Clinical Practice Approach

The profession based relies more on a collection of tools not included in training and experience with the goal of approaching each patient with information which is as current as possible. The clinical practice guidelines are advocated because many experts have collaborated to produce the guidelines. According to Brent James, most matters can be standardized. However, given each patient is an individual, no individual or treatment is perfectly compatible with every patient. (Leonhardt) While the clinical practice guidelines approach is said to rely on the most recent research, such reliance does not guarantee the particular approach for a particular condition is the best approach. That an approach is widely supported is not indicative it
By 1997, the antibiotic was widely used, resulting in a change in the medical community to recommended treatment, followed by effectively reducing the incidence of ulcers. This is yet another incident that just because one manner is widely accepted does not automatically result in effectiveness in combatting the condition reported by patients. (Atwood) There are other examples. A correlation was noticed between heart disease and poor oral health caused by failure to floss. Doctors have said there might be a causal effect. However, without extensive research, the causal effect should not be included in any professional practice. "For the most part, the data is circumstantial. It's hard to prove cause and effect," says Thomas Boyden, Jr., MD, medical director of preventive cardiology at Spectrum Health Medical Group Cardiovascular Services in Grand Rapids, MI. "However, I think the data is pretty strong and there is definitely a link.”
Some speculate that the link is inflammation, which is present in both hardened arteries, or atherosclerosis, and gum disease, which can include sore, swollen gums. The theory is that periodontitis which involved infected gums can cause the bacteria to spread to other parts of the body. So says , which leads to infected pockets of germy pus. That is the type that raises the worry for heart problems. It allows bacteria and other toxins to spread below the gum line. Scott Merritt, DMD, founder and partner of Bridgemill Dentistry, said studies show the link. However, he is less than conclusive. He said inflammation is one of the main things that cause damage to blood vessels, including those of the heart. "The two appear to go hand-in-hand," Merritt says. "In the absence of gum disease, there is significantly less of these bacteria in the heart.” (Miller) If true, he has noticed a correlation, which is not necessarily causation. A panel of dentists and cardiologists said that so far, no evidence exists that treating or preventing gum disease has any direct effect on heart disease. Science simply does not conclude that while the two conditions occur together, one does not necessarily cause the other. Outside factors have not been ruled out.