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Toolkit for Dental Health Professionals Evidence-Based  Dental  Public Health Data Tools and Statistics Patient Information Oral Health Tutorial for Dental Public Health Professionals Purpose : Provides instruction for public health dental practitioners that focuses on finding and evaluating information relevant to public health dental practice.  This project has been funded in whole or in part with Federal funds from the National Library of Medicine, National Institutes of Health, Department of Health and Human Services, under Contract No. N01-LM-6-3505 under the Houston Academy of Medicine-Texas Medical Center Library.
Evidence-Based  Dental  Public Health
Objectives ,[object Object],[object Object],[object Object],[object Object]
What is Evidence-Based Dental Practice? ,[object Object],[object Object],[object Object]
Why Practice Evidence-Based Dentistry? ,[object Object],[object Object],[object Object]
The 5 A’s of Evidence-Based Dentistry Acquire the  best evidence Appraise the evidence Apply  evidence to patient care Assess the patient Ask clinical   questions (Use PICO model)
PICO Model:  The well-built question for evidence–based research ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Evidence Based Dentistry for Effective Practice, 2003.
Searching the Literature: PubMed ,[object Object],[object Object],[object Object],[object Object],[object Object],  "PubMed Tutorial", this Web-based program will show you how to search PubMed®
The PubMed Search ,[object Object],[object Object],[object Object],[object Object]
Study Types ,[object Object],[object Object],[object Object],[object Object],Evidence-Based Decision Making : A Translational Guide for Dental Professionals, 2009
Hierarchical Levels of Evidence Table Rank Evidence Level Study Type 1 Systematic review & randomized controlled trials Review of randomized controlled trials, Experimental + control, Randomization  2 Cohort Studies  Experimental + control, no randomization  3 Case-Control Studies  Experimental + control, retrospective  4 Case Reports  Experimental only, prospective  5 Narrative review, editorial  N/A Epidemiology, Animal studies, In vitro studies
Hierarchical Levels of Evidence ,[object Object]
Try to find a systematic review to answer your question. If one is not available, you can choose other types of studies lower on the hierarchical pyramid of evidence.
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Evidence-Based Tools
[object Object],[object Object],[object Object],[object Object],[object Object],Guide to Reading Research Articles
[object Object],[object Object],[object Object],[object Object],Further Study: Overviews of Evidence-Based Practice
Sample Clinical Question ,[object Object],[object Object],[object Object],[object Object],[object Object]
MeSH Search Terms ,[object Object],Key Concept MeSH Term P Children  All Child 0-18 years (limit) I School-based programs Fluoride varnish School health services Topical fluoride C Implied Implied O Reduced incidence of dental caries Dental caries
Practice Case Study #1 ,[object Object],[object Object],Evidence-Based Decision Making : A Translational Guide for Dental Professionals, 2009
Clinical Question: Case Study #1  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Case Study #1: MeSH Search Terms ,[object Object],Key Concept MeSH Term P 49-year old man with moderate periodontitis Middle Aged: 45-64  years (limit) Periodontitis I Type 2 Diabetes Mellitus Diabetes Mellitus, Type 2 C Implied Implied O Tooth Loss Tooth Loss
Practice Case Study #2 ,[object Object],[object Object]
Clinical Question: Case Study #2 ,[object Object],[object Object],[object Object],[object Object],[object Object]
Case Study #2: MeSH Search Terms ,[object Object],Key Concept MeSH Term P Adult Adult: 19-44 years (limit) I Community  Cancer Screening  Community Health Services Early Detection of Cancer C Implied Implied O Early  Detection Oral Cancer Already  Stated Mouth Neoplasms
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Databases
[object Object],[object Object],[object Object],[object Object],[object Object],Databases  (cont.)
[object Object],[object Object],[object Object],[object Object],Examples of Evidence-Based Journals
[object Object],[object Object],[object Object],Additional Tutorials on Evidence-Based Practice
References ,[object Object],[object Object]

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Module 2: Evidence-Based Dental Public Health

  • 1. Toolkit for Dental Health Professionals Evidence-Based Dental Public Health Data Tools and Statistics Patient Information Oral Health Tutorial for Dental Public Health Professionals Purpose : Provides instruction for public health dental practitioners that focuses on finding and evaluating information relevant to public health dental practice. This project has been funded in whole or in part with Federal funds from the National Library of Medicine, National Institutes of Health, Department of Health and Human Services, under Contract No. N01-LM-6-3505 under the Houston Academy of Medicine-Texas Medical Center Library.
  • 2. Evidence-Based Dental Public Health
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  • 6. The 5 A’s of Evidence-Based Dentistry Acquire the best evidence Appraise the evidence Apply evidence to patient care Assess the patient Ask clinical questions (Use PICO model)
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  • 11. Hierarchical Levels of Evidence Table Rank Evidence Level Study Type 1 Systematic review & randomized controlled trials Review of randomized controlled trials, Experimental + control, Randomization 2 Cohort Studies Experimental + control, no randomization 3 Case-Control Studies Experimental + control, retrospective 4 Case Reports Experimental only, prospective 5 Narrative review, editorial N/A Epidemiology, Animal studies, In vitro studies
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  • 13. Try to find a systematic review to answer your question. If one is not available, you can choose other types of studies lower on the hierarchical pyramid of evidence.
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