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  Subjects -> MEDICAL SCIENCES (Total: 6820 journals)
    - ALLERGOLOGY AND IMMUNOLOGY (179 journals)
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    - COMMUNICABLE DISEASES, EPIDEMIOLOGY (187 journals)
    - DENTISTRY (226 journals)
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DENTISTRY (226 journals)                  1 2 3     

Ação Odonto     Open Access  
Acta Biomaterialia Odontologica Scandinavica     Open Access  
Acta Odontológica Colombiana     Open Access   (Followers: 1)
Acta Odontológica Latinoamericana     Open Access  
Acta Odontologica Scandinavica     Hybrid Journal   (Followers: 5)
Actualités Odonto-Stomatologiques     Open Access   (Followers: 4)
Advances in Dental Research     Hybrid Journal   (Followers: 3)
Angle Orthodontist     Open Access   (Followers: 3)
Annals of Periodontology     Full-text available via subscription   (Followers: 6)
Annals of the Royal Australasian College of Dental Surgeons     Full-text available via subscription   (Followers: 4)
APOS Trends in Orthodontics     Open Access  
Australian Dental Journal     Hybrid Journal   (Followers: 3)
Australian Endodontic Journal     Hybrid Journal   (Followers: 3)
Avances en Odontoestomatologia     Open Access  
Avances en Periodoncia e Implantología Oral     Open Access   (Followers: 5)
Avicenna Journal of Dental Research     Open Access  
Bangladesh Journal of Dental Research & Education     Open Access   (Followers: 2)
Bangladesh Journal of Orthodontics and Dentofacial Orthopedics     Open Access   (Followers: 1)
Brazilian Dental Journal     Open Access   (Followers: 2)
Brazilian Dental Science     Open Access  
Brazilian Journal of Oral Sciences     Open Access   (Followers: 1)
Brazilian Oral Research     Open Access  
British Dental Journal     Hybrid Journal   (Followers: 15)
Bulletin du Groupement International pour la Recherche Scientifique en Stomatologie et Odontologie     Open Access  
Canadian Journal of Dental Hygiene     Full-text available via subscription  
Caries Research     Full-text available via subscription  
Case Reports in Dentistry     Open Access   (Followers: 2)
City Dental College Journal     Open Access   (Followers: 2)
Cleft Palate-Craniofacial Journal     Hybrid Journal   (Followers: 8)
Clínica e Pesquisa em Odontologia - UNITAU     Open Access  
Clinical Advances in Periodontics     Full-text available via subscription   (Followers: 5)
Clinical and Experimental Dental Research     Open Access  
Clinical Implant Dentistry and Related Research     Hybrid Journal   (Followers: 6)
Clinical Oral Implants Research     Hybrid Journal   (Followers: 4)
Clinical Oral Investigations     Hybrid Journal   (Followers: 2)
Clinical, Cosmetic and Investigational Dentistry     Open Access   (Followers: 6)
Community Dentistry and Oral Epidemiology     Hybrid Journal   (Followers: 3)
Contemporary Clinical Dentistry     Open Access   (Followers: 2)
Critical Reviews in Oral Biology Medicine     Hybrid Journal   (Followers: 3)
Current Oral Health Reports     Hybrid Journal  
Current Research in Dentistry     Open Access   (Followers: 6)
Dental Abstracts     Full-text available via subscription   (Followers: 3)
Dental Cadmos     Partially Free   (Followers: 2)
Dental Clinics of North America     Full-text available via subscription   (Followers: 5)
Dental Forum     Open Access  
Dental Hypotheses     Open Access   (Followers: 3)
Dental Materials     Full-text available via subscription   (Followers: 9)
Dental Press Journal of Orthodontics     Open Access   (Followers: 1)
Dental Protection Annual Review     Full-text available via subscription   (Followers: 1)
Dental Research Journal     Open Access   (Followers: 7)
Dental Traumatology     Hybrid Journal   (Followers: 3)
Dentistry     Open Access  
Dentistry 3000     Open Access  
Dentistry and Medical Research     Open Access  
Dentistry Journal     Open Access   (Followers: 3)
Dentomaxillofacial Radiology     Full-text available via subscription   (Followers: 6)
Der Freie Zahnarzt     Hybrid Journal  
der junge zahnarzt     Hybrid Journal  
Die Quintessenz     Full-text available via subscription   (Followers: 1)
Disease-a-Month     Full-text available via subscription   (Followers: 3)
Droit et Médecine Bucco-Dentaire     Full-text available via subscription   (Followers: 1)
ENDO     Full-text available via subscription   (Followers: 8)
Endodontic Topics     Hybrid Journal   (Followers: 1)
Endodontie     Full-text available via subscription  
European Archives of Paediatric Dentistry     Hybrid Journal   (Followers: 1)
European Journal of Dental Education     Hybrid Journal   (Followers: 1)
European Journal of Dentistry     Full-text available via subscription   (Followers: 2)
European Journal of Dentistry and Medicine     Open Access   (Followers: 2)
European Journal of Esthetic Dentistry     Full-text available via subscription   (Followers: 4)
European Journal of General Dentistry     Open Access  
European Journal of Oral Implantology     Full-text available via subscription   (Followers: 8)
European Journal of Oral Sciences     Hybrid Journal   (Followers: 1)
European Journal of Orthodontics     Hybrid Journal   (Followers: 3)
European Journal of Prosthodontics     Open Access  
Evidence Based Summaries in Dentistry     Full-text available via subscription  
Evidence-Based Dentistry     Full-text available via subscription   (Followers: 3)
Faculty Dental Journal     Full-text available via subscription   (Followers: 1)
Implant Dentistry     Full-text available via subscription   (Followers: 5)
Implantologie     Full-text available via subscription   (Followers: 3)
Indian Journal of Dental Research     Open Access   (Followers: 5)
Indian Journal of Dentistry     Open Access  
Indian Journal of Multidisciplinary Dentistry     Open Access  
Indian Journal of Oral Health and Research     Open Access  
Indian Journal of Oral Sciences     Open Access   (Followers: 2)
Informationen aus Orthodontie & Kieferorthopädie     Hybrid Journal  
International Dental Journal     Hybrid Journal   (Followers: 2)
International Endodontic Journal     Hybrid Journal   (Followers: 1)
International Journal of Computerized Dentistry     Full-text available via subscription   (Followers: 3)
International Journal of Dental Hygiene     Hybrid Journal   (Followers: 2)
International Journal of Dental Research     Open Access   (Followers: 2)
International Journal of Dental Science and Research     Full-text available via subscription  
International Journal of Dental Sciences and Research     Open Access   (Followers: 1)
International Journal of Dentistry     Open Access   (Followers: 5)
International Journal of Implant Dentistry     Open Access  
International Journal of Odontostomatology     Open Access   (Followers: 1)
International Journal of Oral & Maxillofacial Implants     Full-text available via subscription   (Followers: 9)
International Journal of Oral & Maxillofacial Pathology     Open Access   (Followers: 5)
International Journal of Oral Health Sciences     Open Access  
International Journal of Oral Science     Open Access   (Followers: 1)
International Journal of Paediatric Dentistry     Hybrid Journal   (Followers: 1)

