Sir, what a breath of fresh air the 'opinion' piece was from Dr A Toy (BDJ 2005, 198: 67) concerning the general practice shortcomings of evidence based dentistry.

No sensible GDP ever discounts 'evidence base' although he/she may well choose to disregard large amounts of it for very valid reasons. It is the elevation and mantra of 'evidence base' to the point where the proactive double blind study becomes the only research considered of value.

The swampy and messy lowlands of general practice must be trusted and visited by academia much, much more.