Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Article
  • Published:

Effectiveness of educational strategies to teach evidence-based dentistry to undergraduate dental students: a systematic review

Abstract

Objectives

Evidence-based dentistry (EBD) training has been widely promoted in dental schools around the world and policymakers ask for suitable strategies to teach EBD within undergraduate dental education. The present study aims to evaluate the effectiveness of these strategies on dental students’ knowledge, attitude, and skills.

Methods

PubMed, Embase, Scopus, Cochrane Central Register of Controlled Trials, and Eric databases were searched using search terms obtained from Medical Subject Headings (MeSH) terms and free text method without time restrictions, up to November 2022. The identified articles were screened based on titles and abstracts for inclusion criteria. Subsequently, relevant articles underwent data extraction. Finally, the risk of bias was assessed through Joanna Briggs Institute critical appraisal checklists.

Results

Twelve of 439 studies were included: nine quasi‐experimental studies, two cross‐sectional, and one randomized controlled trial study. Regarding the overlap among categories, six studies assessed knowledge, seven assessed attitude, and eight focused on skills or performance in EBD. Due to the heterogeneity of the interventions and results of included studies, a meta-analysis was not performed. EBD was mostly taught in small group collaborations. Interventions included lectures, workshops, seminars, small group sessions, journal clubs, online sessions, or a combination of them in various frequencies and duration.

Conclusions

EBD implementation into dental curricula is improving through strategies including designing continuing and frequent dental education courses, establishing collaborative student research groups, utilizing online tools for EBD education, and dividing EBD courses into shorter modules.

The systematic review protocol was registered in PROSPERO (ID: CRD42022350238).

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Fig. 1: Preferred Reporting Items for Systematic Review and Meta‐Analysis (PRISMA) flow chart.

Similar content being viewed by others

Data availability

Requests for further data should be addressed to Mohammad Mehdi Naghibi Sistani.

References

  1. Marshall TA, McKernan SC, Straub-Morarend CL, Guzman-Armstrong S, Marchini L, Handoo NQ, et al. Evidence-based dentistry skill acquisition by second-year dental students. Eur J Dent Educ. 2018;22:e612–e8.

    Article  CAS  PubMed  Google Scholar 

  2. Hong B, Plugge E. Critical appraisal skills teaching in UK dental schools. Br Dent J. 2017;222:209–13.

    Article  CAS  PubMed  Google Scholar 

  3. Nieminen P, Uma E, Pal S, Laitala ML, Lappalainen OP, Varghese E. Information retrieval and awareness about evidence-based dentistry among dental undergraduate students-a comparative study between students from Malaysia and Finland. Dent J. 2020;8:103.

    Article  Google Scholar 

  4. Agossa K, Sy K, Pinçon C, Nicolas T, Catteau C, Blaizot A, et al. Knowledge, attitude, access and confidence in evidence-based practice amongst french dental undergraduates: a transcultural adaptation and psychometrics analysis of French version of the KACE questionnaire. Eur J Dent Educ. 2022;26:106–15.

    Article  PubMed  Google Scholar 

  5. Werb SB, Matear DW. Implementing evidence-based practice in undergraduate teaching clinics: a systematic review and recommendations. J Dent Educ. 2004;68:995–1003.

    Article  PubMed  Google Scholar 

  6. Critical appraisal tools. 2020. Available at: https://jbi.global/critical-appraisal-tools. Accessed September 2022.

  7. George PP, DeCastro Molina JA, Heng BH. The methodological quality of systematic reviews comparing intravitreal bevacizumab and alternates for neovascular age related macular degeneration: a systematic review of reviews. Indian J Ophthalmol. 2014;62:761–7.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Levine AE, Bebermeyer RD, Chen JW, Davis D, Harty C. Development of an interdisciplinary course in information resources and evidence-based dentistry. J Dent Educ. 2008;72:1067–76.

    Article  PubMed  Google Scholar 

  9. Hinton RJ, McCann AL, Schneiderman ED, Dechow PC. The winds of change revisited: progress towards building a culture of evidence-based dentistry. J Dental Educ. 2015;79:499–509.

    Article  Google Scholar 

  10. Katz RV, Shamia HA, Dearing BA, Kang PDS, Li L, Chang A. Skills in assessing the professional literature (sapl): a 7-year analysis of student ebd performance. J Evid Based Dent Pract. 2014;14:102–10.