        1 2 3     

Journal Cover Journal of Evidence Based Dental Practice
  [3 followers]  Follow
    
   Full-text available via subscription Subscription journal
   ISSN (Print) 1532-3382
   Published by Elsevier Homepage  [2801 journals]
  • Estimates of Hospital Based Emergency Department Visits Due to Dental
           Implant Failures in The United States
    • Abstract: Publication date: Available online 30 January 2016
      Source:Journal of Evidence Based Dental Practice
      Author(s): Satheesh Elangovan, Veerasathpurush Allareddy
      Objective Objective of the current study is to provide nationally representative estimates of hospital based emergency department (ED) visits attributed to dental implant failures in the United States Methods The Nationwide Emergency Department sample for the years 2008 to 2010 was used. All ED visits with a diagnosis of “dental implant failures” were selected for analysis. Patient demographics were examined. Outcomes of interest included disposition status following the ED visit and ED charges. Results During the study period, a total of 1,200 ED visits were due to dental implant failures. Most ED visits with dental implant failures occurred among those aged <18 years (22.4% of all ED visits) followed by those aged 70 years and above (18.2%). Males comprised 53.7% of all ED visits. Close to 89% did not have any other chronic co-morbid conditions. Osseointegration failure of dental implant occurred in 31.7% of patients while post-osseointegration mechanical failure of dental implant occurred in 30.4% of patients. Following an ED visit, 82.8% were discharged routinely and 13.3% of patients were admitted as in-patients into the same hospital following the ED visit. The mean ED charge per visit was $1,167. Conclusions Highest proportions of these ED visits were comprised of those aged <18 years, those aged 70 years and above, and male patients. The inherent limitations of NEDS database and lack of data elements precluded us from establishing an association between patient related factors and risk of ED visits due to implant failures


      PubDate: 2016-01-30T06:30:28Z
       
  • ADHA Leads Dental Hygienists into 21st Century Workforce Opportunities
    • Abstract: Publication date: Available online 28 January 2016
      Source:Journal of Evidence Based Dental Practice
      Author(s): Ann Lynch, Pam Steinbach, Ann Battrell
      Declarative Title With the dental hygiene profession undergoing tremendous transformation as greater and more diverse workplace opportunities present themselves, the American Dental Hygienists’ Association (ADHA) is leading the effort to ensure that dental hygienists are prepared to take advantage of these growing opportunities in today’s constantly evolving health care landscape. Background and Purpose: The ADHA’s vision statement calls for the integration of dental hygienists into the health care delivery system as essential primary care providers to expand access to oral health care. This article discusses changes in dental hygiene curriculum, as well as how changes in the health care environment and legislative outcomes are impacting workplace opportunities for dental hygienists in the 21st century. Method Research from ADHA’s Transforming Dental Hygiene Education and the Profession for the 21 st Century white paper and other oral health-related literature, ADHA policies, and ADHA survey research describe the evolving dental hygiene workplace environment. The article discusses trends in education, health care, legislative and regulatory practice, and societal need that are creating new workforce opportunities for the dental hygiene profession. Conclusion With rapid change in both the oral and overall health care environments, transformation in dental hygiene curriculum and competencies, and more states allowing the public to have direct access to dental hygienists, dental hygiene professionals are expanding their presence into all aspects of the health care system. The ADHA is leading this effort to help dental hygienists provide that care by expanding workforce opportunities and allowing dental hygienists to practice to the full extent of their scope. The dental hygiene profession must be prepared and ready to embrace these opportunities. In doing so, new career pathways will be available for dental hygiene professionals that will also improve the public’s access to oral health care.


      PubDate: 2016-01-30T06:30:28Z
       
  • Buffered lidocaine with sodium bicarbonate did not increase inferior
           alveolar nerve block success rate in patients having symptomatic
           irreversible pulpitis
    • Abstract: Publication date: Available online 28 January 2016
      Source:Journal of Evidence Based Dental Practice
      Author(s): Masoud Parirokh
      Article Title and Bibliographic Information Effect of buffered 4% lidocaine on the success of the inferior alveolar nerve block in patients with symptomatic irreversible pulpitis: a prospective, randomized, double-blind study. Schellenberg J, Drum M, Reader A, Nusstein J, Fowler S, Beck M. J Endod 2015;41(6): 791-6. Reviewer Masoud Parirokh, DMD, MS Purpose/Question The aim of the study was to evaluate the effect of 4% buffered lidocaine with 1/100000 epinephrine on the success rate of inferior alveolar nerve block in patients who had symptomatic irreversible pulpitis. Source of Funding The study was supported by Meyers/Reader Graduate Endodontic Support Fund. Type of Study/Design Double blinded randomized controlled trial Level of Evidence Level 1: good quality patient-oriented evidence Strength of Recommendation Grade N/A Not applicable


      PubDate: 2016-01-30T06:30:28Z
       
  • Treponema sp. shown to be important pathogens in primary endodontic
           infections
    • Abstract: Publication date: Available online 28 January 2016
      Source:Journal of Evidence Based Dental Practice
      Author(s): Ashraf F. Fouad
      Article Title and Bibliographic Information Prevalence of Treponema species detected in endodontic infections: systematic review and meta-regression analysis. Leite FRM, Nascimento GG, Demarco FF, Gomes BPFA, Pucci CR, Martinho FC. J Endod 2015;41(5): 579-87. Reviewer Ashraf F. Fouad Purpose/Question The purpose of this study was to conduct a systematic review of the literature on the prevalence of different Treponema spp. in endodontic infections. The review also investigated the differences in prevalence of Treponema spp. in primary and persistent cases and in symptomatic and asymptomatic cases, and discussed the different methodologies involved in identifying members of this bacterial genus. Source of Funding The authors declare no conflict of interest. No sources of funding are listed for this study. Type of Study/Design This study was a systematic review and meta-regression analysis. Level of Evidence Level 3: Disease-oriented evidence; inconsistent findings among studies. Strength of Recommendation Grade C: disease-oriented evidence of surrogate endpoints that describe pathogenesis and may affect outcomes.


      PubDate: 2016-01-30T06:30:28Z
       
  • Limited evidence suggests a single implant overdenture as an alternative
           to two-implant−supported mandibular overdentures
    • Abstract: Publication date: Available online 28 January 2016
      Source:Journal of Evidence Based Dental Practice
      Author(s): Ahmed Yaseen Alqutaibi
      Article Title and Bibliographic Information Survival in 1- versus 2-implant mandibular overdentures: a systematic review and meta-analysis. Srinivasan M, Makarov NA, Herrmann FR, Müller F. Clin Oral Implants Res. 2016;27(1):63-72 Reviewer Name and Contact Information Ahmed Yaseen Alqutaibi Purpose/Question Do single-implant−retained overdentures have similar outcomes in terms of implant survival when compared with two-implant−supported overdentures in the edentulous mandible? Source of Funding The authors reported no external funding sources. Type of Study/Design Systematic review and meta-analysis Level of Evidence Level 2: Limited-quality, patient-oriented evidence Strength of Recommendation Grade Grade B: Inconsistent, limited-quality patient-oriented evidence


      PubDate: 2016-01-30T06:30:28Z
       
  • Retention of asymptomatic third molars may be unwise
    • Abstract: Publication date: Available online 28 January 2016
      Source:Journal of Evidence Based Dental Practice
      Author(s): G.R. Ogden
      Article Title and Bibliographic Information What is the risk of future extraction of asymptomatic third molars? A systematic review. Bouloux GF, Busaidy KF, Beirne OR, Chuang S-K, Dodson TB. J Oral Maxillofac Surg 2015;73(5): 806-811. Reviewer Name and Contact Information Professor G.R. Ogden BDS, MDSc,PhD,FDS RCPS,FDS RCS Eng,FHEA,FRSA Purpose/Question Do young adults who retain their asymptomatic third molars, run the risk of removal later in life. Source of Funding No external funding source is identified although all 5 authors appear to be on the American Association of Oral and Maxillofacial Surgery 3rd Molar Task Force. Type of Study/Design Systematic review Level Of Evidence Level 2: Limited-quality, patient-oriented evidence Strength of Recommendation Grade Grade B: Inconsistent or limited-quality patient-oriented evidence


