Mod 2 Flashcards
What is evidence based decision making ADHA defintion
conscientious, explicit and jucicious use of current est evidence in making decisions about individual care
reliable current research integrated
what is best practices
clinical practices tx and interventions that result in the best possible out comes for the patient
what are things you would see in a traditional model
-clinical experiences dental educators opinion collegue recommendation patient preferences method most familiar method most economic
what are things you would see in an evidence based model
clinician experiences
current scientific evidence
pt education and involved in decision
individual circumstances
why do we need evidence based care
- new clinical research, technologies, medications, treatments
- active role for pt in decision making
what are the 3 elements of evidence based care
clincial expertise
evidence
pt values
what are the benefits of EBDM
benefits to pt and hygienist
practice builder (new technology)
incorporation in to practice (risk assessments)
what does PICO stand for?
patient
intervention
comparison
outcome
what is considered good evidence
- reliable sources (peer reviewed, scientific databases)
- Validity- can it be dupilcated and not biased
what is the highest level of evidence
meta-analysis and systematic reviews
what are some examples of good sources
- medline, pubmed, cochrane collaboration
- peer reviewed scientific journals
- clinical practie guidelines
what is minimally invasive dentistry
- treat early
- preventitive treatment
- remineralization
preventing disease from occuring or intercepting its progress with minimal tissue loss
what is involved in the approach to minimally invasive dentistry
-risk assessment pt education reduce causes of caries reduce size of restorations prevention before restoration
what are some MI techniques in dental restorative tx
lasers
fissurotomy burs
microabrasion
smart prep instruments
what are some MI treatments in dental hygiene
-risk assessments remineralization digital radiology polishing caries detection sealants lasers