Abstract:
:It was a watershed moment when Archie Cochrane published his work on Effectiveness and efficiency: random reflections on health services which was considered the start of evidence-based healthcare as we now know it. From there onward, evidence-based dentistry (EBD) has developed and evolved and there has been little attention to the interlink between EBD and ethics. The aim of this paper is to explore some of the ethical basis of evidence-based approach to healthcare utilising Beauchamp and Childress' four principles. EBD will be examined in relation to a variety of ethical theories. The case will be made that dentistry can, at times, be considered the orphaned field of medicine and an examination will be presented about how this may affect the uptake of EBD in practice. While exploring the strengths and weaknesses of EBD from an ethical viewpoint, we will highlight some of the challenges facing many dental practitioners in judging what is considered high-quality evidence and examine ways in which this could be improved with links to patient outcomes from an ethical perspective.
journal_name
Br Dent Jjournal_title
British dental journalauthors
Sellars S,Wassif HSdoi
10.1038/sj.bdj.2019.145subject
Has Abstractpub_date
2019-02-08 00:00:00pages
177-179issue
3eissn
0007-0610issn
1476-5373pii
sj.bdj.2019.145journal_volume
226pub_type
杂志文章abstract::Background Extensive literature covers the relationship between psychiatric and dental health, but little research explores the ability of dental practitioners to confidently address patient mental health. This paper explored self-reported confidence of dental students when addressing patient mental health in a univer...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/s41415-020-1319-y
更新日期:2020-03-01 00:00:00
abstract::Ninety-eight cigarette smokers attending the Newcastle upon Tyne Dental Hospital, wishing to reduce their tobacco consumption, received smoking reduction advice in combination with dental health instruction and periodontal care. Those advised against smoking showed a greater reduction (P < 0.001) in reported cigarette...
journal_title:British dental journal
pub_type: 临床试验,杂志文章
doi:10.1038/sj.bdj.4809067
更新日期:1996-04-20 00:00:00
abstract:OBJECTIVES:To discover what dentists require of a hospital response letter with regards to content and timeliness. DESIGN:Postal survey. SETTING:South Wales. SUBJECTS AND METHODS:A postal questionnaire was issued to all dentists (n = 256) who had referred a patient to the dental hospital between 1 January 2003 and 1...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4813641
更新日期:2006-06-10 00:00:00
abstract::Safeguarding children from maltreatment and neglect is part of the responsibility of all health professionals, and dental practitioners may be in a unique position to recognise and respond to concerns of this kind. This article outlines some of the ways that abuse can present to the dental team and describes the actio...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/bdj.2007.322
更新日期:2007-04-14 00:00:00
abstract:AIM:To use nationally available data sets to undertake an equity audit to support the targeting of resources to meet the needs of patients from deprived communities, in areas where levels of poor oral health remain higher than the rest of the population as a whole. METHODS:Postcodes of 224,107 patients in County Durha...
journal_title:British dental journal
pub_type: 评论,杂志文章
doi:10.1038/sj.bdj.2010.697
更新日期:2010-08-14 00:00:00
abstract::This paper addresses the questions of whether a dental profession existed in ancient Egypt and if it did then considers whether these practitioners were operative dental surgeons as we know them today or whether they were pharmacists. Evidence from hieroglyphic inscriptions, from the dentitions of the surviving mummif...
journal_title:British dental journal
pub_type: 历史文章,杂志文章
doi:10.1038/sj.bdj.2009.355
更新日期:2009-05-09 00:00:00
abstract::This final article in the series consider the practical realities of marketing. A series of questions are provided to provide an ongoing marketing 'health check' along with a list of initial ideas to get you started. ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4809226
更新日期:1996-10-05 00:00:00
abstract::There is evidence, although limited, for beneficial effects of bisphophonates (BPs) across multiple dental specialties. Within implant dentistry BP coatings have been shown to significantly increase pull out forces and bone density in animal models, and significantly increase implant stability whilst reducing marginal...
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pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.2017.412
更新日期:2017-05-12 00:00:00
abstract::This paper expands upon a previous quantitative study which measured dentists' knowledge, attitudes and practices towards patients carrying blood-borne viruses in order to identify potential barriers to the provision of adequate dental treatment. Although some useful findings were obtained in that study, it was sugges...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4811412
更新日期:2004-07-10 00:00:00
abstract::In part 2 of this series, we look at the clinician's role in replacing multiple missing teeth and the associated soft tissues and bone, following severe forms of trauma. These patients usually wish to have fixed prostheses to help restore their appearance and function. In order to fulfil the patient's request, the mul...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.2014.1102
更新日期:2014-12-01 00:00:00
abstract:OBJECTIVE:The optimum management of dual anti-platelet therapy (DAPT) in patients undergoing dentoalveolar surgery is controversial. The lack of guidelines has meant clinicians have been left to manage these cases from specialist advice or past experience. In view of this the British Association of Oral Surgeons (BAOS)...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2014.1055
更新日期:2014-12-05 00:00:00
abstract::Endodontic considerations is the fourth in the series on crowns and other extra-coronal restorations. This article focuses strongly on contemporary biological principles, and is not intended to provide a comprehensive review of commercially available materials and techniques. Principles are illustrated in a variety of...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.4801365
更新日期:2002-03-23 00:00:00
abstract::Osteoradionecrosis (ORN) remains a difficult clinical problem. In large refractory cases surgery appears to be the only option but it does not guarantee a cure and is expensive. Cost analysis of 31 patients who had resection with or without reconstruction of their mandible was £892,357. The largest cost was in-patient...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2017.121
更新日期:2017-02-10 00:00:00
abstract:OBJECTIVES:To undertake a clinical trial comparing the efficiency of a compomer restoration with a glass ionomer restoration in the management of caries in primary molar teeth. DESIGN:Subjects were admitted to the trial if they required at least one pair of restorations in primary molar teeth. SETTING:Department of C...