      PubDate: 2016-01-30T06:30:28Z
       
  • Although cast post and cores present acceptable survival, patient-related
           factors may influence survival
    • Abstract: Publication date: Available online 28 January 2016
      Source:Journal of Evidence Based Dental Practice
      Author(s): Jovito Adiel Skupien, Maximiliano Sérgio Cenci, Tatiana Pereira-Cenci
      Article Title and Bibliographic Information Survival of teeth treated with cast post and cores: A retrospective analysis over an observation period of up to 19.5 years. Raedel M, Fiedler C, Jacoby S, Boening KW. J Prosthet Dent 2015;114(1):40-5. Reviewers Jovito Adiel Skupien, DDS, MSc, PhD, Maximiliano Sérgio Cenci, DDS, MSc, PhD, Tatiana Pereira-Cenci, DDS, MSc, PhD Purpose/Question This retrospective study assessed survival of teeth treated with cast post and cores and clinical factors that could influence survival. Source of Funding None or information not available. Type of Study/Design Retrospective cohort study. Level of Evidence Level 2 Strength of Recommendation Grade N/A


      PubDate: 2016-01-30T06:30:28Z
       
  • Severe periodontitis may result in higher numbers of oral
           polymorphonuclear (oPMN) leukocytes in oral rinse samples
    • Abstract: Publication date: Available online 28 January 2016
      Source:Journal of Evidence Based Dental Practice
      Author(s): Bruno G. Loos
      Article Title and Bibliographic Information Quantifying oral inflammatory load: oral neutrophil counts in periodontal health and disease.Landzberg M, Doering H, Aboodi GM, Tenenbaum HC, Glogauer M.J Periodontal Res 2015;50(3):330-6. Reviewer Bruno G. Loos, DDS, MSc, PhD Purpose/Question The aim of the study was to enumerate oPMN leukocytes in oral rinse samples in subjects with periodontal health and in subjects with various degrees of periodontitis, and to investigate whether numbers of oPMN leukocytes could be used as a diagnostic marker for gingivitis, periodontitis, or periodontal health. Source of Funding No sources of funding have been reported, nor were there statements on conflicts of interest. Type of Study/Design Case series. The design of the current report needs to be regarded as a case series. There was no a priori power calculation or pilot data available. The current study is also not a true cross- sectional study, as participants were not consecutively recruited. Inclusion and exclusion criteria have been described rather weakly and do not follow established “case definitions.” Level of Evidence Level 2 Limited-quality, patient-oriented evidence Strength of Recommendation Grade Not applicable


      PubDate: 2016-01-30T06:30:28Z
       
  • Scaling and root planing is recommended in the nonsurgical treatment of
           chronic periodontitis
    • Abstract: Publication date: Available online 28 January 2016
      Source:Journal of Evidence Based Dental Practice
      Author(s): David Herrera
      Article Title and Bibliographic Information Systematic review and meta-analysis on the nonsurgical treatment of chronic periodontitis by means of scaling and root planing with or without adjuncts. Smiley CJ, Tracy SL, Abt E, Michalowicz BS, John MT, Gunsolley J, Cobb CM, Rossmann J, Harrel SK, Forrest JL, Hujoel PP, Noraian KW, Greenwell H, Frantsve-Hawley J, Estrich C, Hanson N. J Am Dent Assoc 2015;146(7): 508-524 e505. Reviewer David Herrera, DDS, PhD Purpose/Question Two questions for systematic review were proposed, in a PICO format: “In patients with chronic periodontitis, does scaling and root planing (SRP, hand or ultrasonic), when compared with no treatment, supragingival scaling and polish (prophylaxis), or debridement, result in greater improvement of clinical attachment level (CAL)?”, and “In patients with chronic periodontitis, does the use of locally delivered antibiotics or antimicrobials, systemic antibiotics, combinations of locally delivered and systemic antibiotics, agents for biomodification or host modulation, or nonsurgical lasers as adjuncts to SRP, compared with SRP alone, result in greater improvement of CAL?” Source of Funding The study was funded by the American Dental Association. Type of Study/Design Systematic review with meta-analysis. Level of Evidence Level 2 Limited-quality, patient-oriented evidence Strength of Recommendation Grade Grade C Consensus, disease-oriented evidence, usual practice, expert opinion, or case series for studies of diagnosis, treatment, prevention, or screening.


      PubDate: 2016-01-30T06:30:28Z
       
  • No clear evidence of the effect of cantilevered implant supported fixed
           restorations on the marginal bone or the prosthetic complications
    • Abstract: Publication date: Available online 28 January 2016
      Source:Journal of Evidence Based Dental Practice
      Author(s): Iman Abd-Elwahab Radi
      Article Title and Bibliographic Information Effect of cantilevers for implant-supported prostheses on marginal bone loss and prosthetic complications: systematic review and meta-analysis. Torrecillas-Martinez L, Monje A, Lin G, Suarez F, Ortega-Oller I, Galindo-Moreno P, Wang H. Int J Oral Maxillofac Implants 2014;29:1315–21. Reviewer Iman Abd-Elwahab Radi Purpose or question The PICO question was: In partially edentulous patients restored by implant-supported fixed prostheses with or without cantilever extensions, are there any differences in terms of marginal bone loss (MBL) and prosthetic complications? Study design Systematic review and meta-analysis.


      PubDate: 2016-01-30T06:30:28Z
       
  • Commentary on an Innovative Interprofessional Dental Practice for 2026
    • Abstract: Publication date: Available online 29 January 2016
      Source:Journal of Evidence Based Dental Practice
      Author(s): Brad Guyton, Jan LeBeau, Rebecca Sorci, Amy Doneen
      Declarative Title An innovative interprofessional model is described for the delivery of dental care in the year 2026 to optimize efficiency and profitability while enhancing quality of care. Background The dental practice of tomorrow may look different than today. Although not broken, the current system can be improved in efficiency and effectiveness. While traditional private practices will continue to exist and many will thrive over the next few decades, they may not present the optimal model for dental practice. To manage complex patient needs, a more collaborative model of multi-disciplinary, interprofessional clinical teams capable of treating patients comprehensively has been developed by the authors. They explore an alternative model of practice that may be possible in the next 10 years to better serve patients and improve outcomes while honoring the role of practitioners. Methods Landmark publications and reviews are used to examine evidence showing the potential benefits of an innovative interprofessonal approach to the delivery of care in the oral healthcare setting. Conclusions By examining key studies, the authors provide commentary on the potential for enhanced efficiency, profitability, and quality of care in the oral healthcare setting through a collaborative model of multi-disciplinary, interprofessional clinical teams capable of treating patients comprehensively.


