ADA/Forsyth Institute Evidence-Based Dentistry Course

Boston, MAOctober 19-23, 2009

Participating Countries

• Argentina• Canada• Chile• Columbia• Egypt• Russia• United Kingdom• United States

Participant Backgrounds

• Academics• Insurers• Public and private health care providers• Public health administrators• News reporters• Editors• Governmental for profit and non-profit

organizations

ADA Definition of EBD

Evidence-based dentistry (EBD) is an approach to oral health care that requires the judicious integration of systematic assessments of clinically relevant scientific evidence, relating to the patient’s oral and medical condition and history, with the dentist’s expertise and the patient’s treatment needs and preferences.

ebd.ada.org

ebd.ada.org

• RSS feed link at the bottom of the page– Formats content delivery over the Internet that

allows users to “subscribe” to a Web site for automatic content updates.

– By subscribing to the EBD web site RSS feed, dentists can quickly and easily stay informed of studies and summaries posted to the Web site.

Workshop Format

• General group presentation• Topics

– Question formulation– Randomized clinical trials– Systematic reviews– Meta-analysis– Critical appraisal– Statistics– Online search

Instructors

• Dr. Richard Niederman– Director of the Forsyth Center for Evidence-Based

Dentistry• Derek Richards– Director of the Centre for Evidence-based

Dentistry– Editor Evidence-based Dentistry Journal

Workshop Format

• Small group discussion– example “Xylitol Pediatric Topical Oral Syrup to Prevent

Dental Caries” A Double-blind Randomized Clinical Trial of Efficacy; Archives Pediatric Adolescent Medicine

– Use of the PICO format• Patients/population-very young children• Intervention-pediatric xylitol syrup• Comparison-sorbitol• Outcome-amount of caries(up or down)

– Validity using statistical analysis• Will the results help me in caring for the patient?

Responses

• “As the word gets out, dental care for our patients will continue to improve.”

• “I have been asked to present our learnings from the EBD conference at the PEARL annual meeting at the NIDCR in Bethesda,MD.”

• “I was asked to make a course part of the Cairo University staff development program.”

• “Everyone who came to this course showed that the interest in moving dentistry to the next level is world wide.”

• “I returned from Boston and presented to my South Carolina Dental Assoc. Board of Governors. It was extremely well received.”

ADEA Competency Statements

• Critical Thinking Domain– Evaluate and integrate emerging trends in health

care as appropriate– Utilize critical thinking and problem-solving skills– Evaluate and integrate best research outcomes

with clinical expertise and patient values for evidence-based practice

Courses by Competency Statement

Curriculum Database

#54-Evaluate scientific, lay, and trade information and claims about new products and

procedures

#55-Think Critically, solve problems, and base dental decisions on evidence and theory

Connecting the curriculum strands

1. Integrated Clinical Sciences

2. Integrated Medical Sciences

3. Integrated Preclinical Technique

4. Clinical Practice5. Personalized

Instructional Program

To Graduate Lifelong Learners and Critical Thinkers

• Smaller classes to support interactive and integrated learning

• Case-based learning• Learner-centered; active learning vs passive

learning• New clinic model