    Article  PubMed  Google Scholar 

  11. Khami, Mohtashamrad Z, Razeghi S, Jafari A, Yazdani R, Moscowchi A, et al. Development of an evidence-based dentistry course for dental students and its effect on their awareness, attitude and self-assessed knowledge. Iraqi J Public Health. 2017;1:52–9.

    Google Scholar 

  12. Lalla RV, Li EY, Huedo-Medina TB, MacNeil RLM. Evaluation of an experiential and self-learning approach to teaching evidence-based decision making to dental students. J Dent Educ. 2019;83:1125–33.

    Article  PubMed  Google Scholar 

  13. Najafi NF, Asgari I. Effectiveness of a program on evidence-based dentistry in dental students. J Educ Health Promot. 2017;6:34.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Parhar S, Gibson J. Does participation in an undergraduate journal club make dental students more knowledgeable and confident in practising evidence-based dentistry? Eur J Dent Educ. 2017;21:e59–e63.

    Article  CAS  PubMed  Google Scholar 

  15. Schoonheim-Klein M, Wesselink PR, Vervoorn JM. A community of learners in the evidence-based dental clinic. Eur J Dent Educ. 2012;16:e174–9.

    Article  CAS  PubMed  Google Scholar 

  16. Wadgave U, Khairnar MR, Kadu TS, Chadha GK, Wadgave Y. Effect of training on evidence-based practice to undergraduate dental students: pre and postexperimental study. Int J Evid Based Healthc. 2020;18:101–7.

    Article  PubMed  Google Scholar 

  17. Zheng M, Bender D, Reid L, Milani J. An interactive online approach to teaching evidence-based dentistry with Web 2.0 technology. J Dent Educ. 2017;81:995–1003.

    Article  PubMed  Google Scholar 

  18. Marshall TA, Finkelstein MW, Qian F. Improved student performance following instructional changes in a problem-based learning curriculum. J Dent Educ. 2011;75:466–71.

    Article  PubMed  Google Scholar 

  19. Veeraiyan DN, Sekhar P. Critical appraisal-based learning in a dental college in India: a randomized control study. J Dent Educ. 2013;77:1079–85.

    Article  PubMed  Google Scholar 

  20. Flores-Mateo G, Argimon JM. Evidence based practice in postgraduate healthcare education: a systematic review. BMC Health Serv Res. 2007;7:1–8.

    Article  Google Scholar 

  21. Coomarasamy A, Khan KS. What is the evidence that postgraduate teaching in evidence based medicine changes anything? A systematic review. BMJ. 2004;329:1017.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Kyriakoulis K, Patelarou A, Laliotis A, Wan AC, Matalliotakis M, Tsiou C, et al. Educational strategies for teaching evidence-based practice to undergraduate health students: systematic review. J Educ Eval Health Prof. 2016;13:34.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Lallier TE. Introducing evidence-based dentistry to dental students using histology. J Dent Educ. 2014;78:380–8.

    Article  PubMed  Google Scholar 

  24. Hendricson WD, Rugh JD, Hatch JP, Stark DL, Deahl T, Wallmann ER. Validation of an instrument to assess evidence-based practice knowledge, attitudes, access, and confidence in the dental environment. J Dent Educ. 2011;75:131–44.

    Article  PubMed  PubMed Central  Google Scholar 

  25. Alberti S, Motta P, Ferri P, Bonetti L. The effectiveness of team-based learning in nursing education: a systematic review. Nurse Educ Today. 2021;97:104721.

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

This present study was supported by Babol University of Medical Sciences.

Author information

Authors and Affiliations

Authors

Contributions

MMNS designed research, reviewed the literature, analyzed data, and revised manuscript. SK designed research, conducted research, reviewed the literature, extracted data, and prepared the manuscript. SS designed research, conducted research, reviewed the literature, extracted data, and revised manuscript. BT designed research and revised manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Mohammad Mehdi Naghibi Sistani.

Ethics declarations

Competing interests

The authors declare no competing interests.

Additional information

Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Kachabian, S., Seyedmajidi, S., Tahani, B. et al. Effectiveness of educational strategies to teach evidence-based dentistry to undergraduate dental students: a systematic review. Evid Based Dent 25, 53–54 (2024). https://doi.org/10.1038/s41432-023-00958-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/s41432-023-00958-5

Search

Quick links