      PubDate: 2016-01-30T06:30:28Z
       
  • Dental Hygienist-Led Chronic Disease Management System to Control Early
           Childhood Caries
    • Abstract: Publication date: Available online 29 January 2016
      Source:Journal of Evidence Based Dental Practice
      Author(s): Man Wai Ng, Zameera Fida
      Declarative Title Management of the complex chronic disease of early childhood caries (ECC) requires a system of coordinated healthcare interventions which can be led by a dental hygienist and where patient self-care efforts are paramount. Background and Purpose Even after receiving costly surgical treatment under general anesthesia in the operating room, many children develop new and recurrent caries after only 6-12 months, a sequela that can be prevented. This article describes the chronic disease management (CDM) of dental caries, a science-based approach that can prevent and control caries. Methods In this article, we 1) introduce the concept of CDM of dental caries, 2) provide evidence that CDM improves oral health outcomes, and 3) propose a dental hygienist-led team-based oral health care approach to CDM. Although we will be describing the CDM approach for ECC, CDM of caries is applicable in children, adolescents and adults. Conclusions ECC disease control requires meaningful engagement of patients and parents by the oral health care team in order to assist them with making behavioral changes in the unique context of their families and communities. The traditional dentist/hygienist/assistant model needs to evolve to a collaborative partnership between care providers and patients/families. This partnership will be focused on systematic risk assessment and behaviorally-based management of the disease itself, with sensitivity toward the familial environment. Early pilot study results demonstrate reductions in rates of new caries, dental pain and referral to the operating room compared to baseline rates. Dental hygienists are the appropriate team members to lead this approach due to their expertise in behavior change and prevention.


      PubDate: 2016-01-30T06:30:28Z
       
  • EDITOR’S NOTES
    • Abstract: Publication date: Available online 29 January 2016
      Source:Journal of Evidence Based Dental Practice




      PubDate: 2016-01-30T06:30:28Z
       
  • Doctoral dental hygiene education would prepare scholars and leaders to
           improve population health through changes in oral health policy and
           delivery
    • Abstract: Publication date: Available online 29 January 2016
      Source:Journal of Evidence Based Dental Practice
      Author(s): JoAnn R. Gurenlian, Ellen J. Rogo, Ann Eshenaur Spolarich
      Background Discussions about doctoral education in dental hygiene have centered on the need to create a cadre of dental hygiene researchers and scholars who will expand the body of knowledge for the profession. It has been proposed that scholars are needed to lead the development of theory and disseminate knowledge unique to the discipline of dental hygiene. Transformation to doctoral education is not a new trend as many other health care disciplines have already implemented curricular models establishing the doctoral degree for entry-level into practice. The Institute of Medicine has called for the exploration of new models for care delivery. Dental hygienists need to be prepared with leadership skills enabling them to participate and lead inter-professional teams and develop policies designed to improve the delivery of oral health care services to enhance population health. Current educational models do not adequately prepare dental hygienists to serve in this capacity. Methods The purpose of this paper is to present two models of doctoral education for dental hygiene that will illustrate how dental hygienists can be better prepared as scholars and leaders for the profession. Conclusion These proposed models of doctoral education in dental hygiene present a paradigm shift in dental hygiene education. As with other disciplines that have evolved, both academically and professionally, dental hygiene will be positioned to achieve the hallmark of professional status with this terminal degree.


      PubDate: 2016-01-30T06:30:28Z
       
  • A Risk of Bias Assessment of Randomized Controlled Trials (RCTs) on
           Periodontal Regeneration Published in 2013
    • Abstract: Publication date: Available online 30 January 2016
      Source:Journal of Evidence Based Dental Practice
      Author(s): Satheesh Elangovan, Sivaraman Prakasam, Praveen Gajendrareddy, Veerasathpurush Allareddy
      Objective The objective of this assessment is to evaluate the degree of risk of bias in randomized controlled trials published in 2013 and focusing on periodontal regeneration. Methods Three reviewers searched and selected the trials based on pre-defined inclusion criteria. Predictor variables [number of authors, primary objective of the study, biomaterial employed, follow-up time periods, split mouth study (yes/ no), journal, year of publication, country, scale (single/multi-center) and nature of funding] were extracted and risk of bias assessment using Cochrane risk of bias tool were performed independently by the three reviewers. Results Seventeen RCTs were included in this assessment. The risk of bias in RCTs published in 2013 with a focus in periodontal regeneration varied significantly with only in less than 30% of the included trials, the overall risk of bias was found to be low, while 41% of trials were designated to have a higher degree of bias. Specifically, when looking at the domains assessed, 70 % of the included trials reported an accepted method of sequence generation, blinding (whenever possible), completeness of outcome data or avoided selective outcome reporting. Meanwhile, only 47% of the included trials reported some form of allocation concealment. Conclusion In this assessment, of the included 17 trials, slightly more than 40% of them had a high risk of bias, underscoring the importance of careful appraisal of trials before implementing the study interventions in clinical practice and the need for more detailed analyses.


      PubDate: 2016-01-30T06:30:28Z
       
  • Declarative Title: Canine-guide occlusion and group function occlusion are
           equally acceptable when restoring the dentition
    • Abstract: Publication date: Available online 30 January 2016
      Source:Journal of Evidence Based Dental Practice
      Author(s): Rodolfo Miralles
      Article Title and Bibliographic Information Impact of lateral occlusion schemes: A systematic review. Abduo J ,Tennant M. J Prosthet Dent 2015;114:193-204 Reviewer Rodolfo Miralles, DDS Purpose/Question What is the influence of the lateral occlusion scheme on patient comfort, masticatory system physiology, and prosthesis longevity? Source of Funding Not reported. Type of Study/Design Systematic review J Evid Base Dent Pract 2016; Level of Evidence Level 1: Good-quality, patient-oriented evidence Strength of Recommendation Grade Grade A: Consistent, good-quality patient-oriented evidence


      PubDate: 2016-01-30T06:30:28Z
       
  • A New Practice Approach for Oral Health Professionals
    • Abstract: Publication date: Available online 30 January 2016
      Source:Journal of Evidence Based Dental Practice
      Author(s): Noreen Myers-Wright, Ira B. Lamster
      Declarative Title A New Practice Approach for Oral Health Professionals The oral healthcare paradigm presented here would broaden oral health services to include primary healthcare activities focusing on risk reduction and chronic disease screening. Background and Purpose Changes in our nation’s healthcare delivery system, shifting patient demographics and availability of new health insurance programs have resulted in exploration of new practice models of healthcare delivery. Chronic diseases require coordinated care efforts over decades of a patient’s life. Oral health professionals will be part of that care. Methods The practice model for this article was developed in the context of an academic medical center that promotes oral healthcare professionals as healthcare providers through interprofessional education. The combined experiences of the authors, including a diabetes predictive model for oral health settings, the efficacy and effectiveness of Human Immunodeficiency Virus screening in a dental setting, the feasibility of using a decision support tool for tobacco cessation, and the effectiveness of integrating oral health education with comprehensive health services for people living with HIV, have contributed to this concept. Conclusions Prevention is increasingly recognized as a cost effective means of reducing chronic disease burdens. To be effective health promotion activities that encourage healthy living and early detection need to occur in a variety of healthcare settings. Oral health professionals represent an underutilized group of healthcare providers that can contribute to improved health of populations living with chronic diseases by broadening their scope of practice to include primary health screenings and tailored health promotion activities.


