Matthews D C, Banting D W, Bohay R N
Division of Periodontics, Faculty of Dentistry, University of Western Ontario, London.
J Can Dent Assoc. 1995 Sep;61(9):785-91.
Clinical decision making in dentistry involves some uncertainty and error, but in the absence of good clinical research it is often more of an art than a science. This article demonstrates a way in which clinicians can consistently and effectively base the diagnostic process on scientific evidence. The authors examine the selection and utility of supplemental diagnostic tests, describe the properties of these tests, and explain how test results can be used to augment clinical opinion. To aid the dental clinician in the decision making process, a step-by-step strategy is presented for the detection of squamous cell carcinoma using toluidine blue dye.
牙科临床决策存在一定的不确定性和误差，但在缺乏良好临床研究的情况下，它往往更像是一门艺术而非科学。本文展示了一种临床医生能够始终如一地、有效地将诊断过程建立在科学证据基础上的方法。作者研究了辅助诊断测试的选择和效用，描述了这些测试的特性，并解释了测试结果如何用于增强临床判断。为帮助牙科临床医生进行决策，本文提出了一种使用甲苯胺蓝染料检测鳞状细胞癌的逐步策略。
