Mulimani Priti Subhash
Department of Orthodontics, Faculty of Dentistry, Melaka Manipal Medical College, Melaka, Malaysia.
Am J Orthod Dentofacial Orthop. 2017 Jul;152(1):1-8. doi: 10.1016/j.ajodo.2017.03.020.
Organized evidence-based practice is said to have started in the medical field in the late 20th century. Its principles and usage eventually spread to other health sciences, including orthodontics. Although the conceptual foundations and basic tenets of evidence-based orthodontics are based on the classical approach of testing medical interventions, differences unravel as we encounter the ground realities in orthodontics, which are unique due to the length, complexity, and diversity involved in orthodontic treatment and research. How has this led to the evolution of evidence-based orthodontics and changes in its applications? Is it being translated to better clinical answers, treatment strategies, patient satisfaction, and information for orthodontists? What more needs to be done, considering the rapidly changing orthodontic scenario? This article aims to explore these questions to evaluate how evidence-based orthodontics has played itself out so far, so that it can continue to grow strong and stand up to the challenges of 21st century orthodontics.
有组织的循证实践据说始于20世纪后期的医学领域。其原则和应用最终扩展到了包括正畸学在内的其他健康科学领域。尽管循证正畸学的概念基础和基本原则是基于检验医学干预措施的经典方法，但当我们面对正畸学的实际情况时，差异就显现出来了。由于正畸治疗和研究涉及的时间长度、复杂性和多样性，正畸学的实际情况是独一无二的。这是如何导致循证正畸学的发展及其应用的变化的呢？它是否正在转化为更好的临床答案、治疗策略、患者满意度以及为正畸医生提供的信息？考虑到正畸领域迅速变化的情况，还需要做些什么？本文旨在探讨这些问题，以评估循证正畸学迄今为止的发展情况，使其能够继续蓬勃发展，并应对21世纪正畸学的挑战。
