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Case Study-Xylitol

Case Study-Xylitol. Result. Book Nelson Textbook of Pediatrics, 2007 18e . possible sources of evidences 2004-2006 Review Dental caries. Lancet 369:51-9 2007 Infect Dis Clin North Am 2007 ; 21(2): 471-502 possible sources of evidences 2006-2007 Patient Education

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Case Study-Xylitol

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  1. Case Study-Xylitol

  2. Result Book • Nelson Textbook of Pediatrics, 2007 18e. • possible sources of evidences 2004-2006 Review • Dental caries. Lancet 369:51-9 2007 • Infect Dis Clin North Am 2007; 21(2): 471-502 • possible sources of evidences 2006-2007 Patient Education • Early childhood caries, • Dental cavities, Radiography, Dental

  3. Rampant caries (early childhood caries) in 3 yr old child

  4. Basic Dental Anatomy

  5. Diagnosis (iceberg metaphor)

  6. Caries Process

  7. Clinical Presentations

  8. Clinical Implications

  9. Clinical Implications

  10. Patient Education

  11. 張小妹，六歲，喜歡吃糖但卻滿口蛀口。 Case - Clinician

  12. 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

  13. Acquire / Search 2007

  14. Search - xylitol dental caries 2009

  15. Acquire / Search xylitol dental caries 2007 2009 xylitol 2009

  16. 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.

  17. 2005 2005 2004 2007 2008

  18. LOE: Level of Evidence (Oxford)

  19. LOE (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 - http://www.gradeworkinggroup.org/

  20. Apply ?

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