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Dentistry

This guide will help you discover key resources such as books, journal articles, relevant databases, guidance on writing your literature and systematic reviews and other relevant information that supports your study of Dentistry.

Reviews

A literature review is:

  1. A list of books and journal articles,
  2. on a specific topic,
  3. grouped by theme,
  4. and evaluated with regard to your research. This evaluation would identify connections, contradictions and gaps in the literature you have found.

The purpose of a literature review, therefore, is:

  1. To get a feel for the agreed academic opinion on the subject (the connections).
  2. To discover the disagreements on the subject (the contradictions).
  3. To find opportunities, (the gaps), for developing and expressing your own opinions.

The classic pattern of academic arguments is:

Thesis, antithesis, synthesis.

An Idea (Thesis) is proposed, an opposing Idea (Antithesis) is proposed, and a revised Idea incorporating (Synthesis) the opposing Idea is arrived at. This revised idea sometimes sparks another opposing idea, another synthesis, and so on…

If you can show this pattern at work in your literature review, and, above all, if you can suggest a new synthesis of two opposing views, or demolish one of the opposing views, then you are almost certainly on the right track.

 

Choose your topic

Seek advice from a lecturer or tutor on this, if a topic is not already assigned. It is very common for students to bite off more than they can chew, simply because they have not realised the full breadth and complexity of an apparently simple topic. It is better to cover a tiny topic perfectly, than a huge topic superficially.

Look for a topic on which there is polarised opinion. It often helps to pick one in which a question is being asked, for example: Is a particular taxation policy beneficial or disadvantageous to a developing country?

When authors disagree, this provides an opportunity for you to enter the debate and argue for one side or another in your essay. Taking a hatchet to someone’s opinions (a) gives you something to write about, (b) is fun, (c) is the foundation of much modern scholarly writing.

Collecting Relevant Material

 

The two tools for finding these books and articles are (a) the library catalogue and (b) the library databases of electronic journal articles.

Before you search them, spend a minute thinking about the best terms to use. Make a list of alternative words that describe your subject, and also think about general terms and more specific terms. This is important because the journal databases are good for finding very specific terms in articles, but the library catalogue tends to use more general terms.

The library catalogue

To access the library catalogue, click here.

If you find a good book reference, scroll down to the bottom of the reference and you will find the subject terms the library cataloguers have assigned to it. Click on that term to call up more books just like the one you have found.

A quick way to check the relevance of any books you find is to glance at the table of contents, the introduction and any descriptive blurbs on the back cover. The index at the back of the book not only helps you dive to very narrow topics in the book, but also gives you an indication of how much attention (i.e. how many pages) the book spends on that specific topic.

If you are satisfied with the book, look at the bibliography in the back – this can help identify other relevant sources. Following a chain of references in a bibliography like this, whether in a book or a journal article, is one of the most basic techniques of scholarship – find something that is relevant and look at the sources it used.

Databases

The library’s journal databases are particularly helpful for literature reviews. Journal articles are short and cover very specific topics, so they are more digestible than books and more likely to deal exactly with your topic. They are also quicker to publish than books and so are more likely to be up to date.

Many of these databases allow you to restrict your search to “Peer Reviewed” journals only – these are the most scholarly journals, for which each article has to be vetted by other academics before it is accepted.

Many of our databases are Full Text – so you can usually get the whole article on your desktop for downloading, e-mailing or printing – you don’t have to find it in print on the shelves.

While you can search the journal databases as simply as you search Google, you can also type in very precise searches by using AND, OR, NOT operators, Wildcards and Logical Brackets.

An example of such a search would be:

Information Technology AND Brain Drain AND (Employ* OR Jobs OR Labo?r) NOT United States

  • The AND operator narrows a search – all listed elements must be mentioned in each article: in this example we want articles that cover both Information Technology AND the Brain Drain.
  • The OR operator expands a search – any of the listed elements must be mentioned in each article: in this example we wanted Information Technology Brain Drain articles that discussed either Employment or Jobs or Labour. The OR operator is useful for dealing with alternative terms which different authors might use when writing on a similar topic.
  • The Brackets tie the options to the required material. In this example they make sure that any articles we get on labour or employment are concerned with Information Technology and the Brain Drain. If we didn’t have brackets here the search would just bring up every reference to labour in the database, whether relevant to Information Technology or not.
  • The Wildcards, * and ?, expand a search: The * deals with related words. In this example Employ* means that we get all words starting with “Employ…” – such as Employment, Employee, Employees, Employers… The ? fills in a missing letter, and is used for covering alternative spellings in British and American English, both Labour and Labor in this example.
  • NOT weeds out anything you’ve got too much of. Many of our databases are American products, for example, and you can often be flooded with reports on the American situation unless you weed it out.

Reading or Skimming articles for relevancy

Most of the articles will have an abstract. This is a short paragraph at the head of the article that lists the main facts and arguments in each article. By reading these you will quickly get the gist of what each article is about and where it fits into the pattern you are building up in your literature survey.