      PubDate: 2016-01-30T06:30:28Z
       
  • DECLARATIVE TITLE: Consumption of xylitol gummy bears may not provide
           additional caries prevention for school children.
    • Abstract: Publication date: Available online 30 January 2016
      Source:Journal of Evidence Based Dental Practice
      Author(s): Jaana Gold
      Article Title And Bibliographic Information The effectiveness of xylitol in a school-based cluster-randomized clinical trial. Lee W, Spiekerman C, Heima M, Eggertsson H, Ferretti G, Milgrom P, Nelson S. Caries Res 2015;49(1): 41-9. Reviewer Name And Contact Information Jaana Gold, DDS, MPH, PhD, CPH, Associate Professor Purpose/Question To assess the caries preventive effect of xylitol gummy bear consumption in the primary and permanent teeth of elementary school children beyond the effects of primary prevention methods. Source Of Funding Government: Maternal and Child Health Bureau, Health Resources and Services Administration, U.S. Department of Health and Human Services, grant no. R40MC07838. Type Of Study/Design Double-blind, cluster-randomized controlled trial Level Of Evidence Level 2: Limited-quality, patient-oriented evidence Strength of Recommendation Grade Not applicable


      PubDate: 2016-01-30T06:30:28Z
       
  • A Baccalaureate Education Curriculum To Prepare Dental Hygienists for
           Expanded Public Health Practice
    • Abstract: Publication date: Available online 30 January 2016
      Source:Journal of Evidence Based Dental Practice
      Author(s): Lisa J. Rowley, Susan M. Stein
      Declarative Title A baccalaureate dental hygiene education program was intentionally designed and implemented to prepare dental hygienists to work in expanded public health practice. Background Expanded practice dental hygienists (EPDH) in Oregon practice without the supervision of a dentist to provide dental hygiene services for underserved patients with limited access to dental care. Ten competencies were identified for the successful expanded practice dental hygienist and then these competencies were incorporated into the curriculum of a baccalaureate dental hygiene program. Methods When recent graduates of the innovative program were surveyed, results indicated that they felt well prepared for expanded practice, they had a high level of interest in working as an expanded practice dental hygienist, and all were planning to apply for an expanded practice permit, and. Two graduates and their unique contributions to individuals in need are profiled. Conclusions Intentional preparation of dental hygienists for expanded public health roles suggested the need for a baccalaureate curriculum designed specifically for that purpose. Advocacy and collaboration among educators, legislators and administrators in Oregon led to the development and implementation of such an innovative dental hygiene education program at Pacific University. Graduates are likely to pursue opportunities working as expanded practice dental hygienists. Further research will document the viability of this purposefully designed curriculum to prepare dental hygienists to help meet the public need for optimal oral health.


      PubDate: 2016-01-30T06:30:28Z
       
  • DECLARATIVE TITLE: Consumption of xylitol gummy bears may not provide
           additional caries prevention for school children
    • Abstract: Publication date: Available online 30 January 2016
      Source:Journal of Evidence Based Dental Practice
      Author(s): Jaana Gold
      Article Title and Bibliographic Information The effectiveness of xylitol in a school-based cluster-randomized clinical trial.Lee W, Spiekerman C, Heima M, Eggertsson H, Ferretti G, Milgrom P, Nelson S.Caries Res 2015;49(1): 41-9. Reviewer Jaana Gold, DDS, MPH, PhD, CPH, Associate Professor Purpose/Question To assess the caries preventive effect of xylitol gummy bear consumption in the primary and permanent teeth of elementary school children beyond the effects of primary prevention methods. Source of Funding Government: Maternal and Child Health Bureau, Health Resources and Services Administration, U.S. Department of Health and Human Services, grant no. R40MC07838. Type Of Study/Design Double-blind, cluster-randomized controlled trial Level of Evidence Level 2: Limited-quality, patient-oriented evidence Strength of Recommendation Grade Not applicable


      PubDate: 2016-01-30T06:30:28Z
       
  • Drivers Advancing Oral Health in a Large Group Dental Practice
           Organization
    • Abstract: Publication date: Available online 30 January 2016
      Source:Journal of Evidence Based Dental Practice
      Author(s): Kristen Simmons, Stephanie Gibson, Joel White
      Declarative Statement Three change drivers are being implemented to high standards of patient-centric and evidence-based oral healthcare within the context of a large multi-specialty dental group practice organization based upon the commitment of the dental hygienist, who is Chief Operating Officer, and her team. Background and Purpose: A recent environmental scan elucidated 6 change drivers that can impact the provision of oral healthcare. Practitioners who can embrace and maximize aspects of these change drivers will move dentistry forward and create future opportunities. This article explains how 3 of these change drivers are being applied in a privately held, accountable-risk bearing entity that provides individualized treatment programs for over 400,000 members. To facilitate integration of the conceptual changes related to the drivers, a multi-institutional, multi-disciplinary, highly functioning collaborative work group was formed. Methods and Approach The document Dental Hygiene at a Crossroads for Change, 1 inspired the first author, a dental hygienist in a unique position as Chief Operating Officer of a large group practice, to pursue evidence-based organizational change, to impact the quality of patient care. This was accomplished by implementing technological advances including dental diagnosis terminology in the electronic health record (EHR), clinical decision support, standardized treatment guidelines, quality metrics and patient engagement to improve oral health outcomes at the patient and population levels. The systems and processes utilized to implement 3 change drivers into a large multi-practice dental setting is presented to inform and inspire others to implement change drivers with the potential for advancing oral health. Conclusions Technology, implementing best practices and improving patient engagement are excellent drivers to advance oral health and are effective use of oral healthcare dollars. Improved oral health can be leveraged through technological advances to improve clinical practice.


      PubDate: 2016-01-30T06:30:28Z
       
  • “Patients with manifest caries lesions have higher levels of
           salivary matrix metalloproteinase -8 than patients with no caries
           lesions”
    • Abstract: Publication date: Available online 30 January 2016
      Source:Journal of Evidence Based Dental Practice
      Author(s): Patricia Nivoloni Tannure, Erika Calvano Kuchler
      Article Title and Bibliographic Information Caries correlates strongly to salivary levels of matrix metalloproteinase-8.Hedenbjörk-Lager A, Bjørndal L, Gustafsson A, Sorsa T, Tjäderhane L, Åkerman S, Ericson D.Caries Res 2015;49(1):1-8. Purpose/Question The main purpose of this study was to evaluate the relationship between the concentration of MMP-8 in saliva and the number of caries lesions. Source of Funding The study was funded by faculty grants and by the Regional Board of Public Dental Health in the county of Skane, Sweden. Type of Study/Design Cross-sectional study Reviewer name and Contact Information Patricia Nivoloni Tannure, DDS, MSD, PhD, Erika Calvano Kuchler, DDS, Ms, PhD Level of Evidence Level 3 Other evidence Strength of Recommendation Grade Not applicable


      PubDate: 2016-01-30T06:30:28Z
       
  • DECLARATIVE TITLE: Pulpotomy with calcium hydroxide may be an effective
           alternative to root canal therapy in vital teeth
    • Abstract: Publication date: Available online 30 January 2016
      Source:Journal of Evidence Based Dental Practice
      Author(s): Saeed Asgary, Armin Shirvai
      Article Title and Bibliographic Information Permanent teeth pulpotomy survival analysis: retrospective follow-upKunert GG, Kunert IR, da Costa Filho LC, de Figueiredo JAJ Dent. 2015 Sep;43(9):1125-31. Purpose/Question 1. To analyze the long-term survival of pulpotomy with calcium hydroxide in vital permanent teeth that needed root canal therapy. 2. To evaluate the prognostic factors influencing the success rates of pulpotomy with calcium hydroxide. Source of Funding Information not available Type of Study/Design Historical cohort study Reviewer Names and Contact Information Saeed Asgary, DDS, MS, Armin Shirvai, MD, PhD Level of Evidence Level 2: limited-quality, patient-oriented evidence. Strength of Recommendation Grade Not applicable.


