Clinical Practice Guidelines and Dental Evidence

Our collection of evidence-informed clinical practice guidelines that will help you improve your practice.
Sedation Guidelines (2025 update)

Updated sedation and anesthesia use and teaching guidelines adopted by the ADA House of Delegates are now available.

Man looking at Sedation Guidelines
New Light-based
Oral Cancer Guideline (2026 update)

These updated recommendations guide the use of cytology, vital staining, and light-based adjuncts for early oral cancer detection in an interactive format.

Evidence-Based Clinical Practice Guidelines

The strongest resources to aid oral health professionals in clinical decision-making. Developed by a guideline panel, clinical and health guidelines critically appraise, summarize, and interpret relevant evidence to formulate recommendations that can be applied to patient care. Explore current clinical and health guidelines below.

Anesthesia & Sedation
Antibiotic Stewardship & Prophylaxis

Caries Management
Caries Prevention

Sealants for caries prevention (2016)
Use of pit-and-fissure sealants to prevent dental caries.

Fluoride toothpaste for young children (2014)
Fluoride toothpaste recommendations for children under six years of age.

Topical fluoride for caries prevention (2013)
Use of topical fluoride agents, including varnishes, gels, foams, rinses and pastes.

Non-fluoride caries prevention agents (2011)
Non-fluoride agents for caries prevention, including sucrose-free polyol chewing gums, xylitol dentifrices, and chlorhexidine.

Oral Cancer
Oral cancer (Living) 
Interactive recommendations on adjuncts for early detection of oral cancer.
Pain Management
Pain management (Living) 
Management of acute dental pain after tooth extraction or for temporary toothache relief.
Pain Periodontal Disease
Periodontitis treatment (2015)
Nonsurgical treatment of chronic periodontitis with scaling and root planing, with or without adjuncts.
Radiography & Radiation Safety

Patient selection x-ray recommendations (JADA 2026)
Patient selection criteria for 2-D and 3-D dental imaging featuring clinical scenarios.

Optimizing radiation safety (JADA 2024)
Appropriate dental X-ray use and updated radiation safety practices.

Education

Want to learn how to incorporate the latest scientific evidence into clinical practice? Check out these brief educational videos that demonstrate the techniques and principles of evidence-based dentistry.

Evidence-Based Dentistry

ADA Policy Statement on Evidence-Based Dentistry: The ADA defines the term evidence-based dentistry as an approach to oral health care that requires the judicious integration of systematic assessments of clinically relevant scientific evidence, relating to the patient’s oral and medical condition and history, with the dentist’s clinical expertise and the patient’s treatment needs and preferences.