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Abu Arqub S, Al-Moghrabi D, Kuo CL, Da Cunha Godoy L, Uribe F. Perceptions and utilization of tele-orthodontics: a survey of the members of the American Association of Orthodontists. Prog Orthod 2024; 25:16. [PMID: 38705914 PMCID: PMC11070410 DOI: 10.1186/s40510-024-00516-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2023] [Accepted: 03/21/2024] [Indexed: 05/07/2024] Open
Abstract
OBJECTIVE This study aimed to investigate orthodontists' utilization and perceptions of tele-orthodontics. MATERIALS AND METHODS A 30-item online survey was distributed to members of the American Association of Orthodontists (AAO). The questionnaire encompassed topics concerning the orthodontists' utilization, perceptions, clinical applications, limitations, and concerns regarding tele-orthodontics. Descriptive statistics were employed, and comparisons between responses from users and non-users were conducted using Wilcoxon rank-sum tests and Fisher's exact tests. RESULTS 152 members completed the survey, (response rate: 2.4%). More than two third of respondents (69.74%) were users of tele-orthodontics. Users were more aligned with the belief that tele-orthodontics facilitates effective communication (mean ± standard deviation (SD) 4.06 ± 0.83 vs. 3.33 ± 0.94, p < 0.001). Both groups agreed on the requirement of patient fees for tele-orthodontic visits (mean ± SD: 3.62 ± 1.11 users vs. 3.74 ± 1.02 non-users, p = 0.659), and on the capability of the system to reduce unwarranted referrals (p = 0.20). The majority of participants acknowledged the utility of the system in monitoring aligners' patients (89% in users vs. 61% in non-users, p < 0.001). Non-users expressed greater concerns regarding privacy risks (mean ± SD: 3.06 ± 0.97 users vs. 3.57 ± 0.86 non-users, p = 0.002). Both groups stressed the significance of obtaining informed consent before utilizing tele-orthodontics. CONCLUSIONS The widespread acceptance of tele-orthodontics among AAO members was apparent, as demonstrated by their recognition of its effectiveness. There was notable variation in how users and non-users perceived tele-orthodontics. The study's results offer valuable insights into both the potential benefits and drawbacks of incorporating this technology into clinical practice from the clincians' perspective.
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Affiliation(s)
- Sarah Abu Arqub
- Department of Orthodontics, University of Florida, Gainesville, FL, USA.
| | - Dalya Al-Moghrabi
- Department of Preventive Dental Sciences, College of Dentistry, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia
| | - Chia-Ling Kuo
- Connecticut Convergence Institute for Translation in Regenerative Engineering, UConn Health, Farmington, CT, USA
| | - Lucas Da Cunha Godoy
- Connecticut Convergence Institute for Translation in Regenerative Engineering, UConn Health, Farmington, CT, USA
| | - Flavio Uribe
- Division of Orthodontics, Department of Craniofacial Sciences, University of Connecticut Health, Farmington, CT, USA
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Alsharif A, Felemban D, Bakeer H, Kassim S. Validity and reliability of a teledentistry survey among dental practitioners in Saudi Arabia. PeerJ 2024; 12:e16834. [PMID: 38313015 PMCID: PMC10838065 DOI: 10.7717/peerj.16834] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2023] [Accepted: 01/04/2024] [Indexed: 02/06/2024] Open
Abstract
Background The perception of teledentistry use among dental practitioners in various contexts was assessed using the Teledentistry Survey (the TDS-24). However, this survey's psychometric analyses have not yet been analysed. This present study aims to examine the validity and reliability of the TDS-24 in a sample of dental practitioners in Saudi Arabia. Methods A self-administered questionnaire, including sociodemographic characteristics and the TDS, was distributed as a cross-sectional survey to 800 current dental practitioners in Saudi Arabia recruited via convenience and snowball sampling. The construct validity and reliability of the TDS were assessed using exploratory factor analysis (EFA) and Cronbach's alpha. Results The EFA of the survey yielded 20 items supporting a four-factor structure as follows: factor I (10 items), factor II (four items), factor III (three items) and factor IV (three items). The overall Cronbach's alpha was 0.85, while it was 0.86 for the first factor, 0.70 for the second factor, 0.52 for the third factor and 0.57 for the fourth factor. Conclusions The TDS-20, after excluding four items, revealed four factors with adequate psychometric properties, making it a valid and reliable tool in assessing teledentistry perceptions among dental practitioners in this study sample.
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Affiliation(s)
- Alla Alsharif
- Department of Preventive Dental Sciences, Taibah University College of Dentistry, Al-Madinah Al-Munawwarah, Saudi Arabia
| | - Doaa Felemban
- Department of Oral Basic and Clinical Sciences, Taibah University College of Dentistry, Al-Madinah Al-Munawwarah, Saudi Arabia
| | | | - Saba Kassim
- Department of Preventive Dental Sciences, Taibah University, Al-Madinah Al-Munawwarah, Saudi Arabia
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Thiruvenkatachari B, Sivakumar P, Ananth S, Sabbagh Y, Lewis BRK, Chadwick SM, Kaliyaperumal GS, Batra P. The impact of COVID-19 pandemic on orthodontic services and trainees' mental health in India. Front Med (Lausanne) 2023; 10:1220505. [PMID: 37724176 PMCID: PMC10505436 DOI: 10.3389/fmed.2023.1220505] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2023] [Accepted: 08/14/2023] [Indexed: 09/20/2023] Open
Abstract
Aim To evaluate the impact of COVID-19 on clinical orthodontic services, orthodontic education, and the emotional well-being of orthodontists and orthodontic trainees in India. Materials and methods The survey was designed using Survey Monkey™ and distributed to members of the Indian Orthodontic Society via their registered email address and also via social media platforms (WhatsApp and LinkedIn). Results A total of 610 responses to the survey were received. The majority of respondents agreed on the negative impact of COVID-19 on clinical activity and the associated income of orthodontists. Respondents reported that this was mainly due to national restrictions (70.1%), increased cross infection measures (59.6%), state restrictions (55.9%), and social distancing (39.4%). Ninety one percent of respondents agreed that orthodontic staff should have evidence of vaccination before providing care.COVID-19 was found to have a negative impact on the trainees' perceptions of their clinical dexterity (72.4%), their confidence with respect to academic knowledge (66.5%), their mental health (80.7%), and their stress levels during the pandemic (93.2%). Conclusion The COVID-19 pandemic has had a negative impact on orthodontic specialists and post-graduate trainees in India. The impact on trainees' mental health was significantly higher compared to trainees from other countries. Decreased clinical activity has reduced the opportunities for learning, and trainers must rise to the challenge of providing additional support to this cohort of trainees who will progress to become the future orthodontic workforce.
