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becomes out of date as new information and technology appear. Hence it is important, especially with regards to patient safety, for dentists to be able to keep up to date with developments. Having an understanding of how to interpret research results, and some practice in reading the literature in a structured way, can turn the dental literature into a useful and comprehensible practice tool. For this to happen, EBD learning absolutely needs to be at the heart of dental education. Dental students can be taught EBD concept during their time in dental school so that they will develop the ability to evaluate critically new knowledge and determine its relevance to the clinical problems and challenges presented by the individual patient. They also acquire the ability to interpret, assess, integrate, and apply data and information in the process of clinical problem solving, reasoning, and decision making. EBD is a lifelong learning process and help to develop ability to learn independently.
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far to say that " evidence-based method was efficient, and very helpful in optimizing the management of the emergency dental treatment". However, it is important to ensure that the collection of data in the evidence during evidence-based clinical decision making isn’t corrupted. Crawford JM writes about publication bias, as well as the possible effects it can have on evidence-based clinical making. He writes that it is important to watch out for publication bias, as it can "hinder advancements in oral health care by decreasing the availability of scientific evidence and threatening the validity of evidence-based practice".
32:
469:(ADEA) has incorporated the definition of evidence-based dentistry into core competencies required by dental education programs. These competencies focus on graduates to become lifelong learners and consumers of current research findings and require students to develop skills that are reflective of evidence-based dentistry.
302:(ADA) as "an approach to oral healthcare 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."
400:
Not all patients have the same priorities for their care. Understanding a patient's individual needs, wants and circumstances gives the clinician a place from which to discuss treatment options available with the patient. This might be competing priorities between dentists, therapists, and hygienists
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Clinical expertise plays a part in the successful outcomes of treatment with diagnostic skills preventing over and under-treatments, technical dental skills maximizing the longevity of surgical and restorative procedures and communication skills being core to patient management and perceived success.
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Dental graduates around the globe are possibly up to date at the time they graduate, but usually are fundamentally lacking in the understanding of trials/studies design and relevance/importance. Dental specialty training, however, stresses evidence-based outcomes, results and methodologies. But this
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Much praise has gone to the dentistry approach of clinical decision making. In an EB case report written by Miller SA, is focused on the "use of evidence-based decision-making in private practice for emergency treatment of dental trauma". The case concludes with high praise for this method, going as
543:
Part of NHS Education for
Scotland (NES), the Scottish Dental Clinical Effectiveness Programme (SDCEP) is an initiative of the National Dental Advisory Committee (NDAC) which is an organisation of dental professionals, across all specialities, that functions as consultative wing to the Chief Dental
563:
Despite the high praise for evidence-based dentistry, there are a number of limitation and criticism that has been given to the process. Chambers DW provides quite a bit of criticism, as well as a number of limitations that evidence-based dentistry provides. In no particular order of importance, a
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Formed in 1993, the
Scottish Intercollegiate Guidelines Network (SIGN) goals are to decrease the discrepancy in treatments and results, through the creation and dissemination of nationwide clinical guidelines encompassing recommendations for effective practice established on up-to-date evidence to
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Evidence-based dentistry has become more prevalent than ever, as information, derived from high-quality, evidence-based research is made available to clinicians and patients in clinical guidelines. By formulating evidence-based best-practice clinical guidelines that practitioners can refer to with
454:
Evidence-based dentistry (EBD) 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
360:
There are many tools that have been developed for dental-based clinical decision making. Authors Rios Santos JV, Castello
Castaneda C, and Bullon P all documented the "development of a computer application to help the decision making process in teaching dentistry." It offers the ability to review
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Given that "Patient needs and preferences" and "Dentist's clinical expertise" are variable and will differ among numerous clinicians and population, "Relevant scientific evidence" is of critical importance. Therefore, it is imperative that information referenced to are derived from high-quality,
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The use of high-quality research to establish the guidelines for best practices defines evidence-based practice. In essence, evidence-based dentistry requires clinicians to remain constantly updated on current techniques and procedures so that patients can continuously receive the best treatment
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Evidence-based dental journals have been developed as resources for busy clinicians to aid in the integration of current research into practice. These journals publish concise summaries of original studies as well as review articles. These critical summaries, consist of an appraisal of original
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Dentists can prescribe medications upon initial registration. This is important as evidence has shown that general practitioners prefer to refer to dentists for the management of dental emergencies. Research has shown that there are potential limitations in the knowledge of dental students for
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and other evidence-based practices. The pervasive access to information on the internet includes different aspects of dentistry for both the dentists and patients. This has created a need to ensure that evidence referenced to are valid, reliable and of good quality.
