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Evidence Based Decision Making ( Ebdm )

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Evidence-based decision making (EBDM) is defined as, “a formalized approach to clinical care in which the clinician, in consultation with the patient, uses the best scientific evidence available to make decisions about clinical interventions needed to optimize personal oral health” (Wilkins, Wyche, & Boyd, pp. 25, 2017). The PICO model of EBDM, will be used to determine the best treatment options given the following clinical situation: For a 25 year-old male, with a Class I on caries on #14, Class III caries on #6, who consumes several sports drinks a day, and has 1 pre-existing amalgam filling on #2 (P), which restorative material has a higher success rate, amalgam (I), or resin composite (C), to restore his teeth (O)? Restorative “is to …show more content…

An alternative material to amalgam is resin composite. Resin composite materials are, “complex blends of polymerizable resins mixed with glass powder fillers” (Direct and indirect restorative materials, 2003). Originally, this material was designed and intended for anterior restorations only. Today, resin composite continues to be a preferred material of choice by dentists and patients, primarily because of the esthetic appearance and improved strength of the material (Hatrick et al., 2010). Today, the dental materials industry continues to evolve and has made tremendous gains on improving the mechanical properties of resin composite. Due to quality improvement of the material, Class I and Class II restorations are done using this material. (Alcaraz et al., 2014).
In a 2013, article published in the Journal of The American Dental Association (JADA), authors discusses factors influencing the longevity of amalgam and resin composite restorations, over a 24-month period. The study was conducted by the National Dental Practice-Based Research Network. The data analyzed in this study included patient factors, practice factors, and dentist factors. Data collection was done at the time the restoration was placed and annually thereafter (Mccracken et al., 2013). The results of the cohort study determined the following factors

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