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Affiliation(s)
- Badri Thiruvenkatachari
- School of Dentistry, University of Manchester, Manchester, United Kingdom
- Department of Orthodontics, Sree Balaji Dental College and Hospital, Bharath Institute of Higher Education and Research, Chennai, India
| | - Prema Sivakumar
- Department of Orthodontics, Sree Balaji Dental College and Hospital, Bharath Institute of Higher Education and Research, Chennai, India
| | - Sanjana Ananth
- Department of Orthodontics, Sree Balaji Dental College and Hospital, Bharath Institute of Higher Education and Research, Chennai, India
| | - Yana Sabbagh
- School of Dentistry, University of Manchester, Manchester, United Kingdom
| | | | - Stephen M. Chadwick
- Department of Orthodontics, Countess of Chester Hospital, Chester, United Kingdom
| | - Gnana Shanmugam Kaliyaperumal
- Department of Orthodontics, Sree Balaji Dental College and Hospital, Bharath Institute of Higher Education and Research, Chennai, India
| | - Panchali Batra
- Department of Orthodontics, Jamia Millia Islamia, New Delhi, India
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El Tantawi M, Lam WYH, Giraudeau N, Virtanen JI, Matanhire C, Chifamba T, Sabbah W, Gomaa N, Al-Maweri SA, Uribe SE, Mohebbi SZ, Hasmun N, Guan G, Polonowita A, Khan SB, Pisano M, Ellakany P, Baraka MM, Ali AA, Orellana Centeno JE, Pavlic V, Folayan MO. Teledentistry from research to practice: a tale of nineteen countries. FRONTIERS IN ORAL HEALTH 2023; 4:1188557. [PMID: 37397348 PMCID: PMC10311964 DOI: 10.3389/froh.2023.1188557] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2023] [Accepted: 05/26/2023] [Indexed: 07/04/2023] Open
Abstract
Aim The COVID-19 pandemic has accelerated teledentistry research with great interest reflected in the increasing number of publications. In many countries, teledentistry programs were established although not much is known about the extent of incorporating teledentistry into practice and healthcare systems. This study aimed to report on policies and strategies related to teledentistry practice as well as barriers and facilitators for this implementation in 19 countries. Methods Data were presented per country about information and communication technology (ICT) infrastructure, income level, policies for health information system (HIS), eHealth and telemedicine. Researchers were selected based on their previous publications in teledentistry and were invited to report on the situation in their respective countries including Bosnia and Herzegovina, Canada, Chile, China, Egypt, Finland, France, Hong Kong SAR, Iran, Italy, Libya, Mexico, New Zealand, Nigeria, Qatar, Saudi Arabia, South Africa, United Kingdom, Zimbabwe. Results Ten (52.6%) countries were high income, 11 (57.9%) had eHealth policies, 7 (36.8%) had HIS policies and 5 (26.3%) had telehealth policies. Six (31.6%) countries had policies or strategies for teledentistry and no teledentistry programs were reported in two countries. Teledentistry programs were incorporated into the healthcare systems at national (n = 5), intermediate (provincial) (n = 4) and local (n = 8) levels. These programs were established in three countries, piloted in 5 countries and informal in 9 countries. Conclusion Despite the growth in teledentistry research during the COVID-19 pandemic, the use of teledentistry in daily clinical practice is still limited in most countries. Few countries have instituted teledentistry programs at national level. Laws, funding schemes and training are needed to support the incorporation of teledentistry into healthcare systems to institutionalize the practice of teledentistry. Mapping teledentistry practices in other countries and extending services to under-covered populations increases the benefit of teledentistry.
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Affiliation(s)
- Maha El Tantawi
- Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria University, Alexandria, Egypt
| | - Walter Yu Hang Lam
- Prosthodontics, Restorative Dental Sciences, Faculty of Dentistry, The University of Hong Kong, Hong Kong, Hong Kong SAR, China
| | | | - Jorma I. Virtanen
- Institute of Dentistry, Faculty of Medicine, University of Turku, Turku, Finland
| | - Cleopatra Matanhire
- Department of Oral Health, Faculty of Medicine and Health Sciences, University of Zimbabwe, Harare, Zimbabwe
| | - Timothy Chifamba
- Department of Oral Health, Faculty of Medicine and Health Sciences, University of Zimbabwe, Harare, Zimbabwe
| | - Wael Sabbah
- Centre for Host Microbiome Interactions, King’s College London, London, United Kingdom
| | - Noha Gomaa
- Schulich School of Medicine & Dentistry, Western University, London, ON, Canada
| | - Sadeq Ali Al-Maweri
- Department of Pre-Clinical Oral Health Sciences, College of Dental Medicine, QU Health, Qatar University, Doha, Qatar
| | - Sergio E. Uribe
- Department of Conservative Dentistry and Oral Health, Riga Stradins University, Riga, Latvia
- School of Dentistry, Universidad Austral de Chile, Valdivia, Chile
- Baltic Biomaterials Centre of Excellence, Headquarters at Riga Technical University, Riga, Latvia
| | - Simin Z. Mohebbi
- Research Center for Caries Prevention, Dentistry Research Institute, and Department of Community Oral Health, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
| | - Noren Hasmun
- Department of Oral Sciences, Faculty of Dentistry, University of Otago, Dunedin, New Zealand
| | - Guangzhao Guan
- Department of Oral Sciences, Faculty of Dentistry, University of Otago, Dunedin, New Zealand
| | - Ajith Polonowita
- Department of Oral Sciences, Faculty of Dentistry, University of Otago, Dunedin, New Zealand
| | - Sadika Begum Khan
- Department of Prosthetic Dentistry, Faculty of Dentistry, University of the Western Cape, Cape Town, South Africa
| | - Massimo Pisano
- Department of Medicine, Surgery and Dentistry “Scuola Medica Salernitana”, University of Salerno, Baronissi, Italy
| | - Passent Ellakany
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Marwa Mohamed Baraka
- Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria University, Alexandria, Egypt
| | | | | | - Verica Pavlic
- Department of Periodontology and Oral Medicine, Faculty of Medicine, University of Banja Luka, Banja Luka, Bosnia and Herzegovina
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Abdelmagid SME, Abass SK. Knowledge and practice towards early orthodontic problems among general dentists and paediatric dentists. J Orthod 2023; 50:39-44. [PMID: 35694759 DOI: 10.1177/14653125221105905] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
OBJECTIVES To assess the knowledge, practice and challenges faced by general dental practitioners (GDPs), paediatric dentists (PDs) and postgraduate paediatric dentistry students (PGPDSs) in diagnosing and managing early orthodontic problems. DESIGN Cross-sectional study. METHODS A total of 159 dentists were enrolled in this study (121 GDPs, 21 PDs and 17 PGPDSs). Data were collected using a self-administered questionnaire involving two sections. Section A included questions regarding demographic features and orthodontic practice. Section B included photos of 12 orthodontic cases that needed early intervention. Knowledge and practice were assessed using six questions for each case that was then rated using predefined scores of poor (score <50%), average (score 50%-75%) and good (score >75%). RESULTS The knowledge scores regarding the identification of early orthodontic problems were average among the three groups with GDPs having the lowest score (P = 0.0001). The knowledge scores regarding the selection of optimal treatment time were average among the PDs and PGPDSs, and poor among GDPs. GDPs tended to refer most of their cases to an orthodontist except for cases of thumb sucking. PDs and PGPDSs were more confident in treating anterior crossbite, thumb sucking habits and delayed eruption of incisors. All participants scored 'poor' regarding the selection of an appropriate orthodontic appliance. There was no significant correlation between knowledge and practice (P > 0.05). CONCLUSION PDs and PGPDSs showed higher knowledge and practice scores when compared to GDPs. For all three groups included in this study, lack of clinical skills was the main reason for not treating early orthodontic problems.
