Evidence Based

Dentistry (EBD)
EBD
Dimulai awal tahun 90an 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 EBD
The conscientious, explicit and jusdicious use of
current best eveidene in making decisions about the
care of individual patients
Pengertian EBD
An approach to oral health care that requires the
judicious integration of:
Systematic assessment of clinically relevant scientific
evidence, relating to the patients oral and medical
condition and history
Dentists clinical expertise
The patients treatment needs and preferences.
(American Dental Association)
Tujuan utama EBD
Best evidence/result
Transfer in practical use
Pengertian EBD
lain
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 patient
Some 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 information
Journal
J EBD (www.sciencedirect.com) dental research
papers
Electronic databases of abstract (Pubmed)
Academic databases of systematic review
The centre for EBD (http://www.cebd.org)
American Dental Association
The evidence will come from various study:
Studi observasional
Cross-sectional study
Cohort study
Case-control study
Studi interventional
Clinical trial
Review
Systematic review
Narractic review
Not from literati review
Interpret the evidence
Ada 3 aspek mendsar yang harus depertimbangkan
pada waktu membuat interpretasi pembuktian.
Size of the effect of treatment
Do the observed results represent a real effect, or only
chance finding?
Research results are always based one sample of people
Act on the evidence