Journal of Evidence-Based Dental Practice最新文献

英文中文

BARRIERS, LESSONS AND POSSIBLE IMPROVEMENTS WHEN IMPLEMENTING EVIDENCE-BASED TEACHING: A NARRATIVE REVIEW 实施循证教学时的障碍、教训和可能的改进：叙述性回顾

IF 4 4区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Evidence-Based Dental Practice

Pub Date : 2026-01-06 DOI: 10.1016/j.jebdp.2026.102229

PATRÍCIA PAULETTO , MURILO FERNANDO NEUPPMANN FERES , CRISTINE MIRON STEFANI , GRAZIELA DE LUCA CANTO , CARLOS FLORES-MIR

Evidence-based dentistry (EBD) has been widely promoted as a cornerstone of contemporary dental education and clinical decision-making. Its integration into undergraduate and graduate curricula aims to equip future professionals with the skills needed to critically appraise scientific evidence, apply research findings to clinical scenarios, and deliver patient-centered care. Despite its broad endorsement, the effectiveness of EBD education in producing sustained changes in clinical behavior and patient outcomes remains insufficiently established. This narrative review discusses key teaching strategies, curricular integration models, and real-world implementation experiences related to EBD education, while critically examining persistent challenges and gaps in the current evidence base. Active learning approaches, including small-group learning, journal clubs, hybrid formats, and structured mentorship programs, appear to enhance students’ knowledge, attitudes, and critical appraisal skills. However, structural constraints, limited faculty training, curricular overload, and difficulties in translating academic competencies into clinical practice continue to hinder effective implementation. Additionally, emerging digital and artificial intelligence–based tools offer promising opportunities to support evidence synthesis, guideline updating, and personalized learning, although concerns regarding accuracy, bias, and scientific integrity remain. Overall, while EBD education posits clear benefits in improving knowledge and attitudes, robust longitudinal evidence demonstrating its long-term impact on clinical practice is still lacking. Addressing these challenges will require institutional commitment, continuous faculty development, standardized assessment strategies, and the thoughtful integration of technological innovations to ensure the sustainable adoption of EBD in dental education.

循证牙科（EBD）已被广泛推广为当代牙科教育和临床决策的基石。它与本科和研究生课程相结合，旨在为未来的专业人员提供批判性评估科学证据、将研究成果应用于临床场景和提供以患者为中心的护理所需的技能。尽管得到了广泛的认可，EBD教育在产生临床行为和患者预后的持续变化方面的有效性仍然没有得到充分的证实。这篇叙述性综述讨论了与EBD教育相关的关键教学策略、课程整合模式和现实世界的实施经验，同时批判性地审视了当前证据基础上持续存在的挑战和差距。积极的学习方法，包括小组学习、期刊俱乐部、混合形式和结构化指导计划，似乎可以提高学生的知识、态度和批判性评估技能。然而，结构限制、有限的教师培训、课程超载以及将学术能力转化为临床实践的困难继续阻碍有效实施。此外，新兴的基于数字和人工智能的工具为支持证据合成、指南更新和个性化学习提供了有希望的机会，尽管对准确性、偏见和科学完整性的担忧仍然存在。总的来说，虽然EBD教育在提高知识和态度方面有明显的好处，但仍然缺乏强有力的纵向证据来证明其对临床实践的长期影响。应对这些挑战需要机构的承诺，持续的师资发展，标准化的评估策略，以及技术创新的深思熟虑的整合，以确保EBD在牙科教育中的可持续采用。

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引用次数: 0

DIAGNOSTIC PERFORMANCE OF MACHINE LEARNING-AIDED PROXIMAL CARIES DETECTION: A SYSTEMATIC REVIEW AND META-ANALYSIS 机器学习辅助近端龋齿检测的诊断性能：系统回顾和荟萃分析

IF 4 4区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Evidence-Based Dental Practice

Pub Date : 2026-01-02 DOI: 10.1016/j.jebdp.2025.102225

KAIXIN GUO MDS , MADELINE JUN YU YON PhD , YANQI YANG PhD , COLMAN PATRICK MCGRATH PhD , PHOEBE PUI YING LAM PhD

Objectives

The systematic review aimed to evaluate the diagnostic performance of machine learning in detecting proximal caries through radiographic modalities compared to expert consensus.

