The Evidence-Based Practice Dilemma: Why Dentists Struggle to Integrate Research into Clinical Practice

Abstract

Background: Evidence-based practice (EBP) is essential for improving patient care in dentistry by integrating the best available research evidence into clinical decision-making. Despite its importance, many dentists face challenges in adopting EBP into their daily practice. This review aims to explore the barriers and enablers of integrating EBP in dental practice.

Methods: This study follows a narrative review methodology, synthesizing the existing literature on the implementation of EBP in dentistry. A comprehensive search of electronic databases was conducted to identify relevant articles, with an inclusion criterion focusing on studies published between 2015 and 2025. Six studies met the inclusion criteria and were analyzed to determine the barriers and enablers associated with EBP adoption.

Results:  The review identifies several key barriers to EBP integration, including time constraints, insufficient training, limited access to research, and generational gaps within the dental profession. However, enablers such as professional development programs, clearer guidelines, and interdisciplinary collaboration were also highlighted as facilitating factors.

Discussion: The findings suggest that overcoming barriers requires systemic changes, including improved access to research, continuous professional development, and fostering a culture of evidence-based decision-making. Technological advancements, such as Artificial Intelligence (AI) and the Metaverse, have the potential to address some of these challenges by enhancing accessibility to research and providing immersive learning environments for dental professionals.

Conclusion: For EBP to become an integral part of dental practice, a multifaceted approach is required, focusing on education, research accessibility, and creating a supportive environment for continuous learning and improvement