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Making clinical decisions for dental care: concepts to consider
Authors:B. Alex White DDS,DrPh, Gerardo Maupomé   PhD
Affiliation:Dental Service of Massachusetts, 465 Medford Street, Boston, MA 02129-1454;Kaiser Permanente Center for Health Research;3800 N. Interstate Avenue, Portland, OR 97227-1110
Abstract:Clinical decisions are often made with incomplete information, yet patient care decisions are made every day. Patients vary clinically, uncertainty exists in diagnostic and prognostic information, and many preventive and treatment alternatives have not been formally assessed for their effectiveness. Because scientific information will never answer all clinical questions, clinical decisions are partially based on probabilistic information.
This paper describes how to apply clinical decision making to diagnosing and managing dental caries and periodontal diseases. By using explicit information to quantify probabilities and outcomes, clinical decision making analyzes decisions made under uncertain conditions and the uncertain impact of clinical information.
Clinical decision making incorporates concepts for preventing, diagnosing and treating dental caries and periodontal diseases: risk assessment, evidence-based dentistry, and multiple oral health outcomes. This information can serve as a tool for clinicians to augment clinical judgment and expertise.
Keywords:Evidence-based medicine    decision making    decision support techniques    patient care planning    decision trees    process assessment (health care)
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