      PubDate: 2016-01-30T06:30:28Z
       
  • DECLARATIVE TITLE: There is a positive long-term effect of the Nexo-method
           on caries prevention.
    • Abstract: Publication date: Available online 30 January 2016
      Source:Journal of Evidence Based Dental Practice
      Author(s): Eleanor Fleming
      ARTICLE TITLE AND BIBLIOGRAPHIC INFORMATION Outcomes 18 years after implementation of a nonoperative caries preventive program--the Nexo-method--on children in Moscow, RussiaKuzmina I, Ekstrand KRCommunity Dent Oral Epidemiol 2015;43(4): 308-16. PURPOSE/QUESTION What are the long-term effects of the Nexo-method on caries prevention in adults? SOURCE OF FUNDING Not available TYPE OF STUDY/DESIGN Randomized controlled trial REVIEWER NAME and CONTACT INFORMATION Eleanor Fleming, PhD, DDS, MPH Strength of Recommendation Grade Not applicable Level of Evidence Level 1: patient-oriented evidence based on clinical experiences


      PubDate: 2016-01-30T06:30:28Z
       
  • Valuing the clinical effectiveness of therapeutics
    • Abstract: Publication date: Available online 12 January 2016
      Source:Journal of Evidence Based Dental Practice
      Author(s): Stefan Listl, Clovis Mariano Faggion
      Objective This second article of a series of four is aimed to inform dental practitioners about the relevance to provide more formal analysis of economic resources when helping patients make clinical decisions. Methods The following methods of health economic evaluation are described: Cost-effectiveness-analysis (CEA), cost-utility-analysis (CUA) and cost-benefit-analysis (CBA). CEA compares the effectiveness of different interventions usually based on specific clinical outcome measures, for example pocket depth reduction. CUA evaluates the effectiveness of therapies by taking into account more generic health outcome measures such as quality-adjusted life-years (QALYs). Cost-benefit-analysis (CBA) is based on measuring patients’ actual willingness to pay. Cost-benefit-analysis (CBA) is based on measuring patients’ actual willingness to pay, and it offers a method of economic evaluation that values all benefits against all costs. In other words, the total costs of a specific intervention are subtracted from the value of benefits related to that intervention. Results This article reported common methods of health economic evaluation that could be taken into account throughout clinical decision making. Decision makers (patients, practitioners, health policy) should be adequately informed about costs and health outcomes associated with the various therapeutic alternatives in order to act responsibly within scenarios of resource scarcity. Economic evaluations can be informative with respect to whether or not the health outcomes outweigh the costs of an intervention, and hence provide a decision-making tool for decision makers considering treatment alternatives. Conclusions The information provided here may help decision makers (patients, practitioners, health policy) to understand economic considerations as an essential component of the decision-making process. Carefulness is advised with regard to interpreting the results from economic evaluation studies.


      PubDate: 2016-01-14T18:10:41Z
       
  • Information for Readers
    • Abstract: Publication date: December 2015
      Source:Journal of Evidence Based Dental Practice, Volume 15, Issue 4




      PubDate: 2015-12-17T13:54:44Z
       
  • Information for Authors
    • Abstract: Publication date: December 2015
      Source:Journal of Evidence Based Dental Practice, Volume 15, Issue 4




      PubDate: 2015-12-17T13:54:44Z
       
  • Statement of Purpose/Levels of Evidence
    • Abstract: Publication date: December 2015
      Source:Journal of Evidence Based Dental Practice, Volume 15, Issue 4




      PubDate: 2015-12-17T13:54:44Z
       
  • Table of Contents
    • Abstract: Publication date: December 2015
      Source:Journal of Evidence Based Dental Practice, Volume 15, Issue 4




      PubDate: 2015-12-17T13:54:44Z
       
  • Matrix JEBDP December 2015
    • Abstract: Publication date: December 2015
      Source:Journal of Evidence Based Dental Practice, Volume 15, Issue 4




      PubDate: 2015-12-17T13:54:44Z
       
  • Editorial Board
    • Abstract: Publication date: December 2015
      Source:Journal of Evidence Based Dental Practice, Volume 15, Issue 4




      PubDate: 2015-12-17T13:54:44Z
       
  • Appropriate recall interval for Periodontal Maintenance: A Systematic
           Review
    • Abstract: Publication date: Available online 19 November 2015
      Source:Journal of Evidence Based Dental Practice
      Author(s): Owais A. Farooqi, Carolyn J. Wehler, Gretchen Gibson, M. Marianne Jurasic, Judith A. Jones
      Objectives A systematic review of the literature was undertaken to assess the evidence to support a specific time interval between periodontal maintenance (PM) visits. Methods Relevant articles were identified through searches in MEDLINE, EMBASE and PubMed using specific search terms, until April, 2014, resulting in 1095 abstracts and/or titles with possible relevance. Critical Appraisal Skills Programme (CASP) guidelines were used to evaluate the strength of studies and synthesize findings. If mean recall interval was not reported for study groups, authors were contacted to attempt to retrieve this information. Results Eight cohort studies met inclusion criteria. No randomized control trials were found. All included studies assessed the effect of PM recall intervals in terms of compliance with a recommended regimen (3 to 6 months) as a primary outcome. Shorter PM intervals (3-6 months) favored more teeth retention but also statistically insignificant differences between RC and IC/EC, or converse findings are also found. In the 2 studies reporting mean recall interval in groups, significant tooth loss differences were noted as the interval neared the 12 month limit. Conclusions Evidence for a specific recall interval (e.g. every 3 months) for all patients following periodontal therapy is weak. Further studies, such as RCTs or large electronic database evaluations would be appropriate. The merits of risk-based recommendations over fixed recall interval regimens should be explored.


      PubDate: 2015-11-25T08:20:14Z
       
  • Visual inspection displays good accuracy for detecting caries lesions
    • Abstract: Publication date: Available online 17 November 2015
      Source:Journal of Evidence Based Dental Practice
      Author(s): Svante Twetman



      PubDate: 2015-11-21T04:32:28Z
       
  • Baseline caries risk assessment using CAMBRA may predict caries only in
           high and extreme caries risk groups
    • Abstract: Publication date: Available online 28 October 2015
      Source:Journal of Evidence Based Dental Practice
      Author(s): Marisol Tellez, Vinodh Bhoopathi, Sungwoo Lim
      Information Baseline caries risk assessment as a predictor of caries incidence.Chaffee BW, Cheng J, Featherstone JD. J Dent 2015;43(5): 518-24. Reviewer Name and Contact Information Marisol Tellez, BDS, MPH, Ph.D, Vinodh Bhoopathi, BDS, MPH, DScD, Consultant Sungwoo Lim, MS, DrPH Purpose/Question To determine, with each increasing category of baseline caries risk as assessed by Caries Management by Risk Assessment (CAMBRA) in a patient, whether a greater or higher number of new decay/restored teeth can be predicted at a subsequent 6-month periodic oral evaluation. Source of Funding National Center for Advancing Translational Sciences, National Institutes of Health (KL2TR000143) Type of Study/Design Retrospective cohort study Level of Evidence Level 1: Good-quality, patient-oriented evidence; Level 2: Limited-quality, patient-oriented evidence; Level 3: Other evidence{AU: Please indicate the level of evidence and strength of recommendation grade} Strength of Recommendation Grade Grade A: Consistent, good-quality patient-oriented evidence; Grade B: Inconsistent or limited-quality patient-oriented evidence; Grade C: Consensus, disease-oriented evidence, usual practice, expert opinion, or case series for studies of diagnosis, treatment, prevention, or screening. N/A, Not applicable


