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Jack, a 28-year-old male, visits your office for his regularly scheduled 6 month

Jack, a 28-year-old male, visits your office for his regularly scheduled 6 months dental hygiene appointment. Jack is a healthy individual with no medical conditions and is currently not on any medications. He is very health conscious and practices good oral hygiene. But despite his good oral hygiene practices, he usually exhibits signs of gingivitis. During the appointment today, Jack asks you about Neem and said that he had heard that Neem is good for gum diseases. He asks you if you recommend that he use oral health products that contain Neem.
You are not very familiar with Neem and its potential effects on oral health. So, you told him that you would review current literature on Neem before making any recommendations. You told him that you would get back to him after you complete your research. Write a PICO Question:
For healthy adult male patients with gingivitis, how does the effectiveness of Neem in conjunction with good oral hygiene compared to the effectiveness of Chlorhexidine affect gingivitis?
Application of the EBDM Process form – “Locate relevant evidence to answer the PICO question”
Read these article and answer fallowing:
Balappanavar A Y, Varun, Sardana, et al. Comparison of the effectiveness of 0.5% tea, 2% neem and 0.2% Chlorhexidine mouthwashes on oral health: A randomized control trial. Indian J Dent Res.2013 Jan. [cited 2022 Jun 8] 24 (1): 26–34. In: Dentistry & Oral Sciences Source [Internet]. Ipswich (MA): EBSCOhost. Available from:https://foothill.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ddh&AN=89906501&site=ehost-live
Chatterjee A, Saluja M, Singh N, Kandawal A. To evaluate the antigingivitis and antiplaque effect of Azadirachta Indica (neem) mouthrinse on plaque induced gingivitis: A double-blind, randomized, controlled trial. J Indian Soc Periodontol. 2011 Oct [cited 2022 Jun 8]; 15(4):398-401. In: Dentistry & Oral Sciences Source [Internet]. Ipswich (MA): EBSCOhost. Available from:https://foothill.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ddh&AN=71944837&site=ehost-live
Focus on:
What would you inform your patient based on the evidence? Remember that the key point in EBDM process is that the information you provide to your patient is based on current scientific evidence.
· What have you learned from this experience?
· How will your future clinical actions change based on this experience?
· Reflect on which area(s) in EBDM process (listed below) that you feel you need to improve upon.
o Formulating a focused question
o Identifying target resources
o Performing a search
o Organizing findings
o Appraising trustworthiness of the evidence
o Assessing the relevance of evidence

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