Materials and methods

A strategic literature search was carried out across 4 electronic databases, with 2 independent reviewers for screening and data extraction. Measures as sensitivity, specificity, positive (LR+) and negative likelihood ratios (LR-), area under the receiver operating characteristic curve (AUC-ROC) and diagnostic odds ratio (DOR) were calculated. Risk of bias was assessed using the Quality Assessment tool for Diagnostic Accuracy Studies (QUADAS-2). Subgroup analysis was performed based on the data modalities and image augmentation. The certainty of evidence was evaluated according to the Grading of Recommendation, Assessment, Development, and Evaluation (GRADE) framework.

Results

Following a thorough review of 2439 studies, 28 studies met the inclusion criteria. Eleven studies were included in the meta-analysis. The pooled sensitivity and specificity were 0.84 (95% Confidence Interval [95% CI] 0.78-0.88) and 0.93 (95% CI 0.90-0.97) respectively. The LR+ and LR- were 14.00 (95% CI 8.30-23.40) and 0.17 (95% CI 0.12-0.23) respectively. The pooled AUC-ROC was 0.95 (95% CI 0.17-1.00), and DOR was 84.08 (95% CI 40.54-174.40). The limited certainty of evidence indicated that all radiographic modalities have comparable specificity in detecting proximal caries, while cone beam computer tomography demonstrates significantly higher sensitivity. No difference between the presence or absence of image augmentation prior to machine learning model training was found. Most studies (22/28) showed high risk of bias. Certainty of evidence was low.

Conclusions

Machine learning models demonstrated acceptable diagnostic performance for proximal caries detection, with cone beam computed tomography (CBCT) potentially offering higher sensitivity. However, future studies to investigate the AI performance across various depths and types of dentitions are warranted due to limited evidence certainty.

目的本系统综述旨在评估机器学习在通过x线摄影方式检测近端龋齿方面的诊断性能，并与专家共识进行比较。材料和方法对4个电子数据库进行战略性文献检索，由2名独立审稿人进行筛选和数据提取。计算敏感性、特异性、阳性（LR+）和阴性似然比（LR-）、受试者工作特征曲线下面积（AUC-ROC）和诊断优势比（DOR）等指标。使用诊断准确性研究质量评估工具（QUADAS-2）评估偏倚风险。根据数据模式和图像增强进行亚组分析。根据推荐、评估、发展和评价分级（GRADE）框架评估证据的确定性。经过对2439项研究的全面回顾，有28项研究符合纳入标准。荟萃分析纳入了11项研究。合并敏感性和特异性分别为0.84（95%可信区间[95% CI] 0.78 ~ 0.88）和0.93 （95% CI 0.90 ~ 0.97）。LR+和LR-分别为14.00 （95% CI 8.30-23.40）和0.17 （95% CI 0.12-0.23）。合并AUC-ROC为0.95 (95% CI 0.17-1.00)， DOR为84.08 （95% CI 40.54-174.40）。证据的有限确定性表明，所有放射成像方式在检测近端龋齿方面具有相当的特异性，而锥束计算机断层扫描显示出明显更高的灵敏度。在机器学习模型训练之前，没有发现图像增强的存在或不存在差异。大多数研究（22/28）显示高偏倚风险。证据的确定性很低。结论机器学习模型在近端龋齿检测中表现出可接受的诊断性能，锥束计算机断层扫描（CBCT）可能具有更高的灵敏度。然而，由于证据确定性有限，未来研究人工智能在不同深度和牙列类型上的表现是有必要的。

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引用次数: 0

CHILDREN WITH OSA SHOW NARROWER DENTAL ARCHES, BUT CLINICAL SIGNIFICANCE REMAINS UNCLEAR osa患儿牙弓变窄，但临床意义尚不清楚

IF 4 4区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Evidence-Based Dental Practice