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Affiliation(s)
- Sara M E Abdelmagid
- Department of Orthodontics, University of Science and Technology, Khartoum, Sudan
| | - Shaza K Abass
- Department of Orthodontics, University of Khartoum, Khartoum, Sudan
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Awareness regarding Teledentistry among Dental Professionals in Malaysia. BIOMED RESEARCH INTERNATIONAL 2022; 2022:3750556. [PMID: 35909481 PMCID: PMC9328987 DOI: 10.1155/2022/3750556] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/29/2022] [Revised: 06/03/2022] [Accepted: 06/23/2022] [Indexed: 11/18/2022]
Abstract
Objective. Teledentistry is considered to be a technological advancement in providing dental care to patients while effectively addressing the time management. Furthermore, the pandemic of COVID-19 has been here for quite long now, forcing the dental practitioners to ponder upon other methods of healthcare delivery apart from the traditional in-office direct clinical examination. The aim of this study was to explore the perceptions of dental professionals of Malaysia regarding teledentistry, which can act as a future pedestal for improvements in virtual dental practice and patient care. Materials and Methods. It was a descriptive, cross-sectional study involving an electronic survey of a sample of dental professionals of Malaysia. A prevalidated, 26-item, 5-point Likert-scale questionnaire was used in assessing the perceptions of dental professionals regarding teledentistry in four domains: existing concerns about teledentistry use, the potential of teledentistry in improving practice, usefulness of teledentistry for dental practice, and its usefulness for patients. Statistical analyses involved descriptive statistics which included frequency distributions. Results. An overall response rate of 31.0% was observed with 310 dental practitioners participating in the survey. More than 60% of respondents agreed that teledentistry would benefit the dental practice through enhancement of communication with peers, guidance, and new patients’ referral. However, a substantial proportion of practitioners (70-80%) expressed uncertainty with accuracy of diagnosis, technical reliability, and privacy. Conclusion. Generally, the results of this study point towards the readiness of dental professionals of Malaysia to engage in teledentistry practice. However, further work needs to be done to assess the commercial feasibility of teledentistry, not only in Malaysia but also in other parts of the world. To start with, directed campaigns in reference to teledentistry are necessary to educate dentists and the public about the technology and its potential.
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Venugopal A, Bowman SJ, Marya A, Subramanian A, Vaid N, Ludwig B. The World Wide Web of orthodontics- A comprehensive narrative on teledentistry pertaining to the orthodontics of the 21 st century. J Orthod Sci 2022; 11:1. [PMID: 35282291 PMCID: PMC8895379 DOI: 10.4103/jos.jos_147_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2021] [Revised: 06/07/2021] [Accepted: 10/16/2021] [Indexed: 11/14/2022] Open
Abstract
Teledentistry has proven effective in practically all dental fields. It also allows access to inaccessible and underdeveloped locations. Better treatment outcomes were documented in patients treated by an orthodontist supervised by teledentistry than by a general dentist with minimal orthodontic experience alone. It may also help to focus referrals to specialists and weed out those who do not need them. But, on a critical note, a doctor-patient relationship is much more than a business transaction. A face-to-face initial consultation instills trust that a remote session cannot. Teledentistry includes professional networking of doctors. This contact includes digital information exchange, CPD programs, case discussions, and analysis that bring dentists from all around the world together to improve patient care. Teledentistry has not only spanned the distance between dentists worldwide, but has also served as a conduit between customer (patient) and manufacturer. This spawned Direct to Consumer (DTC) dentistry, sparking substantial debate among dentists worldwide. In DTC dentistry, inadequately trained customers conduct complex procedures on themselves with minimal guidance of a dentist. One of the major issues today is the general availability of clear aligners to patients without the requirement for an intermediary skilled orthodontist. The American Association of Orthodontists (AAO) has publicly questioned the validity of Smile Direct Club, a private firm that dominates the DTC industry. European Federation of Orthodontic Specialists Association, on the other hand, has sponsored a joint declaration with the representative orthodontic associations in Europe to highlight and alert patients about the potential risks of DTC products. Unfortunately, public shaming hasn't slowed commercialization of DTC firms. Teledentistry has been a boon for healthcare, but a nightmare for our profession, raising fundamental questions like what is the difference between a customer and a patient? Is dentistry a just another discipline of cosmetics? Is teledentistry making us less connected with our patients?
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Menhadji P, Patel R, Asimakopoulou K, Quinn B, Khoshkhounejad G, Pasha P, Garcia Sanchez R, Ide M, Kalsi P, Nibali L. Patients' and dentists' perceptions of tele-dentistry at the time of COVID-19. A questionnaire-based study. J Dent 2021; 113:103782. [PMID: 34400252 PMCID: PMC8361006 DOI: 10.1016/j.jdent.2021.103782] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2021] [Revised: 08/02/2021] [Accepted: 08/07/2021] [Indexed: 11/28/2022] Open
Abstract
Objectives COVID-19 has had a significant impact on dentistry in unforeseen ways, including a substantial rise in the development and implementation of video consultations. The research aimed to investigate dentists’ and patients’ attitudes towards dental video consultations (tele-dentistry) and to identify potential ways to improve the experience. Methods A cross-sectional, pre-post design, online survey was carried out with patients’ and dentists’ before and after video consultations. A total of 249 participants accessed the survey and 228 of them consented to take part in the study and answered the online questions. Participants’ attitudes towards video consultations were assessed using a questionnaire constructed by a multidisciplinary team of periodontists and psychologists. The measure assessed the perceived efficacy of the video consultations on patients and the dental team. Video consultations were performed to risk assess, triage and manage remotely via a video link out at (deleted name of institution as double blinded peer review) via NHS England's Attend Anywhere platform. Results The majority of patients strongly agreed and were satisfied using tele-dentistry in the five domains which we explored: the ease, comprehensiveness and helpfulness of the video consultations and the anxiety and satisfaction levels of the patient. Dentists and students alike felt more confident and competent after having carried out a video consultation. The majority of clinicians found the tele-dentistry platform helpful and easy to perform. Just over 70% of patients strongly agreed that the video consultation ran smoothly and 75.7% strongly agreed that they were comfortable accessing the consultation from home rather than travelling in for the consultation. Just under 80% of patients stated that they would recommend the video consultation. Conclusions This study shows that tele-dentistry may be a valid option to help service providers and dental patients, as it seems to be well accepted by both patients and dentists. JM to typesetter. Clinical significance Patients’ and dentists’ perceptions of Tele-Dentistry at the time of COVID-19. A questionnaire-based study. To our knowledge this is one of the first studies evaluates perceptions of patients and clinicians before and after a tele-dentistry encounter in and across different dental departments. The majority of survey participants expressed positive views towards tele-dentistry across all domains including ease and comprehensiveness of the video consultation, perceived helpfulness and anxiety and satisfaction of the patient. Dentists appear to be competent and confident to carry out these video consultations and find them to be helpful and easy to complete. As a result, we suggest readers adopt tele-dentistry in their daily activities to help patients and clinicians alike.
