticks
EBD is an approach to oral health care that requires the _____ of clinically relevant _____ _____, relating to the pts oral and medical condition and hx, with the _____ _____ ______ and the pts _____ ______ ___ ______
- integration
- scientific evidence
- dentist’s clinical expertise
- tx needs and preferences
what type of approach does EBD take?
patient centered
*provides personalized dental care based on the most current scientific knowledge
what are the three components of EBD?
- the best available scientific knowledge
- a dentists clinical skill and judgement
- pts needs and preferences
EBD is what?
systematic approach to practicing good dentistry
*helps practitioners provide the right care, to the right pts, at the right time
EBD is not…
- cook book dentistry (will not say what you should and shouldnt do)
- standard of care***** (though related)
- only about randomized trials (not a rigid methotical approach)
- impossible to practice
does EBD guarantee making better decisions in the provision of dental care?
no
the APPLICATION of the CURRENT best evidence in making decisions about the care of individual pts
evidence based practice
what are the five steps to EBD?
- formulate a question
- find the best possible evidence
- review the evidence for validity and strengths and weaknesses
- integrate the best research with clinical expertise and pt needs
- evaluate your efforts and see ways to improve
what are the two types of clinical questions?
- background information (general knowledge, population frequency, etiology)
- foreground questions (specific disease, diagnostic accuracy, managing pts, interventions, predictions)
what is the anatomy of a well-formulated question?
PICO
P- population or patient type
I- Intervention or exposure
C- comparison
O- outcome
