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Decision analysis in restorative dentistry
Author(s) -
Anusavice KJ
Publication year - 1992
Publication title -
journal of dental education
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.53
H-Index - 68
eISSN - 1930-7837
pISSN - 0022-0337
DOI - 10.1002/j.0022-0337.1992.56.12.tb02709.x
Subject(s) - hippocratic oath , standardization , medicine , restorative dentistry , outcome (game theory) , dentistry , value (mathematics) , oath , psychology , computer science , mathematics , psychiatry , law , mathematical economics , machine learning , political science , operating system
Standardization of clinical decisions in restorative dentistry should be based on the tenets of the Hippocratic Oath. Although there is wide variability in preventive and operative treatment decisions, some of these decisions may lead along parallel courses to similar, clinically ethical outcomes. However, what parameters must be considered in judging the relative magnitude of positive and negative outcomes? This paper proposes several decision‐making strategies for selecting optimum treatment plans for preventive and restorative situations. The caries‐risk level of patients must first be identified in a systematic way and then it must be coupled with treatment options that are consistent with the potential future caries increment. A decision‐tree approach and/or the treatment‐index concept can then be applied to specific clinical conditions and preventive‐restorative options to derive an “expected value” for each possible outcome.