KANITA DAYALI ÇOCUK DİŞ HEKİMLİĞİ

Günümüzde sağlık alanında yapılan çalışmaların artması sonucu diş hekimliği literatürü hızla genişlemektedir.Literatürde yer alan tüm gelişmeleri takip etmenin zorlukları nedeniyle araştırma sonuçları ve klinikuygulamalar arasında kopukluklar meydana gelmektedir. Bu sebeple, bireysel klinik deneyime dayanan kararverme süreci, yerini kanıta dayalı uygulamalara bırakmaya başlamıştır. Kanıta dayalı diş hekimliği, mevcut eniyi tedaviyi sağlamak için bilimsel kanıtların ve hastayla ilgili faktörlerin bir bütün olarak değerlendirilmesinedayanmaktadır. Kanıta dayalı diş hekimliği uygulamalarının en önemli amacı tedavi hizmetlerini geliştirmektir.Ancak, çok hızlı bilgi akışı sonucu doğru kanıta ulaşma ve kanıtları değerlendirme noktasında bazı zorluklarlakarşılaşılmaktadır. Kanıta dayalı karar verme sürecinde, kanıta dayalı diş hekimliğinin klinik uygulamalarıklinisyenlerin deneyimlerini, modern araştırmalara entegre etmesini sağlayarak mümkün olan en iyi sağlıkhizmetine ulaşılmasını sağlamaktadır. Bu derlemede, kanıta dayalı diş hekimliği ve çocuk diş hekimliğindekiuygulamalar yer almaktadır.

EVIDENCE-BASED PEDIATRIC DENTISTRY

As a result of increasing number of studies in the field of health, the dental literature is expanding rapidly. Due to the difficulties of following all the developments in the literature, inconsistencies occur between the research results and clinical applications. For this reason, decision process depending on the individual experience has been replaced by evidence-based practice. Evidence-based dentistry is based on the entire evaluation of scientific evidences and patient-related factors to provide the best treatment. The most important goal of evidence-based dentistry practices is to improve treatment services. However, due to very fast flow of information, problems about reaching and evaluating evidence can be encountered. In the evidence-based decision-making process, clinical practice of evidence-based dentistry ensures reaching the best possible healthcare by enabling clinicians to integrate their experience into modern research. In this review, evidencebased dentistry and applications in pediatric dentistry are included.

PDF

___

1. Sutherland SE. Evidence-based dentistry: Part I. Getting started. Journal (Canadian Dental Association). 2001;67(4):204-6.
2. Policy on Evidence-Based Dentistry [İnternet] http://www.ada.org/1754.aspx. (Erişim Tarihi: 15.04.2019).
3. Durr ES. How to apply evidence-based principles in clinical dentistry. Journal of multidisciplinary healthcare. 2019;12:131-6. (doi:10.2147/jmdh.S189484).
4. Mehta N, Marshman Z. A systematic appraisal of the Evidence-Based Dentistry Journal. Evid Based Dent. 2016;17(3):66-9. (doi:10.1038/sj.ebd.6401179).
5. Brignardello-Petersen R, Carrasco-Labra A, Glick M, Guyatt GH, Azarpazhooh A. A practical approach to evidence-based dentistry: understanding and applying the principles of EBD. Journal of the American Dental Association (1939). 2014;145(11):1105-7. (doi:10.14219/jada.2014.102).
6. Kiran Gudray ADW. Evidence-Based Dentistry in Everyday Practice. Evidence-basedDentistry. 2016.
7. A practical approach to evidence-based dentistry How to search for evidence to inform clinical decisions.10.14219/jada.2014.113. (doi:10.14219/jada.2014.113).
8. Armstrong EC. The well-built clinical question: the key to finding the best evidence efficiently. WMJ : official publication of the State Medical Society of Wisconsin. 1999;98(2):25-8.
9. Hirsh Health Science Library [İnternet] https://researchguideslibrarytuftsedu/ldphp?content_id=33829355 (Erişim Tarihi: 15.04.2019).
10. Forrest JL, Miller SA. Evidence-based decision making in action: Part 1--Finding the best clinical evidence. The journal of contemporary dental practice. 2002;3(3):10-26.
11. Peker K, Bermek G. Klinik Uygulamalarda Kanıta Dayalı Diş Hekimliği Yönteminin Uygulama Aşamaları İstanbul Üniversitesi Diş Hekimliği Fakültesi Dergisi 2009;43(3-4):123-32.
12. Merijohn GK. Implementing evidence-based decision making in the private practice setting: the 4- step process. J Evid Based Dent Pract. 2006;6(4):253-7. (doi:10.1016/j.jebdp.2006.10.002).
13. Mithun Pai B. H. RG, Ramya Shenoy. Research design hierarchy: Strength of evidence in evidence-based dentistry. Journal of Interdisciplinary Dentistry 2012;2(3).
14. Caldwell PH, Bennett T, Mellis C. Easy guide to searching for evidence for the busy clinician. Journal of paediatrics and child health. 2012;48(12):1095-100. (doi:10.1111/j.1440-1754.2012.02503.x).
15. Dhar V. Evidence-based dentistry: An overview. Contemp Clin Dent. 2016;7(3):293-4. (doi:10.4103/0976-237X.188539).
16. Huić M. Evidence-based medicine and clinical practice. Acta Medica Academica. 2008;37:29-37.
17. Marinho VC, Chong LY, Worthington HV, Walsh T. Fluoride mouthrinses for preventing dental caries in children and adolescents. The Cochrane database of systematic reviews. 2016;7:Cd002284. (doi:10.1002/14651858.CD002284.pub2).
18. Innes NP, Ricketts D, Chong LY, Keightley AJ, Lamont T, Santamaria RM. Preformed crowns for decayed primary molar teeth. The Cochrane database of systematic reviews. 2015;10.1002/14651858.CD005512.pub3(12):Cd005512. (doi:10.1002/14651858.CD005512.pub3).
19. Iheozor-Ejiofor Z, Worthington HV, Walsh T, ve ark. Water fluoridation for the prevention of dental caries. The Cochrane database of systematic reviews. 2015;10.1002/14651858.CD010856.pub2(6):Cd010856. (doi:10.1002/14651858.CD010856.pub2).
20. Ashley PF, Chaudhary M, Lourenco-Matharu L. Sedation of children undergoing dental treatment. The Cochrane database of systematic reviews. 2018;12:Cd003877. (doi:10.1002/14651858.CD003877.pub5).
21. Marinho VC, Worthington HV, Walsh T, Chong LY. Fluoride gels for preventing dental caries in children and adolescents. The Cochrane database of systematic reviews. 2015;10.1002/14651858.CD002280.pub2(6):Cd002280. (doi:10.1002/14651858.CD002280.pub2).
22. Marinho VC, Worthington HV, Walsh T, Clarkson JE. Fluoride varnishes for preventing dental caries in children and adolescents. The Cochrane database of systematic reviews. 2013;10.1002/14651858.CD002279.pub2(7):Cd002279. (doi:10.1002/14651858.CD002279.pub2).