Kashi Ajay, Saha Subrata
1 Division of General Dentistry, University of Rochester, Eastman Institute for Oral Health, Rochester, NY.
J Oral Implantol. 2013 Dec;39(6):655-61. doi: 10.1563/AAID-JOI-D-10-00084. Epub 2010 Dec 27.
The clinical use of evidence-based medicine has been regarded as one of the most significant medical advancements of the last century. As the costs of medical care escalate, clinical decisions have to be made prudently and with a high degree of efficacy. One of the most expensive treatments in dentistry includes the use of dental implants to rehabilitate partial and fully edentulous patients. Due to the high costs of treatments and the ever increasing varieties of dental implants becoming available, the clinician is often faced with a challenging situation to decide the best prostheses for their patients. Furthermore, navigating through the vast database of literature pertaining to dental implants and their related research can be very time consuming and challenging to a dental surgeon before they can make appropriate clinical decisions. Similar to other orthopedic implants, dental implants need to be evaluated for their long-term efficacy in vivo before they are clinically acceptable. In order to help clinician(s) make patient oriented decisions, evidence-based techniques are becoming increasingly popular. This can be a very useful tool in translating research findings into clinical practice, thus narrowing the gap between research and clinical dentistry. This article discusses ways in which evidence-based techniques can help dental surgeons analyze and make informed clinical decisions about dental implant treatments.
循证医学的临床应用被视为上个世纪最重要的医学进展之一。随着医疗费用的不断攀升,临床决策必须谨慎做出且具备高度的有效性。牙科领域最昂贵的治疗手段之一包括使用牙种植体来修复部分或完全无牙的患者。由于治疗成本高昂,且市面上牙种植体的种类不断增加,临床医生常常面临为患者选择最佳修复体的挑战。此外,在众多与牙种植体及其相关研究的文献数据库中筛选,对于牙科外科医生来说,在做出恰当的临床决策之前,可能非常耗时且具有挑战性。与其他骨科植入物类似,牙种植体在临床上被接受之前,需要在体内评估其长期疗效。为了帮助临床医生做出以患者为导向的决策,循证技术越来越受欢迎。这在将研究结果转化为临床实践方面是一个非常有用的工具,从而缩小研究与临床牙科之间的差距。本文讨论了循证技术如何帮助牙科外科医生分析并就牙种植体治疗做出明智的临床决策。