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Affiliation(s)
- Payvand Menhadji
- Periodontology Unit, Centre for Host Microbiome Interactions, Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, London, United Kingdom
| | - Rupal Patel
- Periodontology Unit, Centre for Host Microbiome Interactions, Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, London, United Kingdom
| | - Koula Asimakopoulou
- Periodontology Unit, Centre for Host Microbiome Interactions, Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, London, United Kingdom
| | - Barry Quinn
- Faculty of Dentistry, Oral and Cranio-facial Sciences, King's College London, Tower Wing, Guy's Hospital, London SE1 9RT, United Kingdom
| | - Golfam Khoshkhounejad
- Department of Orthodontics, Guy's and St Thomas' Hospital, Tower Wing, Guy's Hospital, London SE1 9RT, United Kingdom
| | - Pegah Pasha
- Periodontology Unit, Centre for Host Microbiome Interactions, Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, London, United Kingdom
| | - Ruben Garcia Sanchez
- Periodontology Unit, Centre for Host Microbiome Interactions, Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, London, United Kingdom
| | - Mark Ide
- Periodontology Unit, Centre for Host Microbiome Interactions, Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, London, United Kingdom
| | - Poonam Kalsi
- Department of Restorative Dentistry, Guy's and St Thomas' Hospital, Tower Wing, Guy's Hospital, London SE1 9RT, United Kingdom
| | - Luigi Nibali
- Periodontology Unit, Centre for Host Microbiome Interactions, Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, London, United Kingdom.
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Wallace CK, Schofield CE, Burbridge LAL, O'Donnell KL. Role of teledentistry in paediatric dentistry. Br Dent J 2021:10.1038/s41415-021-3015-y. [PMID: 34172921 PMCID: PMC8231751 DOI: 10.1038/s41415-021-3015-y] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2020] [Accepted: 09/24/2020] [Indexed: 11/08/2022]
Abstract
Introduction As a result of the COVID-19 pandemic, teledentistry has been used more frequently due to social distancing regulations to minimise the need for face-to-face attendances. Aims Evaluate uses of teledentistry within Newcastle Dental Hospital's Paediatric Dentistry New Patient Service. Establishes potential roles of teledentistry within paediatric dentistry and advantages and disadvantages of this service method. Methods Service evaluation of 653 new patient teledentistry appointments at Newcastle Dental Hospital across a one-month period (13 May- 12 June 2020).Discussion By implementing a telephone consultation as the first point of contact with our team, we were able to reduce the number of face-to-face appointments required by over a third. Teledentistry can be used for numerous applications within paediatric dentistry including initial triage, remote assessment, reinforcement of prevention, implementing initial management and building rapport. Conclusion Teledentistry is an emerging field and has the potential to improve patient journeys, reduce waiting lists and reduce unnecessary face-to-face attendances which is especially important both within and beyond the current COVID-19 pandemic to maximise safety and minimise inconvenience for both parent and child. However, care must be taken to ensure a clinician is confident in their diagnosis prior to discharging or delaying management of a patient.
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Affiliation(s)
- Christopher K Wallace
- Paediatric Dentistry, The Newcastle upon Tyne NHS Foundation Trust, Newcastle Dental Hospital, Richardson Road, Newcastle upon Tyne, Tyne and Wear, NE2 4AZ, UK.
| | - Charlotte E Schofield
- Paediatric Dentistry, The Newcastle upon Tyne NHS Foundation Trust, Newcastle Dental Hospital, Richardson Road, Newcastle upon Tyne, Tyne and Wear, NE2 4AZ, UK
| | - Lucy A L Burbridge
- Paediatric Dentistry, The Newcastle upon Tyne NHS Foundation Trust, Newcastle Dental Hospital, Richardson Road, Newcastle upon Tyne, Tyne and Wear, NE2 4AZ, UK
| | - Katherine L O'Donnell
- Paediatric Dentistry, The Newcastle upon Tyne NHS Foundation Trust, Newcastle Dental Hospital, Richardson Road, Newcastle upon Tyne, Tyne and Wear, NE2 4AZ, UK
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Almazrooa SA, Mansour GA, Alhamed SA, Ali SA, Akeel SK, Alhindi NA, Felemban OM, Mawardi HH, Binmadi NO. The application of teledentistry for Saudi patients' care: A national survey study. J Dent Sci 2021; 16:280-286. [PMID: 33384810 PMCID: PMC7770252 DOI: 10.1016/j.jds.2020.04.014] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2020] [Revised: 04/28/2020] [Indexed: 11/28/2022] Open
Abstract
BACKGROUND/PURPOSE Teledentistry has emerged as a new communication tool in various dental disciplines around the world. The aim of this study was to investigate the applicability and reliability of teledentistry in the field of diagnostic dentistry and explore the perception of Saudi dentists of its benefits and concerns. MATERIALS AND METHODS An electronic survey with 40 questions was developed, validated and distributed electronically by email and social media channels to dentists from different specialty in Saudi Arabia. Collected data were analyzed for statistical significance. RESULTS A total of 148 dentists completed the survey. The current data demonstrated that 50% of study participants have had applied teledentistry in their clinical practice. Out of all, 90% have computers in their dental offices and 72% have been using electronic medical records in which radiographs and clinical images are uploaded. Most participants had smart phones (91%), in which they were used more commonly (74.3%) than conventional cameras (54.1%) to capture and share patients' clinical images over communication applications (74.3%) and less likely through emails (62.2%). Overall, 83% were confident that teledentistry can improve daily dental practice, specifically in the fields of oral radiology followed by endodontics and oral medicine. CONCLUSION Teledentistry is an emerging tool with potential to improve the delivery of diagnostic dental care for communities with limited or no access to dental specialists. As of today, teledentistry has not been truly implemented by the Saudi dental community. Development of national programs to educate the public and promote teledentistry among dental practitioners are warranted.