Pub Date : 2025-12-26 DOI: 10.1016/j.jebdp.2025.102224

THIKRIAT AL-JEWAIR (Reviewer)

Article Title and Bibliographic Information

Wang X, Huang D, Qian Y, Zhu M. Three-Dimensional Features of Dental Arch in Children with Obstructive Sleep Apnea: A Systematic Review and Meta-Analysis. J Evid Based Dent Pract. 2025 Mar;25(1):102056. doi:10.1016/j.jebdp.2024.102056.

Source of Funding

The study was funded by the National Science Technology Basic Resources Project, China Oral Health Foundation, Clinical Research Program of Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, and Postdoctoral Scientific Research Foundation of Shanghai Ninth People’s Hospital.

Type of Study/Design

Systematic review and meta-analysis.

王欣，黄东，钱艳，朱明。阻塞性睡眠呼吸暂停患儿牙弓三维特征的系统回顾与meta分析。[J] .土木工程学报，2015,25(1):102056。doi: 10.1016 / j.jebdp.2024.102056。本研究由国家科技基础资源项目、中国口腔健康基金、上海交通大学医学院第九人民医院临床研究计划、上海第九人民医院博士后科研基金资助。研究类型/设计系统回顾和荟萃分析。

引用次数: 0

Statement of Purpose/Levels of Evidence 目的陈述/证据水平

IF 4 4区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Evidence-Based Dental Practice

Pub Date : 2025-12-01 DOI: 10.1016/S1532-3382(25)00128-9

引用次数: 0

Information for Authors 作者信息

IF 4 4区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Evidence-Based Dental Practice

Pub Date : 2025-12-01 DOI: 10.1016/S1532-3382(25)00130-7

引用次数: 0

Information for Readers 读者资讯

IF 4 4区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Evidence-Based Dental Practice

Pub Date : 2025-12-01 DOI: 10.1016/S1532-3382(25)00129-0

引用次数: 0

Levels of Evidence—Grading System 证据分级系统的等级

IF 4 4区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Evidence-Based Dental Practice

Pub Date : 2025-12-01 DOI: 10.1016/S1532-3382(25)00131-9

引用次数: 0

INTEGRATION OF VIRTUAL REALITY AND HAPTIC TECHNOLOGY MAY ENHANCE PRECLINICAL TRAINING IN RESTORATIVE DENTISTRY 虚拟现实和触觉技术的整合可以加强牙科修复学的临床前培训

IF 4 4区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Evidence-Based Dental Practice

Pub Date : 2025-11-30 DOI: 10.1016/j.jebdp.2025.102223

IMAN ABD-ELWAHAB RADI, YOUANNIS RAFAAAT NABIH

Article Title and Bibliographic Information

Shetty, S., Errichetti, A., Narasimhan, S., Al-Daghestani, H., & Shetty, G. The use of virtual reality and haptics in the training of students in restorative dentistry procedures: a systematic review. Korean J Med Educ. 2025;37:203–217.

Source of Funding

This research received no specific grant from any funding agency in the public, commercial, or not-for profit sectors.

Type of Study/Design

Systematic review (SR)

Shetty， S., Errichetti， A., Narasimhan， S., Al-Daghestani， H., & & Shetty， G.：在牙科修复过程中使用虚拟现实和触觉训练学生：系统回顾。中华医学杂志，2015;37(3):391 - 391。资金来源本研究未获得任何公共、商业或非营利部门的资助机构的特别资助。研究/设计类型系统评价（SR）

引用次数: 0

EVIDENCE-BASED PEDIATRIC DENTISTRY: THE FIRST TWENTY-FIVE YEARS OF TRANSFORMATION AND THE NEXT 循证儿科牙科：前25年的转变和下一个

IF 4 4区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Evidence-Based Dental Practice