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Founded under the intention of NDAC to give a systematized methodology when providing clinical guidance for the dental profession, the SDCEP has since become a crucial factor between the gold standard practice guidelines and dental education and practice.
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the principal objective of developing guidance that delivers the best quality of patient care through supporting dental teams, the SDCEP uses the most suitable high-quality evidences from a plethora of sources to make guidelines recommendations.
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Patient and practitioner values are the shortest leg of the stool. As they are so little recognized, their integration in EBD is problematic and ethical tensions exist where paternalism privileges science over patient's self-determined best
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A dentist's learning curve for using the evidence-based process can be steep, but there are continuing education courses, workbooks and tools available to simplify the integration of current research into practice.
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In essence, Evidence-based dentistry can allow clinicians to remain constantly updated on the newest techniques and procedures so that patients can continuously receive the best treatment possible.
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Formulate information needs/questions into four part questions to identify the patient/problem (P), intervention (I), comparison (C), and outcomes (O), known mnemonically as the PICO questions.
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information, to help reinforce information that is learned by students. Teaching staff can also "design any theme they wish, increasing the efficiency and support capabilities of the program".
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Officer. Its main goal is to appraise the best available and pertinent information with regards to dentistry and convert it into guidelines which are easily comprehensible and executable.
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The new model set by EBM uses a systematic process to incorporate current research into practice. The evidence-based process requires the practitioner to develop five key skills:
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The implementation of evidence-based dentistry has been distorted by too heavy of an emphasis of computerized searches for research findings that meet the standards of academics
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The
Scottish Dental Clinical Effectiveness Programme consist of a central group for Programme Development and multiple other groups for guideline development. With
401:
who generally aim for longevity and aesthetics and patients who may be more interested in keeping costs down, aesthetics or would prefer less invasive treatments.
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are also helpful for the busy practitioner because they combine the results of multiple studies that have investigated the same specific phenomenon or question.
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Miller SA, Miller G (September 2010). "Use of evidence-based decision-making in private practice for emergency treatment of dental trauma: EB case report".
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Although EBD advocates enjoy sharing anecdotal accounts of mistakes others have made, faulting others is not proof that one's own position is correct
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In summary, there are three main pillars exist in evidence-based dentistry which serves as its main principles. The three pillars are defined as:
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Apply the results of the evidence to patient care or practice in consideration for the patient's preferences, values and circumstances.
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68:
49:
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Fontana M, Gonzalez-Cabezas C (January 2019). "Evidence-Based
Dentistry Caries Risk Assessment and Disease Management". review.
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1234:"Dental students' knowledge of and attitudes towards complementary and alternative medicine in Australia – an exploratory study"
75:
259:
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2064:
1733:
812:
Castañeda E, Garmendia L, Santos M (October 2009). "Design of an
Intelligent System for Computer Aided Musical Composition".
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82:
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Lang LA, Teich ST (June 2014). "A critical appraisal of evidence-based dentistry: the best available evidence". review.
1613:
France K, Sollecito TP (January 2019). "How
Evidence-Based Dentistry Has Shaped the Practice of Oral Medicine". review.
1055:"Dispensing Patterns of Medicines Prescribed by Australian Dentists From 2006 to 2018 – a Pharmacoepidemiological Study"
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829:
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SIGN guidelines are established using a clear methodology constructed on three fundamental principles, which are:
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As of 2009, SIGN has also adopted the practise of implementing the GRADE methodology to all its SIGN guidelines.
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53:
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1122:"Management of dental emergencies amongst Australian general medical practitioners – A case-vignette study"
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Conduct an efficient computerized search of the literature for the appropriate type and level of evidence.
1918:
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1462:"From dental science to clinical practice: Knowledge translation and evidence-based dentistry principles"
779:
Chiappelli F (2010). "Future
Avenues of Research Synthesis for Evidence-Based Clinical Decision Making".
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evidence-based research, which can be used to establish the guidelines for providing the best practices.
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Much less attention is paid to both the other two spheres of EBD, clinical expertise and patient values.
