Introduction

Question 1

The main principles of evidence-based medicine have long been in place in the areas of ___ and ___ ___.

Answer 1

epidemology; public health

Question 2

T/F. Evidence based medicine is a process of lifelong, self-directed problem-based learning. It leads to the need for information about diagnosis, prognosis, therapy, and other clinical and health care issues.

Answer 2

Both statements are true.

Question 3

EBD is an approach to oral health care that requires what three things

Answer 3

1. scientific evidence
2. dentist’s clinical expertise
3. patient’s treatment needs and preferences

Question 4

EBD takes a ___-___ approach to practice and to making clinical decisions. It provides personalized dental care based on the most current scientific knowledge.

Answer 4

patient-centered

Question 5

EBD is based on what three important components?

Answer 5

1. the best available scientific evidence
2. a dentist’s clinical skill and judgement
3. patient’s needs and preferences

Question 6

T/F. The practice of dentistry is becoming less complex and challenging. The dental professional must not seek professional development and does not need to be exposed to the information explosion and the consumer movement.

Answer 6

Both statements are false. The practice of dentistry is becoming MORE complex and challenging. The dental professional MUST seek professional development and DOES need to be exposed to the information explosion and the consumer movement.

Question 7

What is a systematic approach to practicing good dentistry?

Answer 7

EBD

Question 8

EBD helps the practioners provide the ___ care to the ___ patients at the ___ time.

Answer 8

right

Question 9

T/F. EBD is cookbook dentistry, meaning it will tell the practitioner what they should and should not do.

Answer 9

False, it is not cook book dentistry and will NOT tell what practitioners should and should not do.

Question 10

T/F. EBD is a standard of care. It is only about randomized trials and is a rigid methodological evaluation of scientific evidence.

Answer 10

1 is True, 2 is False

It is NOT only about randomized trials or a rigid methodological evaluation of scientific evidence

Question 11

T/F. EBD is NOT impossible to practice.

Answer 11

True

Question 12

EBD causes better patient care and outcomes. How?

Answer 12

1. evaluation of science and underlying clinical care
2. quality of decision making
3. reduction in variations in clinical practice

Question 13

T/F. EBD causes improvements in research and dissemination of results/information. EBD can facilitate, and guarantee, making better decisions in the provision of dental care.

Answer 13

1 is True, 2 is False

EBD can facilitate, but NOT guarantee, making better decisions in the provision of dental care.

Question 14

Evidence based ___ is the ___ of the ___ best evidence in making decisions about the care of individual patients.

Answer 14

practice; application; current

Question 15

Place the steps of EBD in order:

A. Find the best available evidence
B. Integrate the best research evidence with your clinical expertise and patient’s needs, desires, and values.
C. Review the evidence for its validity and applicability, strengths and weaknesses.
D. Formulate a clinically relevant question
E. Evaluate your efforts and seek ways to improve (self-evaluate)

Answer 15

D
A
C
B
E

Question 16

In step #1, asking a well formulated question is clinically relevant and ___.

Answer 16

searchable

Question 17

Which are background and which are foreground questions?

A. general knowledge
B. diagnostic accuracy
C managing patients
D. prediction and prognosis
E. population frequency/rate
F. Interventions
G. etiology and risk factors

Answer 17

Background:
A
E
G

Foreground (for a specific disorder/disease)
B
C
D
F

Question 18

What is the anatomy of a well formulated question?

Answer 18

Population or Patient type (person for whom the answer is sought)
Intervention or Exposure (treatment or exposure related to the clinical condition of interest)
Comparison (alternative treatment or control condition)
Outcome (measure(s) used to assess effects)

Question 19

Dissect this statement…“What is the effectiveness of powered toothbrushes compared to manual brushing in removal of plaque?”

Answer 19

powered toothbrushes - intervention
manual brushing - comparison
removal of plaque - outcome