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DENTHYG 3410

Asking Good Questions

The key to finding appropriate evidence is to ask a searchable, answerable question.  The PICO framework is often used as a guide for asking clinical questions.

= patient, problem, population

I  = intervention

C = comparison intervention

O = outcomes

Have you noticed resources that refer to PICOT instead of PICO?  Many EBP experts add T to the standard PICO framework.  The T usually stands for time and can be helpful in making sure you're thinking of the appropriate time frame for your intervention and/or outcomes.

Identify Main Concepts and Keywords with PICO

Video created by Binghamton University Libraries.  This video is licensed under a Creative Commons Attribution License.

PICO Examples

Example 1

You have noticed an increase in patients with dental anxiety and have heard that music therapy can possibly help.

P = patients with dental anxiety

I = music therapy

C = no music therapy

O = reduced dental anxiety

"In patients with dental anxiety, does using music therapy, as compared to not using music therapy, reduce dental anxiety?"

Example 2

You have a patient who asks if it is really necessary to have an xray to determine if they have a cavity.

P = Patient with a possible cavity

I = xray

C = no xray; using dental tools

O = accurate cavity diagnosis

"In patients with a possible cavity, are xrays more or less accurate than dental tools when diagnosing a cavity?"

Example 3

A patient has a cavity in one of their wisdom teeth and wants to know if it is possible to keep the tooth.

P = Wisdom tooth cavity

I = Fill the tooth

C = Pull the tooth

O = Overall oral health

"In patients with a cavity in a wisdom tooth, how does filling the cavity compared to pulling the tooth effect long term oral health?"