Evidence-Based Decision Making in Dentistry

This clinically oriented book covers all aspects of the evidence-based decision making process in multidisciplinary management of the natural dentition. The book opens by clarifying the principles of evidence-based decision making and explaining how these principles should be applied in daily practice. Individual chapters then focus specifically, and in detail, on endodontic, periodontal, and prosthetic considerations, identifying aspects that need to be integrated into decision making and treatment planning. Evidence-based decision making with regard to preservation of the natural tooth versus extraction and implant placement is then discussed, and a concluding chapter examines likely future trends in dentistry and how they may affect clinical decision making. The authors include leading endodontists, periodontists, and prosthodontists. Given the multidisciplinary and comprehensive nature of the book, it will be relevant and interesting to the entire dental community.

·  1: Introduction to Evidence-Based Decision-Making in the Multidisciplinary Management of the Natu

·  References

·  2: Principles of Evidence-Based Decision-Making

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2. 1 Introduction: Treatment Choices in Modern Dentistry

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2. 2 Algorithms for Decision-­Making in Patient Management: Historical Perspectives and Evolutio

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2. 3 Evidence-Based Medicine and Its Application into Clinical Practice

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2. 4 Types of Research Design: Advantages and Shortcomings

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4. 1 Preclinical Research

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2.

4. 2 Primary Clinical Research

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2.

4. 3 Secondary Research

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2. 5 Bias

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2. 6 Level of the Evidence

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2. 7 The Journal’s Impact Factor (IF)

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2. 8 The PICO Question: How to Start Well a Systematic Review

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2. 9 Scientific Information: How to Find It (the Literature Databases)

·  References

·  Links

·  3: Evidence-Based Decision Making in Dentistry: The Endodontic Perspective

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3. 1 Introduction

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3. 2 Case Selection, Treatment Planning, and Long-Term Prognosis as the Basis for Clinical Decis

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3. 3 Contemporary Endodontic Technologies

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3.

3. 1 Electronic Apex Locators

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3.

3. 2 Magnification and Illumination Systems

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3.

3. 3 Digital Radiography

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3.

3. 4 Cone Beam Computed Tomography

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3. 4 Contemporary Endodontic Treatment Modalities

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3.

4. 1 Nonsurgical Endodontic Treatments

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3.

4. 2 Surgical Endodontic Treatment

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3. 5 Decision Making Regarding the Diagnosis and Management of Endodontic Complications

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3.

5. 1 Vertical Root Fractures

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3.

5. 2 Iatrogenic Root Perforations

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3.

5. 3 Separated Endodontic Instruments

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3.

5. 4 Root Resorption

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3. 6 Conclusions and Key Learning Point

·  References

·  4: Evidence-Based Decision Making in Periodontal Tooth Prognosis and Maintenance of the Natural

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4. 1 Introduction

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4. 2 Patient-Related Factors

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4. 3 Tooth-Related Factors

·  References

·  5: Evidence-Based Decision-Making in Restoration of the Natural Dentition

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5. 1 Introduction

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5. 2 Restoration Type and Timing

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5. 3 Post Type, Size, and Cementation

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5. 4 Core Materials

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5. 5 Ferrule Effect and Cementation

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5. 6 Conclusion and Clinical Recommendations

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5.

6. 1 Vital Teeth Full Crown Coverage Restoration

·  References

·  6: Preserving the Natural Tooth Versus Extraction and Implant Placement: An Evidence-Based Approa

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6. 1 Introduction

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6. 2 Outcome Assessment of Implants and Teeth

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6.

2. 1 Outcome Assessment of Dental Implants

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6.

2. 2 Periodontal Factors Related to the Outcome of Teeth

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6.

2. 3 Endodontic Prognosis

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6.

2. 4 Restorative Aspects

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6. 3 Comparison of Endodontically Treated Teeth and Dental Implants

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6. 4 Dental Implant Complications

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6. 5 Operator Training and Skills

·  References

·  7: Case Selection for the Use of Cone Beam Computed Tomography in Dentistry Based on Diagnostic

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7. 1 Introduction

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7. 2 The Potential Benefits

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7. 3 The Potential Risks

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7. 4 Case Selection Algorithm for the Use of CBCT in Dental Practice: Benefit Versus Risk

·  References

·  8: Evolving New Strategies for Periodontal, Endodontic, and Alveolar Bone Regeneration

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8. 1 Tooth-Associated and Implant-Associated Loss of Support

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8. 2 Current and Future Periodontal and Bone Regenerative Treatments

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8. 3 Tissue Engineering

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8.

3. 1 Scaffolds (Matrices), Signaling Molecules (Biologics), and Cells [1]

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8. 4 Periodontal Regeneration Using Tissue Engineering

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8. 5 Protein/Peptide Therapy in Periodontal Regeneration

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8. 6 Gene Therapy

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8. 7 Gene Therapy in Periodontal Regeneration

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8. 8 Cell Therapy

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8. 9 Cell Therapy in Periodontal Regeneration

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8. 10 Combined Cell + Gene Therapy

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8.

10. 1 3-D Bioprinting

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8. 11 Enamel Matrix Proteins in Periodontal Regeneration

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8.

11. 1 Future Trends in Bone Regeneration

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8.

11. 2 Future Trends in Endodontic Regenerative Therapy

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8. 12 Regenerative Endodontic Procedures

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8. 13 Guided Tissue Regeneration During Surgical Endodontic Treatments

·  References