Lobbezoo F, Naeije M
Uit de afdeling Orale Functieleer, sectie voor Orale Kinesiologie, van het Academisch Centrum Tandheelkunde Amsterdam (ACTA).
Ned Tijdschr Tandheelkd. 2006 Jan;113:14-7.
Nowadays, dentists are expected to base their treatment decisions on the strongest available evidence. This so-called evidence-based approach has four steps: the formulation of a clinical problem, the search for evidence, the evaluation of the evidence, and the treatment of the patient. As part of this approach, the strongest evidence comes from systematic reviews, which are free of any author-related bias. Since working according to the principles of evidence-based dentistry is time consuming, dental schools should assist general practitioners through producing sufficient numbers of high-quality systematic reviews. The ever-increasing emancipation of patients stresses the need of adopting the principles of evidence-based dentistry. 'Think twice' should be the motto.
如今，人们期望牙医依据可获得的最有力证据来做出治疗决策。这种所谓的循证方法有四个步骤：提出临床问题、寻找证据、评估证据以及治疗患者。作为这种方法的一部分，最有力的证据来自系统评价，而系统评价不存在任何与作者相关的偏见。由于按照循证牙科的原则开展工作很耗时，牙科学校应通过开展足够数量的高质量系统评价来帮助全科医生。患者日益增强的自主权凸显了采用循证牙科原则的必要性。“三思而后行”应成为座右铭。