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Affiliation(s)
- Soulafa A. Almazrooa
- Department of Oral and Diagnostic Sciences, King Abdulaziz University, Faculty of Dentistry, Jeddah, Saudi Arabia
| | - Ghada A. Mansour
- Department of Oral and Diagnostic Sciences, King Abdulaziz University, Faculty of Dentistry, Jeddah, Saudi Arabia
| | - Sana A. Alhamed
- Department of Oral and Diagnostic Sciences, King Abdulaziz University, Faculty of Dentistry, Jeddah, Saudi Arabia
| | - Sarah A. Ali
- Department of Oral and Diagnostic Sciences, King Abdulaziz University, Faculty of Dentistry, Jeddah, Saudi Arabia
| | - Sara K. Akeel
- Department of Oral and Diagnostic Sciences, King Abdulaziz University, Faculty of Dentistry, Jeddah, Saudi Arabia
| | - Nada A. Alhindi
- Department of Oral and Diagnostic Sciences, King Abdulaziz University, Faculty of Dentistry, Jeddah, Saudi Arabia
| | - Osama M. Felemban
- Department of Pediatric Dentistry, King Abdulaziz University, Faculty of Dentistry, Jeddah, Saudi Arabia
| | - Hani H. Mawardi
- Department of Oral and Diagnostic Sciences, King Abdulaziz University, Faculty of Dentistry, Jeddah, Saudi Arabia
| | - Nada O. Binmadi
- Department of Oral and Diagnostic Sciences, King Abdulaziz University, Faculty of Dentistry, Jeddah, Saudi Arabia
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Byrne E, Watkinson S. Patient and clinician satisfaction with video consultations during the COVID-19 pandemic: an opportunity for a new way of working. J Orthod 2020; 48:64-73. [PMID: 33251951 DOI: 10.1177/1465312520973677] [Citation(s) in RCA: 23] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
OBJECTIVE To assess satisfaction of patients and clinicians with virtual appointments using Attend Anywhere for their orthodontic consultation and to identify any areas where the technology could be further utilised. DESIGN Service evaluation involving descriptive cross-sectional questionnaire. SETTING Orthodontic Departments at Royal Blackburn Teaching Hospital and Burnley General Teaching Hospital. PARTICIPANTS Patients and clinicians involved in video consultations. METHODS Patient- and clinician-specific questionnaires were designed and those involved in virtual clinics were invited to complete these at the end of their consultation. The questionnaires focused on setting up and connecting to the virtual clinic, assessing if the correct types of patients were involved in the clinics and satisfaction with these types of remote consultations. RESULTS A total of 121 questionnaires (59 patient and 62 clinician) were completed. Of the patients, 93% found the instructions provided to access the consultation easy to follow and 70% of clinicians did not report any connection issues. In 90% of cases, a virtual appointment was seen to be appropriate by the clinician. Respondents showed a high level of satisfaction with 76% of patients saying a remote consultation was more convenient than face-to-face, and 66% reporting they would, if appropriate, like more appointments like this in the future. CONCLUSION The overall satisfaction among patients with virtual clinics introduced during the COVID-19 pandemic was generally high. The majority of patients would, where appropriate, prefer more virtual appointments in the future in comparison to face-to-face appointments and it was found to be more convenient for the patient.
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Affiliation(s)
- Emer Byrne
- Department of Orthodontics, University Dental Hospital of Manchester, Manchester and East Lancashire Hospitals NHS Trust, UK
| | - Simon Watkinson
- Department of Orthodontics, University Dental Hospital of Manchester, Manchester and East Lancashire Hospitals NHS Trust, UK
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Al-Khalifa KS, AlSheikh R. Teledentistry awareness among dental professionals in Saudi Arabia. PLoS One 2020; 15:e0240825. [PMID: 33057381 PMCID: PMC7561132 DOI: 10.1371/journal.pone.0240825] [Citation(s) in RCA: 31] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2020] [Accepted: 10/02/2020] [Indexed: 11/29/2022] Open
Abstract
Background Teledentistry is believed to improve dentalcare provided to patients and time management efficiency. In addition, teledentistry can be a useful tool for peer education, consultations and ensures proper channeling for referrals. Objective This study aimed to explore Saudi Arabian dental professionals' perceptions of teledentistry's benefits in improving dental practice and patient care. Methods A descriptive cross-sectional study involving an electronic survey of a sample of Saudi Arabian dental professionals. A validated 26-item, 5-point Likert-scale questionnaire was used to assess perceptions of dental professionals in four domains: usefulness of teledentistry for patients, the usefulness of teledentistry for dental practice; the potential of teledentistry to improve practice; and existing concerns about the use of teledentistry. Statistical analyses involved descriptive statistics, bivariate analysis using SPSS software. Significant differences were considered at a p-value of 0.05. Results With an overall response rate of 28.6%, 286 dental professionals participated in the study. More than 70% of respondents agreed or strongly agreed that teledentistry would improve dental practice through enhancing communication with peers, guidance and referral of new patients. A substantial proportion of respondents (60–70%) expressed uncertainty with technical reliability, privacy and diagnostic accuracy. The participants' qualification was statistically significant with usefulness of teledentistry for patients (p = 0.027), while work experience in years was statistically significant with both usefulness of teledentistry for dental practice and patients (p = 0.046 and <0.0001 respectively). Conclusion Generally, the feedback gained by this study showed readiness of the dental professionals to be engaged in the teledentistry approach. Further investigation of the business model of teledentistry is needed to understand the readiness and challenges. Directed campaign to educate dentists and the public of the technology and it is potential is necessary.
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Affiliation(s)
- Khalifa S. Al-Khalifa
- Preventive Dental Sciences Department, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
- * E-mail:
| | - Rasha AlSheikh
- Restorative Dental Sciences Department, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
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Squires T, Michelogiannakis D, Rossouw PE, Javed F. An evidence-based review of the scope and potential ethical concerns of teleorthodontics. J Dent Educ 2020; 85:92-100. [PMID: 32860244 DOI: 10.1002/jdd.12384] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2020] [Revised: 08/07/2020] [Accepted: 08/11/2020] [Indexed: 12/19/2022]
Abstract
PURPOSE The aim was to evaluate the scope and potential ethical concerns related to the use of teledentistry in clinical orthodontics. METHODS Indexed databases were searched up to and including October 2020. The eligibility criteria were as follows: (a) original clinical studies, and (b) case reports/series. Historic reviews, commentaries, experimental studies, and letters to the editor, were excluded. The pattern of the present review was customized to summarize the relevant information. RESULTS A total of 4 clinical studies (out of 1016) were included in the present evidence-based review. Three studies reported that teledentistry is useful in clinical orthodontics. In 1 study, a clear conclusion could not be derived regarding the benefits of teledentistry in clinical orthodontics. Two out of 4 studies did not obtain prior approval from an Institutional Review Board or Ethical Committee. Three studies did not report any measures that were undertaken to safeguard the electronic transfer of patient-related health information. CONCLUSIONS Teleorthodontics facilitates treatment planning/monitoring by sharing orthodontics-based patient records among oral healthcare providers; however, the importance of direct patient supervision and routine follow-ups during orthodontic therapy cannot be overlooked. Further studies are needed to establish ethical guidelines and a standard of care in this emerging field.
