Reverse evidence-based dentistry proposed by researchers
An innovative approach to dental education and clinical practice.
Evidence-Based Dentistry (EBD) has become a cornerstone of modern dental practice, integrating current research evidence with clinical expertise.
But researchers say that despite its recognised value, barriers such as limited time, inadequate training, and reliance on non-scientific or market-driven sources continue to hinder its consistent application.
To address these challenges, researchers at the European Institute for Medical Studies in Malta are proposing the concept of Reverse Evidence-Based Dentistry (Reverse EBD). It is defined as a structured analytical process that begins with real-world clinical practices or historical observations and works backward to identify the scientific evidence supporting them.
“In contrast to traditional EBD, which applies published evidence to guide clinical decision-making, Reverse EBD retraces the evidence pathway from practice to research, promoting reflection and analytical rigour,” they say.
“This complementary approach encourages critical thinking, deepens understanding of how clinical protocols evolve, and fosters the ability to differentiate between evidence-based and commercially driven recommendations.”
Drawing on examples from periodontal laser therapy and platelet-rich fibrin, the researchers say that Reverse EBD has demonstrated educational value by stimulating critical appraisal among students and clinicians.
The concept has been integrated into the Bachelor of Science (Honours) in Dental Science at the Institute, within a neutral pedagogical framework designed to link theory, clinical reasoning and interdisciplinary learning.
Early implementations have shown increased student engagement and critical reasoning skills compared with traditional EBD instruction.
The researchers conclude: “Reverse EBD thus represents a promising educational and analytical model for reinforcing evidence-based practice and preparing future dental professionals for innovation, research and critical inquiry.”