Case Study-Xylitol
Result Book Nelson Textbook of Pediatrics, e. –possible sources of evidences Review Dental caries. Lancet 369: Infect Dis Clin North Am 2007; 21(2): –possible sources of evidences Patient Education Early childhood caries, Dental cavities, Radiography, Dental
Rampant caries (early childhood caries) in 3 yr old child
Basic Dental Anatomy
Diagnosis (iceberg metaphor)
Caries Process
Clinical Presentations
Clinical Implications
Patient Education
Case - Clinician 張小妹,六歲,喜歡 吃糖但卻滿口蛀口。
Ask P: children/adults (with dental caries) I: chewing gum with xylitol C: chewing gum without xylitol O: incidence of dental decay Type of Question: therapy Keyword: –Dental caries –xylitol
Acquire / Search 2007
Search - xylitol dental caries 2009
Acquire / Search 2009 xylitol dental caries xylitol
Advanced Search - Article Type Cochrane — thoes found in The Cochrane Database of Systematic Reviews (CDSR) Trials — Narrows you search to articles containing information about Clinical Trials, Randomized Control Trials, and similar articles.
等級等級 治療診斷預後病因 I 第 II 級證據的系統回顧 (systematic review) II 隨機對照 試驗 由連續或隨機 取樣組成的橫 斷面研究 前瞻性起始 世代研究 前瞻性 世代研究 LOE: Level of Evidence (Oxford)
LOE (GRADE)GRADE 評分方式:結合 研究方法 ,研究品質,一致性,相關性 高( high ) = further research is very unlikely to change our confidence in the estimate of effect 中( moderate ) = further research is likely to have an important impact on our confidence in the estimate of effect and may change the estimate 低( low ) = further research is very likely to have an important impact on our confidence in the estimate of effect and is likely to change the estimate 極低( very low ) = any estimate of effect is very uncertain The GRADE Working Group -
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