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Affiliation(s)
- Taylor Squires
- Division of Orthodontics and Dentofacial Orthopedics, Eastman Institute for Oral Health, University of Rochester, Rochester, New York, USA
| | - Dimitrios Michelogiannakis
- Division of Orthodontics and Dentofacial Orthopedics, Eastman Institute for Oral Health, University of Rochester, Rochester, New York, USA
| | - P Emile Rossouw
- Division of Orthodontics and Dentofacial Orthopedics, Eastman Institute for Oral Health, University of Rochester, Rochester, New York, USA
| | - Fawad Javed
- Division of Orthodontics and Dentofacial Orthopedics, Eastman Institute for Oral Health, University of Rochester, Rochester, New York, USA
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Crawford E, Taylor N. The effective use of an e-dentistry service during the COVID-19 crisis. J Orthod 2020; 47:330-337. [DOI: 10.1177/1465312520949557] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
In 2020, we experienced the largest disruption to normal life recorded in recent years with the COVID-19 global pandemic. Creative thinking was required to ensure patient care was maintained. In this article, we share a service evaluation and experiences dealing with the crisis through using a virtual office approach with video conferencing to manage emergency consultations, treatment reviews, new patient and multidisciplinary clinics in a hospital orthodontic unit.
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Affiliation(s)
- Elizabeth Crawford
- Orthodontic Department, Royal Surrey County Hospital, Guildford, UK
- Eastman Dental Hospital, UCLH Foundation Trust, London, UK
| | - Nigel Taylor
- Orthodontic Department, Royal Surrey County Hospital, Guildford, UK
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Rahman N, Nathwani S, Kandiah T. Teledentistry from a patient perspective during the coronavirus pandemic. Br Dent J 2020:10.1038/s41415-020-1919-6. [PMID: 32801323 PMCID: PMC7427495 DOI: 10.1038/s41415-020-1919-6] [Citation(s) in RCA: 43] [Impact Index Per Article: 10.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Objective Evaluation of patient experience when utilising teledentistry during the coronavirus (COVID-19) pandemic.Methods We designed a ten-item, five-point Likert-scale questionnaire assessing: 1) patient satisfaction; 2) ease of use; 3) the effectiveness including increasing access to clinical services; 4) reliability of the teledentistry system; and 5) usefulness for patients. Fifty-two patients completed the survey and data was analysed.Results We had a 100% response rate with 52 surveys completed over seven clinics. Patients that used the virtual clinic and telephone consultation had 97% and 94% satisfaction with their experience, respectively. All respondents agreed or strongly agreed with statements indicating that the teledentistry system would be very useful in saving time and a substantial proportion (96%) would use this system again in light of COVID-19.Conclusion Our study has shown positive patient experiences towards the use of teledentistry in all five domains. In light of the COVID-19 pandemic, healthcare providers should consider adapting patient pathways and using telehealth as a method of consultation in the recovery planning of services, as well as to reduce the spread of this highly transmissible disease.
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Affiliation(s)
- Naomi Rahman
- Consultant Oral Surgeon, East Surrey Hospital, Canada Avenue, Redhill, RH1 5RH, UK.
| | - Shrina Nathwani
- Consultant in Oral Surgery, East Surrey Hospital, Canada Avenue, Redhill, RH1 5RH, UK
| | - Thayalan Kandiah
- Lead for Dental and Maxillofacial Services, East Surrey Hospital, Canada Avenue, Redhill, RH1 5RH, UK
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Alsharif AT, Al-harbi SS. Dentists’ Self-perception on Teledentistry: The Changing Landscape Driven by Technological Booming in the 21stCentury. Open Dent J 2020. [DOI: 10.2174/1874210602014010291] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023] Open
Abstract
Aim:
Teledentistry has gained popularity worldwide because it is cost-effective and increase accessibility to dental healthcare. This study assessed the self-perceptions of teledentistry among dental practitioners in Saudi Arabia and examinedany gender-related differences.
Methods:
This cross-sectional study was conducted between January and December 2017 and recruited a convenience sample of dental practitioners, whose self-perceptions of the practice-related use of teledentistry were assessed viaateledentistry survey (TDS). The TDS consisted off our sections:efficiency in patient care, cost reduction,capabilities forimproving practice, and security and confidentiality.Data analyseswere conducted throughdescriptive statistics,internalreliability tests(Cronbach’s alpha), andchi-squaredtests of the TDS.
Results:
The response rate was 620/800(78%). Most respondents were female (62%), and 58% of themworked in the public sector. The internal reliability of the TDS was 0.85 for the whole sampleand 0.85 and 0.90 for males and females, respectively. Among the entire sample, 51% agreed that teledentistry reduced potential cost, and 65% reported shortened waitlists. More females (42%, p<0.001) than males (22%) agreed that teledentistry could help monitor a patient’s condition.More females (35%) than males (13%, p<0.001) considered that teledentistry would require additional appointments for imaging. More females(29%, p=0.0001) than males (22%) expressed great concern aboutpotential violations of confidentiality.
Conclusion:
These findings suggest thatteledentistry in dental practiceis well perceived by practitioners in Saudi Arabia. Gender differences in perceptions are linked to certain aspects of teledentistry.
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Bavaresco CS, Hauser L, Haddad AE, Harzheim E. Impact of teleconsultations on the conduct of oral health teams in the Telehealth Brazil Networks Programme. Braz Oral Res 2020; 34:e011. [PMID: 32130361 DOI: 10.1590/1807-3107bor-2020.vol34.0011] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2018] [Accepted: 11/01/2019] [Indexed: 11/22/2022] Open
Abstract
Telehealth has been applied in the Unified Health System (SUS) as a tool for qualifying professionals and improving the healthcare provided to the population served by the system. The aim of the present study was to evaluate the impact of teleconsultations on the qualifications of the clinical approach of the oral health teams involved in primary health care (PHC) in the state of Rio Grande do Sul under the Telehealth Brazil Networks Programme. The sample population of the study was composed of 285 dentists and 132 oral health assistants belonging to the Family Health Teams. A chi-square test was used to investigate possible associations between the absolute number of teleconsultations performed and several independent variables, namely, gender, age, dental specialty, time since graduation, time working in the Family Health Strategy (FHS), employment status, type of training institution, familiarity with information technology, and work satisfaction at the health facility. The level of significance was p < 0.05. Use of the oral health teleconsultation service led to a reduction of more than 45% in the number of referrals to other levels of care. However, no significant association was found between the number of teleconsultations and the independent variables analysed. The use of teleconsultations proved to be a powerful tool for professional training, for increasing the effectiveness of PHC, and for improving the oral healthcare provided.