How many books and articles should you have? It’s wise to check this with your lecturer or tutor. In general, though, your aim is not to cover every single book or article, but every major opinion or theme on the topic. Many of the books or articles will add very little that is new.

Therefore a short list of really scholarly, relevant, comprehensive articles is often more effective than a list of hundreds of superficial or tangential articles.

What you are ideally looking for are the “seminal” articles (seed articles) on which most of the other authors are basing their work.

Groups articles by themes

Obviously, it helps to have a structure in mind already, but the articles you find will often help to suggest a structure or cause you to redesign your existing one.

Herewith a hard-learned tip:

There are tides and seasons in academic publishing – a topic is often hot for a few months, then dies, then is revived to be attacked from a different angle, then dies, then is revived again to be discussed from a third angle… remember, Thesis, Antithesis and Synthesis?

This has two implications for studying the results on a database search:

  • Just because there is nothing much in the recent articles does not mean that it was not hot a few months or years ago, so scroll back in time down the list, or jump right to the earliest reference and scroll up through time to look for a hot spot.
  • The tides of article titles often tell a story that can help you shape your literature review.

For example, in a list of journal articles on Information Technology and Employment you might find that:

  • The earliest articles are all about how hard it is to find skilled IT workers.
  • Later you get articles about UK and US firms desperately recruiting school-leavers and training them in IT skills on the job.
  • A year later you get articles about how countries like India and South Africa are doing the same thing.
  • And not long after that you get articles about India and South Africa having a huge, skilled IT workforce, working far more cheaply than the US and UK workforce, and lots of UK and US projects being outsourced to them.
  • Then you get complaints about unemployment in the IT sector in the UK and USA.
  • Then you get stories about how employers in the UK and USA have become very choosy about whom they employ, insisting on really good academic training, loads of experience and very-specialised skills.
  • Then you get the latest stories which are all about how new IT entrants, without that experience, start packing their bags to gain experience elsewhere…

See? Story!

Many database lists of academic articles tell this sort of story when they are looked at in date order. Either they reflect swings in world events or they are reflecting swings in academic debate and opinion. Seeing such a story in the literature is a great help in structuring any literature review.

In particular, look out for the major triggers of such changes:

When did the first swing to a new track happen, and what event or article provoked it? When you find an article that has provoked a major swing, or started a whole new debate, then you are looking at the “Seminal” (Seed) article were mentioned earlier. This sort of article is often the best sort of article to identify in a literature review – many of the other articles will just build on, comment on, or attack its basic arguments.

 

Use citation databases

 

If you find a seed article, or any other really good article, we have a magic database, called Scopus, which can find all the other articles which have cited that article, either because they support it or because they disagree with it.

Scopus is on our database list under Scopus. Click here to access it directly. In the search results page, you will see a "Cited by" column. If you can't find the full text immediately, you can often get the full text of the articles off one or other of our alternative databases.

You try the same strategy on Academic Search Complete. Click on the "Cited References" link at the top of the page.

Google Scholar does something similar. Find your article of interest, and click on the "Cited by" link.

Find agreement and disagreement

 

The abstracts can help with this, of course. The main trick is coming up with, or spotting, the sub themes and that is simply a matter of brain work. But if it is done well, and you have taken the trouble to find good sources, then you will find, quite magically, that you have constructed the skeleton and a good bit of the flesh and blood of your essay or research project.

In fact, a good literature review can result in an essay that virtually writes itself.

Evidence-based practice (EBP) is the conscientious and judicious use of current best evidence in conjunction with clinical expertise and patient values to guide health care decisions. Best evidence includes empirical evidence from randomized controlled trials; evidence from other scientific methods such as descriptive and qualitative research; as well as use of information from case reports, scientific principles, and expert opinion. When enough research evidence is available, the practice should be guided by research evidence in conjunction with clinical expertise and patient values.


Pyramid of Evidence (best evidence)

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The evidence pyramid is an easy way to visualize this hierarchy of evidence.

At the top of the pyramid is filtered evidence including systematic reviews, meta-analyses, and critical appraisals.  These studies evaluate and synthesize the literature.  The top of the pyramid represents the strongest evidence.

At the base of the pyramid is unfiltered evidence including randomized controlled trials, cohort studies and case reports. These are individual reports and studies, also known as the primary literature. 


PICO

PICO is a format for developing a good clinical research question prior to starting one’s research. It is a mnemonic used to describe the four elements of a sound clinical foreground question.

The question needs to identify the patient or population we intend to study, the intervention or treatment we plan to use, the comparison of one intervention to another (if applicable) and the outcome we anticipate.

  • Patient/Population, Problem  - What individual or group are we interested in studying ?
  • Intervention - What is the action (intervention, treatment) we are considering taking?
  • Comparison - To what other action (intervention, treatment) are we comparing the considered action?
  • Outcome -  What do we anticipate as an outcome?

7 Steps to a good PICO question

  • Step 1 : Formulate the PICO question
  • Step 2 : Identify keywords for each PICO element
  • Step 3 : Plan the search strategy
  • Step 4 : Execute the search
  • Step 5 : Refine the results
  • Step 6 : Review the literature
  • Step 7 : Asses the evidence 

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