To follow the doctrine of minimal intervention, selective procedures are becoming increasingly popular in restorative dentistry. Despite the promising opportunities provided by these approaches, not all clinical procedures in restorative dentistry are supported by good research that follows the guidelines of evidence-based dentistry (EBD).
EBD aims to create a dialogue between dental practitioners and dental research, to drive new research and promote the use of the best available evidence to inform clinical decision-making. Hence, Nagarkar et al. aimed to reduce this knowledge gap by critically inspecting current clinical methods for selected restorative procedures.
Materials and methods
MEDLINE (National Library of Medicine) via the Ovid interface was used for all literature searches, published in English only. Medical subject headings were used and advanced limits were selected in the Clinical Queries section. Only randomized controlled clinical trials (RCTs), non-randomized controlled clinical trials (NRCTs), systematic reviews (SRs) of RCTs/NRCTs, and evidence-based practice guidelines were included. Furthermore, cost-effectiveness analyses were included due to their practical relevance to the decision-making process. Lastly, to provide comparative or background information, other study designs (in vitro, narrative reviews, case series, cohort studies, etc.) were mostly utilized.
Mixed results were identified regarding the included interventions. Some procedures had adequate evidence supporting them, while others were mostly based on beliefs. The findings reported in this paper are important because what emerged is that there are some gaps in current literature regarding selected restorative procedures.
Some common restorative procedures lack adequate evidence-based support from high-quality research evidence.
Nagarkar S, Loguercio AD, Perdigão J. "Evidence-based fact checking for selective procedures in restorative dentistry." Clin Oral Investig. 2023 Feb;27(2):475-488. doi: 10.1007/s00784-022-04832-z. Epub 2023 Jan 6. PMID: 36607490.
The new guidelines suggest conservative methods to treat tooth decay could lead to better outcomes when used with common restorative materials like fillings or caps.
The expansion is in response to demand and success attained in Dental Implants GPS’ inaugural Southern California centers in Dana Point and Huntington Beach.
By Lorenzo Breschi and Diego D’Urso
The purpose of using biomimetic concept is to conserve tooth structure and vitality, increase the longevity of restorative dental treatments, and eliminate the need for future retreatment. Singer et...
Early-bird rates available through Nov. 30
The 2024 Midwinter Meeting provides exceptional continuing education featuring top dental speakers, an expansive Exhibit Hall with the best vendors in the country and opportunities to meet old and...
USA 22 February 2024 - 23 February 2024
95th Annual Meeting of the American Prosthodontic Society
APS Members and colleagues will enjoy relevant education in advanced prosthodontics and implantology, interdisciplinary instruction led by world-renowned experts, and networking and social events...
The U.S. Food and Drug Administration (FDA) has approved Dr. Jonathan An from the UW Department of Oral Health Sciences to lead the first-ever study to evaluate rapamycin in older adults with...
Editorials 14 February 2024
The American Association for Anatomy (AAA) announced its 2024 award recipients, recognizing outstanding contributions to the field. Two UCSF School of Dentistry professors were among the respected...
The National Mobile & Teledentistry Conference (NMTC), the only educational conference geared towards virtual and mobile dental care, is excited to announce our 5-year anniversary at our upcoming...