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Affiliation(s)
- Caren Serra Bavaresco
- Universidade Luterana do Brasil - Ubra, DDS, Graduate Program in Dentistry , Canoas , RS , Brazil
| | | | - Ana Estela Haddad
- Universidade de São Paulo - USP, School of Dentistry , Department of Orthodontics and Pediatric Dentistry , São Paulo , SP , Brazil
| | - Erno Harzheim
- Universidade Federal do Rio Grande do Sul - UFGRS, School of Medicine , Graduate Program in Epidemiology , Porto Alegre , RS , Brazil
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Livas C, Delli K, Spijkervet FKL, Vissink A, Dijkstra PU. Concurrent validity and reliability of cephalometric analysis using smartphone apps and computer software. Angle Orthod 2019; 89:889-896. [PMID: 31282737 DOI: 10.2319/021919-124.1] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
OBJECTIVES To assess the diagnostic accuracy of two smartphone cephalometric analysis apps compared with Viewbox software. MATERIALS AND METHODS Pretreatment digital lateral cephalograms of 50 consecutive orthodontic patients (20 males, 30 females; mean age, 19.1 years; SD, 11.7) were traced twice using two apps (ie, CephNinja and OneCeph), with Viewbox used as the gold standard computer software program. Seven angular and two linear measurements, originally derived from Steiner cephalometric analysis, were performed. RESULTS Regarding validity, intraclass correlation coefficients (ICCs) ranged from .903-.983 and .786-.978 for OneCeph vs Viewbox and CephNinja vs Viewbox, respectively. The ICC values for intratool reliability ranged from .647-.993. None of the CephNinja measurements was below the recommended cutoff values of ICCs for reliability. CONCLUSIONS OneCeph has a high validity compared with Viewbox, while CephNinja is the best alternative to Viewbox regarding reliability. Smartphone apps may have a great potential in supplementing traditional cephalometric analysis.
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19
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An estimated carbon footprint of NHS primary dental care within England. How can dentistry be more environmentally sustainable? Br Dent J 2017; 223:589-593. [DOI: 10.1038/sj.bdj.2017.839] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/09/2017] [Indexed: 11/08/2022]
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Pentapati KC, Mishra P, Damania M, Narayanan S, Sachdeva G, Bhalla G. Reliability of intra-oral camera using teledentistry in screening of oral diseases - Pilot study. Saudi Dent J 2017; 29:74-77. [PMID: 28490846 PMCID: PMC5411894 DOI: 10.1016/j.sdentj.2017.03.002] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2016] [Accepted: 03/01/2017] [Indexed: 11/19/2022] Open
Abstract
Objective Reliability of intra-oral camera using teledentistry in screening of oral diseases. Methodology A trained and calibrated examiner used intra-oral camera to capture videos of oral cavity along with clinical examination to evaluate caries, plaque, calculus, tooth wear and fluorosis, stains in children. Results The mean DT and DMFT were significantly higher with use of intra-oral camera than with clinical examination (p = 0.001 and 0.001) respectively. A positive strong significant correlation was seen between intra-oral camera and clinical examination with respect to DT, MT, FT and DMFT (r = 0.721, p < 0.001; r = 0.908, p < 0.001; r = 0.869, p < 0.001; r = 0.876, p < 0.001) respectively. Reliability of intra-oral camera when compared with clinical examination varied from substantial to almost perfect agreement various oral conditions. Disclosed immature plaque was not clear while mature plaque was clearly demonstrated. Conclusion/recommendations Intra-oral camera was shown to be a reliable tool to identify common oral diseases. Further studies involving applications like sealant retention, pre-malignant lesions, recurrent apthae, gingival recession and dental malocclusion and effectiveness in regular screening are needed.
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21
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Teleorthodontics. Am J Orthod Dentofacial Orthop 2017; 151:219-221. [DOI: 10.1016/j.ajodo.2016.10.012] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2016] [Revised: 10/19/2016] [Accepted: 10/26/2016] [Indexed: 11/17/2022]
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Nayar P, McFarland KK, Chandak A, Gupta N. Readiness for Teledentistry: Validation of a Tool for Oral Health Professionals. J Med Syst 2016; 41:4. [PMID: 27822871 DOI: 10.1007/s10916-016-0654-7] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2016] [Accepted: 10/28/2016] [Indexed: 11/29/2022]
Abstract
We validated a survey tool to test the readiness of oral health professionals for teledentistry (TD). The survey tool, the University of Calgary Health Telematics Unit's Practitioner Readiness Assessment Tool (PRAT) gathered information about the participants' beliefs, attitudes and readiness for TD before and after a teledentistry training program developed for a rural state in the Mid-Western United States. Ninety-three dental students, oral health and other health professionals participated in the TD training program and responded to the survey. Wilcoxon signed rank test was used to assess statistical differences in the change in the readiness rating before and after the training. Principal Components Analysis identified a three factor structure for the PRAT tool: Attitudes/ Attributes of Personnel; Motivation to Change and Institutional Resources. Overall, the evaluation demonstrated a positive change in all trainees' attitudes following the training sessions, with the majority of trainees acknowledging a positive impact of the training on their readiness for teledentistry.
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Affiliation(s)
- Preethy Nayar
- Department of Health Services Research & Administration, University of Nebraska Medical Center, 984350 Nebraska Medical Center, Omaha, NE, 68198-4350, USA. .,Department of Oral Biology, College of Dentistry, University of Nebraska Medical Center, Omaha, NE, USA.
| | - Kimberly K McFarland
- Department of Community and Preventive Dentistry, School of Dentistry, Creighton University, Creighton, USA
| | - Aastha Chandak
- Department of Health Services Research & Administration, University of Nebraska Medical Center, 984350 Nebraska Medical Center, Omaha, NE, 68198-4350, USA
| | - Niodita Gupta
- Department of Health Services Research & Administration, University of Nebraska Medical Center, 984350 Nebraska Medical Center, Omaha, NE, 68198-4350, USA
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Daniel SJ, Kumar S. Comparison of dental hygienists and dentists: clinical and teledentistry identification of dental caries in children. Int J Dent Hyg 2016; 15:e143-e148. [DOI: 10.1111/idh.12232] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/13/2016] [Indexed: 11/30/2022]
Affiliation(s)
- SJ Daniel
- G.W. Hirschfeld School of Dental Hygiene; Old Dominion University; Norfolk VA USA
| | - S Kumar
- Department of Health Informatics and Information Management; University of Tennessee Health Science Center; Memphis TN USA
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Estai M, Kruger E, Tennant M. Perceptions of Australian dental practitioners about using telemedicine in dental practice. Br Dent J 2016; 220:25-9. [DOI: 10.1038/sj.bdj.2016.25] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/09/2015] [Indexed: 11/09/2022]
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25
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Dunbar A, Bearn D, McIntyre G. The Influence of Using Digital Diagnostic Information on Orthodontic Treatment Planning - A Pilot Study. JOURNAL OF HEALTHCARE ENGINEERING 2014; 5:411-27. [DOI: 10.1260/2040-2295.5.4.411] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Abstract
Teledentistry can be defined as the remote provision of dental care, advice, or treatment through the medium of information technology, rather than through direct personal contact with any patient(s) involved. Within dental practice, teledentistry is used extensively in disciplines like preventive dentistry, orthodontics, endodontics, oral surgery, periodontal conditions, detection of early dental caries, patient education, oral medicine, and diagnosis. Some of the key modes and methods used in teledentistry are electronic health records, electronic referral systems, digitizing images, teleconsultations, and telediagnosis. All the applications used in teledentistry aim to bring about efficiency, provide access to underserved population, improve quality of care, and reduce oral disease burden.
