Evidence Based Dentistry (EBD)

EBDDimulai awal tahun 90’an oleh ahli

epidemiologis

1992 :Hanya sedikit artiket tentang EBM

2000 :>1000 articles

Indonesia :1997

Workshop : Yogya (2000)

We believed that 50% of what we are teaching to you now will prove to be false 5 years later; the problem is that we do not know which 50% (DEAN HARVARD MED SCHOOL)

Pengertian EBDThe conscientious, explicit and jusdicious use of

current best eveidene in making decisions about the care of individual patients

Pengertian EBDAn approach to oral health care that requires the

judicious integration of:Systematic assessment of clinically relevant

scientific evidence, relating to the patient’s oral and medical condition and history

Dentist’s clinical expertiseThe patient’s treatment needs and preferences.

(American Dental Association)

Tujuan utama EBDBest evidence/result

Transfer in practical use

Pengertian EBDlain

The integration and interpretation of the available current research evidence, combined with personal experience. It allows dentist, researcher to keep new developments and make decisions that should improve their clinical practice

Why do we need EBD?Dentist should be able to keep up to date:

Development in diagnosis, prevention and treatment of oral disease

Newly discovered disease and cure

How to practice EBD?EBD is built upon asking question

Management of single patientSome information is needed by patient Interested in topic related to Dentistry

Merokok periodontitis

Pertanyaan:Mengapa tidak semua yang merokok menderita

periodontitis?Mengapa yang tidak merokok terkena

periodontits?

Gingivitis

Main steps in practising EBD

Main steps

Define the QUESTION

SEARCH FOR THE INFORMATION

INTERPRET THE EVIDENCE

ACT ON THE EVIDENCE

Skenario 1: BEST TOOTHBRUSH

Seorang wanita setengah baya yang menderita arthritis di tangannya datang ke praktek dokter gigi untuk pemeriksaan rutin. Ia bercerita bahwa ia membaca artiket tentang “tooth brushing”. Secara khusus ibu tersebut ingin mengetahui apakah dia bisa menggunakan sikat gigi elektrik untuk menggantikan sikat gigi manual yang digunakannya sekarang?

Pertanyaan? Apa saja pilihan untuk menyikat gigi? Mana yang paling efektif, menyikat gigi dengan sikat gigi

elektrik atau manual? Jika elektrik lebih efektif, apakah ada yang lebih baik dari

antara semua jenis sikat gigi elektrik yang tersedia?

Search the informationJournal

J EBD (www.sciencedirect.com) dental research papers

Electronic databases of abstract (Pubmed)

Academic databases of systematic reviewThe centre for EBD (http://www.cebd.org)

American Dental Association

The evidence will come from various study:Studi observasional

Cross-sectional studyCohort studyCase-control study

Studi interventionalClinical trial

Review Systematic reviewNarractic reviewNot from literati review

Interpret the evidenceAda 3 aspek mendsar yang harus

depertimbangkan pada waktu membuat interpretasi pembuktian.Size of the effect of treatmentDo the observed results represent a real effect, or

only chance finding?Research results are always based one sample of

people

Act on the evidence