      PubDate: 2015-10-30T23:34:26Z
       
  • Soda consumption may increase risk of dental caries in primary teeth of
           low-income African Americans
    • Abstract: Publication date: Available online 28 October 2015
      Source:Journal of Evidence Based Dental Practice
      Author(s): Masahiro Heima, Peter Milgrom
      Article Title and Bibliographic Information Dental caries development among African American children: results from a 4-year longitudinal study. Lim S, Tellez M, Ismail AI. Community Dent Oral Epidemiol 2015;43(3): 200-207. Reviewers Masahiro Heima, DDS, PhD, Peter Milgrom, DDS Purpose/Question The authors conducted a secondary analysis of data from Detroit Dental Health Project to examine associations between new dental caries development and individual-level, family-level, and environmental risk factors over 4 years Source of Funding This research was supported by National Institute on Dental and Craniofacial Research grant number U54DE14261, the Delta Dental Fund of Michigan, and the University of Michigan Office of Vice President for Research. Type of Study/Design Retrospective cohort study Level of Evidence Level 2: Limited-quality, patient oriented evidence Strength of Recommendation Grade N/A, Not applicable


      PubDate: 2015-10-30T23:34:26Z
       
  • Third molars may remain free of periodontal pathology among well-educated
           young adults with good oral health practices
    • Abstract: Publication date: Available online 28 October 2015
      Source:Journal of Evidence Based Dental Practice
      Author(s): Ventä Irja
      Article Title and Bibliographic Information Monitoring for periodontal inflammatory disease in the third molar region. Golden BA, Baldwin C, Sherwood C, Abdelbaky O, Phillips C, Offenbacher S, White RP, Jr. J Oral Maxillofac Surg 2015;73(4): 595-9. Reviewer Ventä Irja, DDS, PhD Purpose/Question Third molars were followed up at 2-year intervals to assess changes of periodontal status in initially asymptomatic third molars with no clinical evidence of periodontal pathology. Source of Funding This work was funded by the Oral & Maxillofacial Surgery Foundation, the American Association of Oral and Maxillofacial Surgeons, and the Department of Oral and Maxillofacial Surgery, University of North Carolina, Chapel Hill. Type of Study/Design Prospective cohort study Level of Evidence Level 2 Limited-quality, patient-oriented evidence Strength of Recommendation Grade N/A, Not applicable


      PubDate: 2015-10-30T23:34:26Z
       
  • Chemomechanical Excavation is More Time-Consuming than Rotary, But Not
           Necessarily Hand Excavation
    • Abstract: Publication date: Available online 24 October 2015
      Source:Journal of Evidence Based Dental Practice
      Author(s): Falk Schwendicke
      Article Title and Bibliographic Information Hamama, H., et al. (2015). "Systematic Review and Meta-Analysis of Randomized Clinical Trials on Chemomechanical Caries Removal." Oper Dent 40(4): E167-178. Reviewer PD Dr Falk Schwendicke, DDS, PhD, MDPH Purpose/Question How valid were the methodologies of studies on chemomechnical caries removal, and is chemomechanical caries removal more time-consuming than conventional hand or rotary excavation' Source of Funding Information not available Type of Study/Design Systematic review with meta-analysis of data Level of Evidence Level 3, Other evidence Strength of Recommendation Grade Grade C (no patient-centered/relevant outcomes)


      PubDate: 2015-10-27T19:19:11Z
       
  • Limited evidence suggests high risk of implant failure rates among people
           with generalized aggressive periodontitis
    • Abstract: Publication date: Available online 24 October 2015
      Source:Journal of Evidence Based Dental Practice
      Author(s): Ahmed Yaseen Al-Qutaibi, Radhwan saleh Algabri
      Article Title And Bibliographic Information Generalized Aggressive Periodontitis as a Risk Factor for Dental Implant Failure: A Systematic Review and Meta-Analysis. Monje, A., Alcoforado, G., Padial-Molina M, Suarez F, Lin GH, Wang HL. J Periodontol 2014; 85(10):1398-1407 Reviewers Ahmed Yaseen Al-Qutaibi, BDS, MDSc, PhD(c) and Radhwan saleh Algabri, BDS, MDSc, PhD(c) Purpose/Question In patients with dental implants, what are the differences in implant survival rate (SR), and marginal bone loss (MBL) between people with or without generalized aggressive periodontitis (AgP)' Funding University of Michigan Periodontal Graduate Student Research Fund and the Talentia Scholarship Program, Junta de Andalucia, Spain Type Of Study/Design Systematic review and meta-analysis Level of Evidence Level 2: Limited-quality, patient-oriented evidence Strength Of Recommendation Grade Grade B: Inconsistent, limited quality patient-oriented evidence


      PubDate: 2015-10-27T19:19:11Z
       
  • There is no evidence on the effect of the attachment system on implant
           survival rate, overdenture maintenance, or patient satisfaction
    • Abstract: Publication date: Available online 24 October 2015
      Source:Journal of Evidence Based Dental Practice
      Author(s): Ahmed Yaseen Al-Qutaib
      Article Title and Bibliographic Information Attachment systems for mandibular implant overdentures: a systematic review. Kim HY, Lee JY, Shin SW, Bryant SR. J Advanced Prosthodont 2012;4(4):197-203 Reviewer Name and Contact Information Ahmed Yaseen Al-Qutaib Purpose/Question To address treatment outcomes depending on attachment systems for two-implant mandibular-supported overdentures in terms of (1) implant survival rate, (2) prosthetic maintenance and complications, and (3) patient satisfaction. Type of Study/Design Systematic review Level of Evidence Level 2 : Limited-quality, patient-oriented evidence Strength of Recommendation Grade Grade B: Inconsistent, limited-quality patient-oriented evidence


      PubDate: 2015-10-27T19:19:11Z
       
  • A history of periodontitis suggests a higher risk for implant loss
    • Abstract: Publication date: Available online 24 October 2015
      Source:Journal of Evidence Based Dental Practice
      Author(s): Bruno Ramos Chrcanovic
      ARTICLE TITLE AND BIBLIOGRAPHIC INFORMATION Periodontitis, implant loss and peri-implantitis. A meta-analysis. Sgolastra F, Petrucci A, Severino M, Gatto R, Monaco A. Clin Oral Implants Res 2015;26(4): e8-16. REVIEWER NAME and CONTACT INFORMATION Bruno Ramos Chrcanovic. DDS, MSc, PhD student PURPOSE/QUESTION To compare the risks of implant loss, implant bone loss, and peri-implantitis between subjects with and without a history of periodontal disease. SOURCE OF FUNDING The authors reported that no external funding sources directly supported this study. TYPE OF STUDY/DESIGN Systematic review with meta-analysis of data LEVEL OF EVIDENCE Level 2: Limited-quality, patient-oriented evidence STRENGTH OF RECOMMENDATION GRADE Grade B: Inconsistent or limited-quality patient-oriented evidence


      PubDate: 2015-10-27T19:19:11Z
       
  • Prevalence of recommendations made within dental research articles using
           uncontrolled intervention or observational study designs
    • Abstract: Publication date: Available online 9 October 2015
      Source:Journal of Evidence Based Dental Practice
      Author(s): M.K. Wilson, I.G. Chestnutt
      Background Evidence to inform clinical practice is reliant on research carried out using appropriate study design. The objectives of this work were to (i) identify the prevalence of articles reporting on human studies using uncontrolled intervention or observational research designs published in peer-reviewed dental journals and (ii) determine the nature of recommendations made. Methods Six peer-reviewed dental journals were selected. Issues published in January to June 2013 were examined and the types of articles published assessed. Following pre-defined inclusion/exclusion criteria, human studies classified as using uncontrolled intervention or observational research designs were subject to detailed review by two independent investigators. Results 52.9% (n=156) of studies published during the time period met the inclusion criteria. Studies with uncontrolled intervention or observational research designs comprised a larger proportion of the primary research studies published in the journals with lower impact factors (73.3%; n=107) compared to the high impact journals (38.9%; n=49). Analysis showed that 60.9% (n=95) of the included studies made recommendations for clinical practice/dental policy. In 46.3% (n=44) of studies making clinical/policy recommendations, the recommendations were judged to not be fully supported by the data presented. Conclusions Many studies published in the current dental literature, which are not considered to produce strong evidence, nonetheless make recommendations for clinical practice or policy. This work demonstrates the requirement of good critical appraisal skills in the adoption of evidence from dental journals.