journal_title:British dental journal
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1038/sj.bdj.4800693
更新日期:2000-07-22 00:00:00
abstract::Calcium channel blockers are widely used in medical practice for the management of cardiovascular disorders. Of concern to the dental practitioner is the effect of these drugs on the gingival tissues. All classes of calcium channel blockers have been implicated in causing gingival overgrowth. This review considers the...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.4807564
更新日期:1991-05-25 00:00:00
abstract::Objectives The aim of this paper is to identify the factors that affect the complexity of implant restoration and to explore the indices that help us to assess it. With this knowledge the growing number of clinicians restoring dental implants will have a better understanding of the available guidance and evidence base...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.2016.855
更新日期:2016-11-18 00:00:00
abstract::A theoretical model was proposed and tested to evaluate some of the factors involved in patients' decisions to undergo extensive restorative dental treatment. This model incorporates aspects of the environment within which the decision occurred (the patient/provider relationship, social influence and the role of cues ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4808807
更新日期:1995-07-08 00:00:00
abstract::Increasingly clinical teaching for all health professionals is moving out of teaching hospitals and into community settings. A recent workshop reviewed the place of outreach teaching in undergraduate dental education. This paper defines outreach teaching in terms of its main components; identifies its benefits for dif...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4801497
更新日期:2002-07-27 00:00:00
abstract::Alcohol is a very widely used drug which can cause dental disease and influence dental treatment. It is therefore important that dental professionals take an alcohol history from all patients and are aware of how to give alcohol reduction advice. This article discusses the impact of alcohol on oral health, including o...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2017.997
更新日期:2018-01-01 00:00:00
abstract:OBJECTIVE:Acupuncture is frequently advocated as an effective treatment of dental pain. The question whether or not it is effective for this indication remains controversial. The aim of this systematic review therefore was to assess the effectiveness of acupuncture in dental pain. DATA SOURCES:Four electronic database...
journal_title:British dental journal
pub_type: 杂志文章,meta分析
doi:10.1038/sj.bdj.4809654
更新日期:1998-05-09 00:00:00
abstract:INTRODUCTION:Despite advances in evidence-based dental school educational programmes, the charge is sometimes made that dental students are 'no longer as good as they used to be'. Recent modifications have meant that dental education is now a 'life-long experience', of which dental school is the initial, albeit very im...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2012.1039
更新日期:2012-11-01 00:00:00
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journal_title:British dental journal
pub_type: 评论,杂志文章
doi:10.1038/sj.bdj.2014.1164
更新日期:2015-01-01 00:00:00
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pub_type: 杂志文章,评审
doi:10.1038/bdj.2007.732
更新日期:2007-08-25 00:00:00
abstract::This review article presents an overview of craniofacial malformations and the role of the orthodontist in their management. The first part of this article focuses on cleft lip and palate, followed by more complex deformities including craniosynostosis and craniofacial microsomia. The main features of these anomalies ...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.2015.48
更新日期:2015-02-16 00:00:00
abstract:OBJECTIVE:The aim of the two-year controlled trial was to evaluate the effectiveness of the 'Boosting Better Breaks' (BBB) break-time policy to reduce obvious decay experience and sugar snacking in a cohort of nine-year-old children attending intervention and control primary schools. STUDY DESIGN:A matched controlled ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2009.518
更新日期:2009-06-27 00:00:00
abstract::The Overseas Registration Examination is a route to entry to the UK Dentists Register for dentists who have qualified outside the European Economic Area. The role of the examination is to protect the public by ensuring that such dentists meet minimum standards of competence. Candidates invest considerable time and res...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2016.645
更新日期:2016-09-09 00:00:00
abstract::Displacement of an impacted maxillary third molar into the infratemporal fossa is frequently mentioned but rarely reported. Imaging and retrieval of such a displaced tooth is difficult and requires urgent referral and hospitalisation for removal under general anaesthetic. The use of image intensification equipment in ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4808507
更新日期:1994-07-23 00:00:00
abstract::One day Andy Beazley was a busy dentist, the next he found himself setting off for a week in a Romanian children's hospital, loaded to the brim with blankets, bedding and toys. When he goes back in March, he hopes to take a couple of Portakabins and some drainage equipment. What did he discover while he was there and ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4807432
更新日期:1991-02-09 00:00:00
abstract::Dens invaginatus is a developmental malformation, in which there is an infolding of enamel into dentine. These infolds represent stagnation sites for bacteria and can predispose to dental caries. The carious infection can spread via enamel and dentine to contaminate the pulp and cause soft tissue necrosis. The altered...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.2016.724
更新日期:2016-10-07 00:00:00
abstract:OBJECTIVE:The aim of this paper is to examine the factors that vocational trainers regard as important in a 'good' dentist and to assess whether they think recent graduates were achieving these factors. DESIGN:The study was based on a statistical analysis of returns from a postal questionnaire. SETTING:Postal questio...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4800829
更新日期:2000-11-25 00:00:00