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Three main pillars or principles exist in evidence-based dentistry. The three pillars are defined as:
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973:"ADEA Competencies for the New General Dentist: (As approved by the 2008 ADEA House of Delegates)"
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Park, Joon Soo; Li, Jasmine; Turner, Emma; Page, Amy; Kruger, Estie; Tennant, Marc (July 2020).
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Park, Joon Soo; Page, Amy; Turner, Emma; Li, Jasmine; Tennant, Marc; Kruger, Estie (2020).
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research, with discussion of the relevant, practical information of the research study.
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Critically appraise the evidence for validity with an understanding of research methods.
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Swedish Agency for Health
Technology Assessment and Assessment of Social Services (SBU)
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1703:
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1503:
Chiappelli F (March 2019). "Evidence-Based
Dentistry: Two Decades and Beyond". review.
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Ismail AI, Bader JD (January 2004). "Evidence-based dentistry in clinical practice".
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A systematic review is conducted to recognise and analytically evaluate the evidence
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Clinician's expertise
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1177:"Medication knowledge among dental students in Australia—a cross-sectional study"
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Development is carried out by multidisciplinary, nationwide representative groups
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Evidence-based dentistry is too clumsy due to the concept being poorly defined
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Park, Js; Page, At; Shen, P-H; Price, K; Tennant, M; Kruger, E (March 2022).
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simple chairside and patient-friendly versions, this need can be addressed.
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Park, Joon Soo; Page, Amy T.; Kruger, Estie; Tennant, Marc (1 April 2021).
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Not to be confused with "Evidence-Based Dentistry", published by
1335:"Applying the GRADE Methodology to SIGN Guidelines: Core Principles"
31:
1708:
1029:"A nurses' guide to the hierarchy of research designs and evidence"
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There is no systematic, high-quality evidence that EBD is effective
538:
16:
Decisions and practices that use evidence to determine patient care
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Evaluate the process and your performance through self-evaluation.
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Organisations that develop evidence-based guidelines and policies
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Recommendations are clearly connected to the supporting evidence
1704:
American Student Dental Association on Evidence-Based Dentistry
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American Dental Association Center for Evidence-based Dentistry
853:
924:
595:
512:
1417:"Questions and answers in Evidence-based Dentistry volume 11"
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improve the quality of health care for patients in Scotland.
2055:
Canadian Agency for Drugs and Technologies in Health (CADTH)
781:
Evidence-Based Practice: Toward Optimizing Clinical Outcomes
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conventional and complementary and alternative medications.
286:) is the dental part of the more general movement toward
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National Institute for Health and Care Excellence (NICE)
1390:
Scottish Dental Clinical Effectiveness Programme (SDCEP)
1360:
Scottish Dental Clinical Effectiveness Programme (SDCEP)
927:
Evidence-Based Medicine: How to Practice & Teach EBM
811:
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number of mentioned objections towards this format are:
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925:
Straus S, Glasziou P, Richardson WS, Haynes RB (2018).
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Evidence-based dentistry (EBD) was first introduced by
1691:
874:
1052:
340:, in the 1990s as part of the larger movement toward
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1531:
877:"How do we create, and improve, the evidence base?"
56:. Unsourced material may be challenged and removed.
1459:
1342:Scottish Intercollegiate Guidelines Network (SIGN)
1284:Scottish Intercollegiate Guidelines Network (SIGN)
951:"ADA Policy Statement on Evidence-based Dentistry"
485:Drawn image illustrating the Hierarchy of Evidence
2050:Agency for Healthcare Research and Quality (AHRQ)
1119:
1026:
395:
332:and the Evidence-Based Medicine Working Group at
298:Evidence-based dentistry has been defined by the
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1687:ADA Policy Statement on Evidence-Based Dentistry
1231:
1174:
783:. Springer Berlin Heidelberg. pp. 243–247.
539:Scottish Dental Clinical Effectiveness Programme
489:
1845:Evidence-based pharmacy in developing countries
1820:Evidence-based library and information practice
1612:
875:Innes NP, Schwendicke F, Lamont T (June 2016).
404:
383:
2080:WHO Evidence-Informed Policy Network (EVIPNet)
929:(5th ed.). London: Churchill Livingston.
1734:
1505:The Journal of Evidence-Based Dental Practice
852:. American Dental Association. Archived from
746:The Journal of Evidence-Based Dental Practice
260:
2065:German Agency for Quality in Medicine (AEZQ)
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558:
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513:Scottish Intercollegiate Guidelines Network
421:
351:
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1036:The Australian Journal of Advanced Nursing
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682:Journal of the American Dental Association
604:Journal of Evidence-Based Dental Practice.
