Dentistry and Clinical Practice Guidelines

Historical Perspective

Era of Expansion (40’s -60’s)

Era of Cost Containment
 (1965-80s)

Era of Assessment &  Account- ability - (late 80s - present)

Quality of care

Quality of care
Dimensions

Quality of care
Dimensions

Quality of care
Dimensions

Quality of care
Issues

Quality of care
Issues

Quality of care
Issues

Quality of care
Issues

Evidence-based guidelines -
Types of evidence

Evidence-based guidelines -
Types of evidence

"Congress began to look to..."

Evidence-based guidelines -
Outcomes research
Dimensions of oral health outcomes

Evidence-based guidelines -
Outcomes research
Dimensions of oral health outcomes

Evidence-based guidelines -
Outcomes research
Dimensions of oral health outcomes

Evidence-based guidelines -
Outcomes research
Dimensions of oral health outcomes

Evidence-based guidelines -
Outcomes research

Evidence-based guidelines -
Need for evidence

Evidence-based guidelines -
Need for evidence

Evidence-based guidelines -
Need for evidence

Evidence-based guidelines
Evidence hierarchy

Evidence-based guidelines
Evidence hierarchy

Evidence-based guidelines
 Hierarchy of Studies:Evidence-based value

Evidence-based guidelines
Hierarchy of Studies:Evidence-based value

Evidence-based guidelines
Hierarchy of Studies:Evidence-based Value

Quality/Hierarchy of Evidence
(Guide to Clinical Preventive Services, 2^nd ed.)

Strength of Recommendations

Evidence-based dentistry

Evidence-based dentistry

Evidence-based dentistry

Evidence-based dentistry

Evidence-based dentistry

Evidence-based dentistry

Evidence-based dentistry

Evidence-based dentistry