Pub Date : 2025-11-16 DOI: 10.1016/j.jebdp.2025.102222

NICOLA INNES

Over the past quarter-century, pediatric dentistry has shifted from an expert-opinion-driven craft-often extrapolated from adult dental care, to become a discipline anchored in rigorous, child-specific evidence. This transformation reflects the maturation of evidence-based dentistry (EBD): integrating the best available research with clinical expertise and the values and preferences of children and their families. As we celebrate the Journal of Evidence-Based Dental Practice at 25 years of age, this article charts some milestones in pediatric EBD that show how clinical practice has led to scientific enquiry, research investigations and widespread changes in practice. The examples used are the Hall Technique, Atraumatic Restorative Treatment and pulp canal obliteration in dental trauma management. A pathway to improve research impact is proposed, stretching from ensuring research relevance and methodological rigor through to talking and listening to those who are stakeholders, planning implementation of findings, using core- and patient relevant- outcome sets, public communication and open science. Change does not have to be global to be important: locally tailored, context-aware research and its implementation can improve children’s oral healthcare, reduce inequalities and deliver value. This article is part of the special issue "Celebrating 25 Years of the Journal of Evidence-Based Dental Practice."

在过去的四分之一世纪里，儿童牙科已经从一种专家意见驱动的工艺（通常从成人牙科护理中推断出来）转变为一种以严格的、针对儿童的证据为基础的学科。这种转变反映了循证牙科（EBD）的成熟：将现有的最佳研究与临床专业知识以及儿童及其家庭的价值观和偏好相结合。在我们庆祝《循证牙科实践杂志》25周年之际，这篇文章描绘了儿科EBD的一些里程碑，展示了临床实践如何导致科学探究、研究调查和实践中的广泛变化。使用的例子是霍尔技术，无创伤修复治疗和牙髓管闭塞治疗。提出了一条改善研究影响的途径，从确保研究的相关性和方法的严谨性，一直延伸到与利益相关者交谈和倾听，规划结果的实施，使用核心和患者相关的结果集，公共沟通和开放科学。重要的改变不一定是全球性的：因地制宜、了解情况的研究及其实施可以改善儿童口腔保健、减少不平等现象并创造价值。本文是《庆祝循证牙科实践杂志25周年》特刊的一部分。

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引用次数: 0

COMPUTER-ASSISTED IMPLANT SURGERY MAY ENHANCE PLACEMENT ACCURACY, WITH ROBOTIC APPROACHES OUTPERFORMING CONVENTIONAL TECHNIQUES 计算机辅助植入手术可以提高植入精度，机器人方法优于传统技术

IF 4 4区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Evidence-Based Dental Practice

Pub Date : 2025-10-13 DOI: 10.1016/j.jebdp.2025.102205

IMAN ABD-ELWAHAB RADI (Reviewers), FATMA ELZAHRAA MOHAMED

Article Title and Bibliographic Information

Khaohoen A, Powcharoen W, Yoda N, Rungsiyakull C, Rungsiyakull P. Accuracy in dental implant placement: A systematic review and meta-analysis comparing computer-assisted (static, dynamic, robotics) and non-computer-assisted (freehand, conventional guide) approaches. J Prosthet Dent. 2025;134:91.e1-91.e25. doi:1 0.1016/j.prosdent.2025.03.038

Source of Funding

Th review was funded by Chiang Mai University, Chiang Mai, Thailand.

Type of Study/Design

Systematic Review with Meta-analysis of Data (SRMA).

kaohoen A, Powcharoen W, Yoda N, Rungsiyakull C, Rungsiyakull P.人工牙种植体植入的准确性：计算机辅助（静态、动态、机器人）和非计算机辅助（徒手、传统指导）方法的系统评价和meta分析。[J] .中华口腔医学杂志，2015;34(4):991 - 991。本文由泰国清迈大学（Chiang Mai University, Chiang Mai, Thailand）资助。研究类型/设计采用数据荟萃分析（SRMA）的系统评价。

引用次数: 0

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Journal of Evidence-Based Dental Practice

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