450:defined evidence-based dentistry like so:
267:
253:
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1532:Clarkson J, Worthington H (August 2019).
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1432:
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943:
850:Center for Evidence-Based Dentistry (EBD)
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116:Learn how and when to remove this message
1534:"Leadership in evidence based dentistry"
1460:Afrashtehfar KI, Assery MK (July 2017).
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480:
992:10.1002/j.0022-0337.2017.81.7.tb06299.x
631:"Evidence-based dentistry: An overview"
2129:
1722:
467:American Dental Education Association
2096:Centre for Reviews and Dissemination
965:
628:
54:adding citations to reliable sources
25:
1652:The Journal of Prosthetic Dentistry
1238:Complementary Therapies in Medicine
814:Intelligent Decision Making Systems
13:
1452:
1027:Ingham-Broomfield R (March 2016).
918:
14:
2153:
1680:
477:Assessing the quality of evidence
455:treatment needs and preferences.
226:Library and information practice
30:
1615:Dental Clinics of North America
1578:Dental Clinics of North America
1408:
1378:
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1314:Healthcare Improvement Scotland
1302:
1272:
1225:
1168:
1113:
1046:
1020:
694:10.14219/jada.archive.2004.0024
635:Contemporary Clinical Dentistry
41:needs additional citations for
1664:10.1016/j.prosdent.2013.12.001
868:
838:
805:
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737:
708:
673:
622:
396:Patients needs and preferences
1:
1830:Evidence-based medical ethics
953:. American Dental Association
616:
585:
490:Need for continuing education
376:Patient needs and preferences
364:
312:Patient needs and preferences
1960:Policy-based evidence making
1924:Health technology assessment
1478:10.1016/j.sdentj.2017.02.002
1415:Richards D (December 2010).
1059:International Dental Journal
789:10.1007/978-3-642-05025-1_15
405:Relevant scientific evidence
384:Dentists' clinical expertise
379:Relevant scientific evidence
373:Dentists' clinical expertise
309:Relevant scientific evidence
7:
1919:Randomized controlled trial
1795:Evidence-based conservation
1553:10.1016/j.jdent.2019.05.012
1517:10.1016/j.jebdp.2018.05.001
1181:Journal of Dental Education
980:Journal of Dental Education
816:. World Scientific: 13–18.
758:10.1016/j.jebdp.2009.12.004
448:American Dental Association
300:American Dental Association
10:
2158:
1855:Evidence-based prosecution
1815:Evidence-based legislation
1709:Cochrane Oral Health Group
1627:10.1016/j.cden.2018.08.006
1590:10.1016/j.cden.2018.08.007
1250:10.1016/j.ctim.2020.102489
822:10.1142/9789814295062_0002
323:
65:"Evidence-based dentistry"
18:
2104:
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1870:Evidence-based toxicology
1865:Evidence-based scheduling
1825:Evidence-based management
1790:Evidence-based assessment
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1126:Australian Dental Journal
986:(7): 844–847. July 2017.
559:Limitations and criticism
2142:Evidence-based practices
1939:Pragmatic clinical trial
1810:Evidence-based education
1800:Evidence-based dentistry
1466:The Saudi Dental Journal
1421:Evidence-Based Dentistry
648:10.4103/0976-237X.188539
597:Evidence-Based Dentistry
422:Best scientific evidence
352:Clinical decision making
346:evidence-based practices
280:Evidence-based dentistry
141:Evidence-based practices
1850:Evidence-based policing
1835:Evidence-based medicine
1764:Evidence-based practice
1750:Evidence-based practice
896:10.1038/sj.bdj.2016.451
342:evidence-based medicine
288:evidence-based medicine
2034:Science-Based Medicine
2029:Campbell Collaboration
2024:Cochrane Collaboration
1840:Evidence-based nursing
1434:10.1038/sj.ebd.6400762
884:British Dental Journal
499:Medication prescribing
486:
463:
417:Evidence based process
1860:Evidence-based policy
1805:Evidence-based design
1769:Hierarchy of evidence
484:
452:
1541:Journal of Dentistry
50:improve this article
2019:James Lind Alliance
1290:on 16 December 2019
334:McMaster University
1785:Effective altruism
1697:2011-04-09 at the
1396:on 6 November 2019
1366:on 6 November 2019
611:Systematic reviews
487:
2124:
2123:
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1944:Spaced repetition
1904:Systematic review
1194:10.1002/jdd.12167
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61:Find sources:
55:
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39:This article
37:
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28:
27:
22:
2043:Governmental
1929:PICO process
1892:and concepts
1875:Journalology
1799:
1778:Applications
1655:
1651:
1621:(1): 83–95.
