Clinical decision support chairside tools for evidence-based dental practice.

Evidence-based clinical decision support (EB-CDS) tools designed for chairside use, help support the implementation of Evidence-Based Dentistry. EB-CDS tools organize available evidence and risk factors in order to facilitate clinical decision-making as well as to enhance rapid and effective transfer of knowledge to the patient at the point of care. Gingival recession, root exposure, caries, dental sealants, decay prevention and topical fluoride guides are presented and discussed. The Assess-Advise-Decide Approach, described in this article, better enables patients to determine which course of action is in line with their preferences and values.

[1]  Kenneth A Krebs,et al.  Guidelines for the management of patients with periodontal diseases. , 2006, Journal of periodontology.

[2]  R. Genco,et al.  Informational Paper: Oral Reconstructive and Corrective Considerations in Periodontal Therapy. , 2005, Journal of periodontology.

[3]  A Lussi,et al.  Validity of diagnostic and treatment decisions of fissure caries. , 1991, Caries research.

[4]  W. B. Hall.  Decision making in periodontology , 1992 .

[5]  J. Bader,et al.  The evidence supporting alternative management strategies for early occlusal caries and suspected occlusal dentinal caries. , 2006, The journal of evidence-based dental practice.

[6]  M. Sanz,et al.  Periodontal plastic surgery for treatment of localized gingival recessions: a systematic review. , 2002, Journal of clinical periodontology.

[7]  A. Thylstrup,et al.  Light microscope study of the effect of probing in occlusal surfaces. , 1987, Caries research.

[8]  Michael G Newman.  Clinical decision support complements evidence-based decision making in dental practice. , 2007, The journal of evidence-based dental practice.

[9]  R. Genco,et al.  Oral reconstructive and corrective considerations in periodontal therapy. , 2005, Journal of periodontology.

[10]  Maxwell H. Anderson,et al.  Caries management by risk assessment: implementation guidelines. , 2007, Journal of the California Dental Association.

[11]  G. Stookey.  Should a dental explorer be used to probe suspected carious lesions? No--use of an explorer can lead to misdiagnosis and disrupt remineralization. , 2005, Journal of the American Dental Association.

[12]  Maxwell H. Anderson,et al.  Caries management by risk assessment: consensus statement, April 2002. , 2003, Journal of the California Dental Association.

[13]  D. Sackett,et al.  Evidence based medicine: what it is and what it isn't , 1996, BMJ.

[14]  Professionally applied topical fluoride: evidence-based clinical recommendations. , 2007, Journal of dental education.

[15]  G. K. Merijohn.  The evidence-based clinical decision support guide: mucogingival/esthetics making clinical decisions in the absence of strong evidence. , 2007, The journal of evidence-based dental practice.