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Affiliation(s)
- Saad Ahmed Khan
- Conservative Department, Faculty of Dentistry, University of Malaya, Kuala Lumpur, Malaysia.
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Patel RN, Antonarakis GS. Factors influencing the adoption and implementation of teledentistry in the UK, with a focus on orthodontics. Community Dent Oral Epidemiol 2012; 41:424-31. [PMID: 23240902 DOI: 10.1111/cdoe.12029] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2012] [Accepted: 11/06/2012] [Indexed: 11/29/2022]
Abstract
OBJECTIVES Utilizing Rogers' diffusion of innovation theory, this study aims to develop a better understanding of the challenges faced in teledental projects, and outline the factors that impact upon the adoption and implementation of teledental projects, with a focus on orthodontics, thus attempting to provide an explanation for the low uptake in the UK, as well as to suggest factors to encourage success. METHODS A literature search was carried out to obtain information concerning teledentistry (and telemedicine) from both primary and secondary research sources. Using the relevant information obtained, Rogers' diffusion of innovation theory was used as a framework, which was subsequently applied to the key stakeholder groups of a healthcare organization. RESULTS The model describes five characteristics of an innovation: relative advantage, compatibility, complexity, trialability and observability. These attributes are discussed in the context of key stakeholder groups within a healthcare organization: clinicians, patients, hospital managers, and healthcare decision-makers and funders. Each stakeholder group is motivated by different values and experiences, which in turn influence their decision to adopt a new technology. CONCLUSIONS Implementing teledental applications necessitates full comprehension and consideration of the healthcare environment and also a commitment to completely integrate teledentistry within that environment. This is a process that demands strategic alignment with clinical and organizational goals, clinical engagement and strong political support. The challenges within each stakeholder group must be specifically targeted.
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Costa ALPD, Silva AA, Pereira CB. Teleortodontia: ferramenta de auxílio à prática clínica e à educação continuada. Dental Press J Orthod 2011. [DOI: 10.1590/s2176-94512011000600003] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
INTRODUÇÃO: a Tecnologia da Informação (TI) está revolucionando os relacionamentos interpessoais. Esse novo contexto tornou possível exercer à distância as profissões da área da saúde, um conceito denominado telessaúde. A essência dessa área é a oferta, à distância, de serviços e informação sobre saúde. Nesse contexto, a Ortodontia como especialidade não pode ficar alheia a esses avanços. OBJETIVO: esse artigo se propôs a investigar - através de revisão não sistemática da literatura - quais dentre as tecnologias disponíveis são passíveis de ser utilizadas no desenvolvimento de serviços de teleortodontia, como ferramentas de auxílio à prática clínica e à educação continuada. O uso de tecnologias já acessíveis no mercado pode viabilizar os serviços de teleortodontia no país. Apesar desse artigo ter analisado as condições técnicas e as tecnologias relacionadas ao objeto de estudo, concentra-se no campo das questões éticas/morais, legais e econômicas do processo.
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Jampani ND, Nutalapati R, Dontula BSK, Boyapati R. Applications of teledentistry: A literature review and update. J Int Soc Prev Community Dent 2011; 1:37-44. [PMID: 24478952 PMCID: PMC3894070 DOI: 10.4103/2231-0762.97695] [Citation(s) in RCA: 123] [Impact Index Per Article: 9.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
Teledentistry is a combination of telecommunications and dentistry involving the exchange of clinical information and images over remote distances for dental consultation and treatment planning. Teledentistry has the ability to improve access to oral healthcare, improve the delivery of oral healthcare, and lower its costs. It also has the potential to eliminate the disparities in oral health care between rural and urban communities. This article reviews the origin, rationale, scope, basis, and requirements for teledentistry, along with the current evidence that exists in the literature. This article also reviews the ethical and legal issues related to the practice of teledentistry and the future of this alternative and innovative method of delivering dental care.
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Affiliation(s)
- N. D. Jampani
- Department of Periodontics, Government Dental College & Hospital, Vijayawada, India
| | - R. Nutalapati
- Department of Periodontics, Sree Sai Dental College & Research Institute, Srikakulam, Andhra Pradesh, India
| | - B. S. K. Dontula
- Department of Conservative Dentistry & Endodontics, Aditya Dental College, Beed, Maharashtra, India
| | - R. Boyapati
- Department of Periodontics, Sibar Institute of Dental Sciences, Guntur, Andhra Pradesh, India
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Ignatius E, Perälä S, Mäkelä K. Use of videoconferencing for consultation in dental prosthetics and oral rehabilitation. J Telemed Telecare 2010; 16:467-70. [DOI: 10.1258/jtt.2010.100303] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
We conducted a 13-month study to investigate whether videoconferencing could be used for diagnosis and for making treatment plans for patients requiring prosthetic or oral rehabilitation treatment. The consultations took place between a specialist dental treatment unit in a central hospital and general dental practitioners in seven regional health centres. Videoconferencing was conducted using standard commercial units via an IP network, at bandwiths of 762 kbit/s – 2 Mbit/s. In total, 24 patients and 25 professionals (18 dentists, 2 dental hygienists and 5 nurses) took part. There were no technical problems. In 24 out of 27 teleconsultations, a diagnosis or treatment plan could be made. All participating dentists were satisfied with the consultation process and indicated that the technology used was of sufficient quality for clinical purposes. A patient satisfaction questionnaire indicated that patients were also satisfied. Videoconsultation in dentistry has the potential to increase the total number of dental specialist services in sparsely populated areas, such as those in Finland.
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Affiliation(s)
| | | | - Kari Mäkelä
- Seinäjoki Central Hospital, Finland
- Telemedicine Laboratory, Department of Biomedical Engineering, Tampere University of Technology, Seinäjoki, Finland
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31
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Application of teledentistry in oral medicine in a Community Dental Service, N. Ireland. Br Dent J 2010; 209:399-404. [DOI: 10.1038/sj.bdj.2010.928] [Citation(s) in RCA: 62] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/14/2010] [Indexed: 11/09/2022]
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32
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Lienert N, Zitzmann NU, Filippi A, Weiger R, Krastl G. Teledental consultations related to trauma in a Swiss telemedical center: a retrospective survey. Dent Traumatol 2010; 26:223-7. [DOI: 10.1111/j.1600-9657.2010.00873.x] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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33
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Berndt J, Leone P, King G. Using teledentistry to provide interceptive orthodontic services to disadvantaged children. Am J Orthod Dentofacial Orthop 2008; 134:700-6. [DOI: 10.1016/j.ajodo.2007.12.023] [Citation(s) in RCA: 63] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2007] [Revised: 12/01/2007] [Accepted: 12/01/2007] [Indexed: 11/25/2022]
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34
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Pre-assessment triage of orthodontic referrals at an East Yorkshire Hospital. Br Dent J 2008; 204:493-5. [DOI: 10.1038/sj.bdj.2008.348] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/29/2008] [Indexed: 11/08/2022]
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35
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Removing gaps depends on overall health. Br Dent J 2006. [DOI: 10.1038/sj.bdj.4813212] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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