1618:
1614:
1581:
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1472:(3): 83–92.
1469:
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1420:
1410:
1398:. Retrieved
1394:the original
1389:
1386:"What We Do"
1380:
1368:. Retrieved
1364:the original
1359:
1356:"Background"
1350:
1341:
1329:
1317:. Retrieved
1313:
1310:"What we do"
1304:
1292:. Retrieved
1288:the original
1283:
1280:"Who we are"
1274:
1241:
1237:
1227:
1184:
1180:
1170:
1132:(1): 30–38.
1129:
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1011:. Retrieved
1004:the original
983:
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955:. Retrieved
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858:. Retrieved
854:the original
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211:Conservation
177:
112:
103:
93:
86:
79:
72:
60:
48:Please help
43:verification
40:
2112:Examine.com
1955:uncertainty
1953:Scientific
1880:Metascience
1714:Evidentista
1511:(1): 7–16.
846:"About EBD"
720:ebd.ada.org
716:"About EBD"
241:Prosecution
221:Legislation
2131:Categories
2012:Non-profit
1991:Ken Harvey
1539:. review.
1464:. review.
1400:6 November
1370:6 November
1319:6 November
1294:6 November
1244:: 102489.
1013:2019-11-05
860:6 November
730:2020-02-19
617:References
586:Literature
581:interests.
365:Principles
344:and other
320:possible.
203:Toxicology
170:Scheduling
160:Management
150:Assessment
106:April 2019
76:newspapers
2137:Dentistry
1757:Key terms
1569:149454442
1547:: 16–19.
1443:1462-0049
1266:221826162
1219:217587932
1203:0022-0337
1162:238238558
1146:0045-0421
1107:221358209
1081:0020-6539
957:17 August
216:Education
178:Dentistry
2089:Academic
2060:EUnetHTA
1695:Archived
1672:24589122
1643:53949788
1635:30447794
1606:53951261
1598:30447787
1561:31075375
1525:30926103
1496:28725125
1258:32951738
1211:32348560
1154:34591999
1099:32856305
1042:(3): 38.
1000:28668789
904:27338909
766:20797655
702:14959878
667:27630488
458:—
236:Policing
198:Pharmacy
188:Medicine
165:Research
133:a series
131:Part of
1890:Methods
1487:5503095
1090:9275101
912:3791684
658:5004537
324:History
193:Nursing
90:scholar
2005:Groups
1969:People
1670:
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231:Policy
155:Design
92:
85:
78:
71:
63:
2105:Other
1639:S2CID
1602:S2CID
1565:S2CID
1537:(PDF)
1338:(PDF)
1262:S2CID
1215:S2CID
1158:S2CID
1103:S2CID
1032:(PDF)
1007:(PDF)
976:(PDF)
908:S2CID
880:(PDF)
97:JSTOR
83:books
1668:PMID
1631:PMID
1594:PMID
1557:PMID
1521:PMID
1492:PMID
1439:ISSN
1402:2019
1372:2019
1321:2019
1296:2019
1254:PMID
1207:PMID
1199:ISSN
1150:PMID
1142:ISSN
1095:PMID
1077:ISSN
996:PMID
959:2010
931:ISBN
900:PMID
862:2019
826:ISBN
793:ISBN
762:PMID
698:PMID
663:PMID
465:The
446:The
69:news
1660:doi
1656:111
1623:doi
1586:doi
1549:doi
1513:doi
1482:PMC
1474:doi
1429:doi
1246:doi
1189:doi
1134:doi
1085:PMC
1067:doi
988:doi
892:doi
888:220
818:doi
785:doi
754:doi
690:doi
686:135
653:PMC
643:doi
460:ADA
336:in
284:EBD
52:by
2133::
1666:.
1654:.
1637:.
1629:.
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23:.
Text is available under the Creative Commons Attribution-ShareAlike License. Additional terms may apply.