      PubDate: 2015-10-10T16:49:20Z
       
  • Evaluating the risk of bias of a study
    • Abstract: Publication date: Available online 2 October 2015
      Source:Journal of Evidence Based Dental Practice
      Author(s): Clovis Mariano Faggion



      PubDate: 2015-10-06T13:31:31Z
       
  • Provider attitudes toward the implementation of clinical decision support
           tools in dental practice
    • Abstract: Publication date: Available online 21 September 2015
      Source:Journal of Evidence Based Dental Practice
      Author(s): Elizabeth A. Mertz, Olumide Bolarinwa, Cynthia Wides, Steven Gregorich, Kristen Simmons, Ram Vaderhobli, Joel White
      Purpose The objective of this paper is to assess clinical dental providers’ baseline knowledge and attitudes about the implementation of three clinical decision support (CDS) tools built into the electronic health record (EHR) of a multi-specialty group dental practice. Procedures An electronic survey designed to examine predisposing factors for acceptance of EHR-based tools, caries and periodontal disease management by risk assessment and a risk assessment-based Proactive Dental Care Plan, was distributed to all Willamette Dental Group (WDG) employees. The survey collected demographic data, along with measures of job experience and satisfaction, comfort with dental information technology, and attitudes and knowledge of each CDS tool. WDG provided data on site-level patient and financing mix, patient satisfaction data, employee role (e.g. dentist) and tenure with company. The survey was conducted three months prior to the rollout of the CDS tools in November 2013. The survey was distributed electronically to all WDG employees (n=1166), of whom 58.5% (n=682) were clinicians, located in 53 sites in Oregon, Washington and Idaho. The overall response rate was 79.8% (n=930), with a response rate of 83.1% (n=567) from all clinicians. Of these, 24.3% were general and specialist dentists (n=138); 26.6% were dental hygienists (n=151), and 49% were dental assistants (n=278). Principal Findings The clinicians surveyed reported being highly amenable to implementation of the three CDS tools. Clinicians’ attitudes reflected higher expected improvement in patient care and quality than in business processes due to the implementation. The clinician characteristics most strongly correlated with a positive attitude toward the CDS tool implementation (as measured on Likert scale 1=low to 5= high) included satisfaction with the EHR (0.499, p<0.001), job satisfaction (0.458, p<0.001), finding change to be exciting (0.398, p<0.001), degree of control perceived over work (0.352, p<0.001), and a perception of having adequate tools to get work done (0.340, p<0.001). Higher reported frequency (scale 1=never, 7=always) of feeling burned out (-0.297, p<0.001), feeling emotionally drained (-0.265, p<0.001), and feeling work is a strain (-0.205, p<0.001) had the greatest correlation with negative attitudes. Conclusion This is the first study to examine dental provider attitudes toward the implementation of CDS tools incorporated within an electronic health record. Provider attitudes toward CDS tools can shape the entire implementation process for better or worse. This study contributes to the literature by providing an understanding of factors related to positive attitudes at the outset of a system change and can help guide organizational administrators to better prepare their workforce and organization for adoption of evidence-based dentistry tools such as a CDS system.


      PubDate: 2015-09-24T00:38:29Z
       
  • Table of Contents
    • Abstract: Publication date: September 2015
      Source:Journal of Evidence Based Dental Practice, Volume 15, Issue 3




      PubDate: 2015-09-03T04:25:15Z
       
  • Editorial Board
    • Abstract: Publication date: September 2015
      Source:Journal of Evidence Based Dental Practice, Volume 15, Issue 3




      PubDate: 2015-09-03T04:25:15Z
       
  • Statement of Purpose/Levels of Evidence
    • Abstract: Publication date: September 2015
      Source:Journal of Evidence Based Dental Practice, Volume 15, Issue 3




      PubDate: 2015-09-03T04:25:15Z
       
  • Information for Readers
    • Abstract: Publication date: September 2015
      Source:Journal of Evidence Based Dental Practice, Volume 15, Issue 3




      PubDate: 2015-09-03T04:25:15Z
       
  • Toward Implementing Primary Care at Chairside: Developing a Clinical
           Decision Support System for Dental Hygienists
    • Abstract: Publication date: Available online 28 August 2015
      Source:Journal of Evidence Based Dental Practice
      Author(s): Stefanie L. Russell, Ariel Port Greenblatt, Danni Gomes, Shirley Birenz, Cynthia A. Golembeski, Donna Shelley, Matthew McGuirk, Elise Eisenberg, Mary E. Northridge
      Introduction The goal of this project was to use the Consolidated Framework for Implementation Research (CFIR) as the theoretical foundation for developing a web-based clinical decision support system (CDSS) for primary care screening and care coordination by dental hygienists at chairside. Methods First, we appraised New York State education and scope of practice requirements for dental hygienists with input from health experts who constituted a Senior Advisory Board for the project, and reviewed current professional guidelines and best practices for tobacco use, hypertension and diabetes screening, and nutrition counseling at chairside. Second, we created algorithms for these four health issues (tobacco, hypertension, diabetes, and nutrition) using evidence-based guidelines endorsed by authoritative professional bodies. Third, an information technology specialist incorporated the algorithms into a tool using an iterative process to refine the CDSS, with input from dental hygienists, dentists, Senior Advisory Board members and research staff. Results An evidence-based CDSS for use by dental hygienists at chairside for tobacco use, hypertension and diabetes screening, and nutrition counseling was developed with the active participation of the individuals involved in the implementation process. Conclusions CDSS technology may potentially be leveraged to enhance primary care screening and coordination by dental hygienists at chairside, leading to improved patient care. Using the CFIR as a pragmatic structure for implementing this intervention across multiple settings, the developed CDSS is available for downloading and adaptation to diverse dental settings and other primary care sensitive conditions.
      Graphical abstract image

      PubDate: 2015-08-28T22:25:05Z
       
  • Letter to the Editor regarding the article: Chi DL: Topical Fluoride
           Varnish Every 6 Months is not More Effective Than Placebo Varnish at
           Preventing Dental Caries in Preschoolers in Brazil. J Evid Base Dent Pract
           2014;14:142-144
    • Abstract: Publication date: Available online 6 August 2015
      Source:Journal of Evidence Based Dental Practice
      Author(s): Branca Heloisa de Oliveira



      PubDate: 2015-08-08T10:04:57Z
       
  • Response to Letter to the Editor from Dr Oliveira regarding the article:
           Chi DL: Topical Fluoride Varnish Every 6 Months is not More Effective Than
           Placebo Varnish at Preventing Dental Caries in Preschoolers in Brazil. J
           Evid Base Dent Pract 2014
    • Abstract: Publication date: Available online 6 August 2015
      Source:Journal of Evidence Based Dental Practice




      PubDate: 2015-08-08T10:04:57Z
       
 
 
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