Neem Tree Dental - Dental clinic in Tirupati, is the first to introduce Evidence Based Dentistry into clinical practice in India.
We are implementing protocols of Evidence-based dentistry in our dental office. It has two main goals: best evidence/research, and the transfer of this in practical use. This involves four basic phases: Asking evidence-based questions (framing an answerable question from a clinical problem); Searching for the best evidence; Reviewing and critically appraising the evidence; Applying this information in a way to help the clinical practice. An additional phase has been suggested that is the evaluation of performance of the techniques, procedures or materials. Evidence-based practice involves tracking down the available evidence, assessing its validity and then using the “best” evidence to inform decisions regarding care. Rules of evidence have been established to grade evidence according to its strength.
In traditional dental care, emphasis is placed on the dentist’s accumulated knowledge and experience, adherence to accepted standards, and the opinion of experts and peers. Neem Tree Dental Care, Evidence-based practice, in contrast, places a premium on using current evidence to solve clinical questions. It presupposes two things about the dentist: one, that he or she is conversant with the current literature, and two, that he or she is competent to evaluate it. The first requires that dentists read the scientific literature, particularly in clinical research, and the second requires that they can critically appraise the literature.
we follow five steps in clinical decision making that the evidence-based dentist in neem tree dental office must be involved : 1) Converting clinical information needs into an answerable question. 2) Using electronic databases to find available evidence. 3) Critically appraising the evidence for validity and importance. 4) Integrating the appraisal with the patient’s perceived needs and applying these results in clinical practice. 5) Evaluating their own performance.
At our dental office, we do learning that involves identifying and evaluating new methods that might improve care and prognosis, determining when to implement those that appear to improve care, and discarding old diagnostics and therapeutics that prove to be unsound.
In this information age, it is not uncommon for a patient to rush home from the dentist’s office to look up on the Internet or in health reference texts the drug or diagnosis that was provided. Science in the form of statistical evidence is being introduced into everyday language through advertising. However, some studies have demonstrated that EBD, when taught only in the classroom, may have little impact on the attitudes or behaviors of clinical practitioners. In other words, theoretical knowledge of EBD, obtained without opportunities to practice using an evidence-based approach to patient care decision making, may lead to no changes in dental practice at all. Therefore, it is crucial to implement evidence from research into clinical practice, and by doing this, the concept of EBD can become practically relevant to the dentistry.
Although considerable resources are spent on clinical research, little attention has been paid to the implementation of research evidence into clinical care. EBP may not be a concept that every dentist is familiar with, but increasing consumer pressures and the present economic, social, and political changes, will necessarily demand that evidence based principles are implemented, and we do it in our regular clinical practice.