How evidence-based is dentistry anyway? From evidence-based dentistry to evidence-based practice

Abstract

Since its beginnings in the mid-1990s, evidence-based dentistry (EBD) has gradually gained acceptance into the understanding of dental practitioners. Despite this, most treatment provided by dentists cannot truly be described as being based on experimental evidence. The aim of this paper is to explore the reasons why EBD has not yet reached its full potential. The weakness of evidence produced, as well as the attitude of dentists towards EBD, will be examined. The role of the trusted source in disseminating information will be discussed and examples are given of how this concept could be used to further integrate evidence into everyday practice. Suggestions will be made regarding how research waste can be cut by producing less but more relevant research. Furthermore, realistic ideas on how EBD can be utilised in practice will be provided with the aim to shift towards the concept of evidence-based practice (EBP).