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首页> 外文期刊>The Open Dentistry Journal >“Evidence-Based Dentistry in Oral Surgery: Could We Do Better?”
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“Evidence-Based Dentistry in Oral Surgery: Could We Do Better?”

机译：“口腔外科循证牙科：我们能做得更好吗？”

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Evidence-based Dentistry (EBD), like Evidence-based Medicine (EBM), was born in order to seek the “best available research evidence” in the field of dentistry both in research and clinical routine.But evidence is not clearly measurable in all fields of healthcare: in particular, while drug effect is rather independent from clinician’s characteristics, the effectiveness of surgical procedures is strictly related to surgeon’s expertise, which is difficult to quantify. The research problems of dentistry have a lot in common with other surgical fields, where at the moment the best therapeutic recommendations and guidelines originates from an integration of evidence-based medicine and data from consensus conferences.To cope with these problems, new instruments have been developed, aimed at standardizing clinical procedures (CAD-CAM technology) and at integrating EBM achievements with the opinions of expert clinicians (GRADE System).One thing we have to remember however: it is necessary to use the instruments developed by evidence-based medicine but is impossible to produce sound knowledge without considering clinical expertise and quality of surgical procedures simultaneously. Only in this way we will obtain an evidence-based dentistry both in dental research and clinical practice, which is up to third millennium standards.
机译：像循证医学（EBM）一样，循证牙科（EBD）的诞生是为了在研究和临床常规研究中寻求牙科领域的“最佳可用研究证据”。但是，并非所有证据都可以明显地衡量医疗领域：特别是，尽管药物作用与临床医生的特征完全无关，但手术程序的有效性与外科医生的专业知识严格相关，这很难量化。牙科的研究问题与其他外科领域有很多共同点，目前最好的治疗建议和指南来自循证医学和共识会议数据的整合。为解决这些问题，已经开发出了新的器械。旨在标准化临床程序（CAD-CAM技术）和将EBM成果与专家临床医生的意见相结合（GRADE System）。然而，我们必须记住的一件事是：必须使用循证医学开发的仪器但是如果不同时考虑临床专业知识和手术程序的质量，就不可能产生可靠的知识。只有这样，我们才能在牙科研究和临床实践中获得基于证据的牙科，最高达到第三千年的标准。

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