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Niknam F, Sharifian R, Bashiri A, Mardani M, Akbari R, Bastani P. Technological aspects and recommendations for applying teledentistry in oral medicine: a scoping review. Syst Rev 2024; 13:209. [PMID: 39103893 DOI: 10.1186/s13643-024-02497-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/20/2022] [Accepted: 02/19/2024] [Indexed: 08/07/2024] Open
Abstract
BACKGROUND Teledentistry is applied in oral medicine to help dental practitioners and specialists manage complex oral conditions. This scoping review aims to synthesize the available evidence regarding the technical requirements and the provision of security services, as well as the recommendations on standard oral cavity photography methods for using teledentistry in oral medicine. METHOD The present scoping review was conducted in 2022 according to the Joanna Briggs Institute (JBI) manual. Four databases were systematically searched, including ISI Web of Science, PubMed, Scopus, and ProQuest, from January 1999 to December 2021. After finalizing the search strategy, all the original articles, reviews, editorials, letters, comments, and book chapters were included. All the dissertations uploaded in English with a full-text electronic file were also included to achieve a comprehensive picture of the available literature. Two types of analysis were applied: the quantitative descriptive analysis applying Excel 2016 and the qualitative thematic analysis using MAXQDA version 10. RESULTS The included papers were published during 1999-2021. Most of the included articles were from Brazil (n = 9, 21.43%), India (n = 6, 14.28%), the USA (n = 6, 14.28%), and the UK (n = 5, 11.90%). Social media usage as a teledentistry platform increased considerably between 2019 and 2021. Teledentistry platforms have been classified into four categories, including email, telephone, social network applications (WhatsApp, zoom, Google Meeting, Instagram, line Application, Viber, and Messenger), and teledentistry systems (teledentistry systems, which were designed specially to perform a teledentistry project). Teledentistry has been conducted to store and forward (n = 15, 30.71%), real-time (n = 9, 21.43%), or both (n = 12, 35.71%). According to the thematic results, basic technical requirements have been categorized into four, including teledentistry platform, type of interactions, internet connection, and photography tool. Other thematic results demonstrate seven categories of recommendations, including general factors, light, patient position, phone position, setting of a mobile phone camera, photo sending requirements, and photo visualization. CONCLUSION According to the results, over the past 7 years, especially during the COVID-19 pandemic, social network applications such as WhatsApp and Zoom have been used more frequently. Also, photography recommendations with a mobile phone camera depend on several factors such as general factors, light, patient position, phone position, setting of the mobile phone camera, and photo-sending requirements. Given the increased use of mobile cameras for oral photography, these recommendations can help improve the quality of images and subsequently improve the reliability of clinical decision-making in managing patients' conditions.
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Affiliation(s)
- Fatemeh Niknam
- Department of Health Information Management, School of Health Management and Information Sciences, Student Research Committee, Health Human Resources Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Roxana Sharifian
- Department of Health Information Management, School of Health Management and Information Sciences, Health Human Resources Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Azadeh Bashiri
- Department of Health Information Management, School of Health Management and Information Sciences, Health Human Resources Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Maryam Mardani
- Oral and Dental Disease Research Center, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Reza Akbari
- Department of Computer Engineering and Information Technology, Shiraz University of Technology, Shiraz, Iran
| | - Peivand Bastani
- Department of Health Information Management, School of Health Management and Information Sciences, Health Human Resources Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
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Webb LR, Simms ML, Atkin PA. Inclusion of clinical photographs with general dental practitioner electronic referrals of patients with oral mucosal disease to secondary care: a service review. Br Dent J 2024:10.1038/s41415-024-7608-0. [PMID: 39030367 DOI: 10.1038/s41415-024-7608-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2023] [Revised: 01/28/2024] [Accepted: 02/06/2024] [Indexed: 07/21/2024]
Abstract
Introduction This service evaluation reviewed how the inclusion of photographs in dentist referrals to an oral medicine specialist service can improve the service for triage, prioritisation and diagnosis.Materials and methods Data were prospectively collected from e-referrals over a four-month period. Any change in appointment prioritisation resulting from review of photographs at the vetting stage was recorded.Results Only 29.5% (82 of 367) of referrals included a photograph. Of these, 5% were 'rejected with advice' since the photograph indicated the patient did not require a secondary care appointment. Additionally, 14% of all referrals were upgraded in urgency, five of which were due to concerns of malignancy, and three of five were upgraded solely based on the photographs as they showed features of possible malignancy, where the written element of the referral did not describe nor raise such concerns.Discussion and conclusions Including a photograph with a referral can often make up for inaccurate or insufficient written content, allowing appropriate and safe prioritisation, especially where the referrer has failed to recognise possible malignancy. Photographs can also prevent unnecessary referral upgrades, ensure an appointment is necessary and can be invaluable as a baseline comparator.
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Affiliation(s)
- Leah R Webb
- Dental Core Trainee in Oral Medicine and Oral Surgery, University Dental Hospital Cardiff, UK
| | - Melanie L Simms
- Specialty Registrar and Honorary Lecturer in Oral Medicine, University Dental Hospital Cardiff, UK
| | - Philip A Atkin
- Consultant and Honorary Senior Lecturer in Oral Medicine, University Dental Hospital Cardiff, UK.
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Liu TC, Chang YC. A bibliometric analysis of teledentistry published in the category of dentistry, oral surgery and medicine. J Dent Sci 2024; 19:1827-1833. [PMID: 39035274 PMCID: PMC11259665 DOI: 10.1016/j.jds.2024.05.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2024] [Revised: 05/13/2024] [Indexed: 07/23/2024] Open
Abstract
Background/purpose Telemedicine has gained the popularity during COVID-19 pandemic. "Teledentistry" as the dental application of telemedicine was also with increased attention. The bibliometric analysis was employed to examine the global research trends and the current implementation status of teledentistry. Materials and methods Titles and subjects were searched in the Web of Science database by using the keywords "teledentistry OR oral telemedicine OR dental telemedicine OR telemedicine in dentistry" in the category of Dentistry, Oral Surgery & Medicine. Documents were collected from the establishment date up to December 31, 2023. Microsoft Excel was used for the descriptive and statistical analyses. The data were exhibited with visualization by VOSviewer. Results A total of 146 articles were identified for bibliometric analysis. An upward trend in the number of publications was evident. The statistical analysis indicated a notable increased teledentistry publications affected by COVID-19 pandemic (P < 0.01). The applications of teledentistry were mainly related to clinical practice (89.73%), such as oral and maxillofacial surgery, orthodontics, dental caries, oral mucosal lesions, and dental emergencies. For geographic distributions, the United States lead with 46 publications (34%) by corresponding authors listed in the article. The keyword network analysis highlighted the prominent research areas and the changes influenced by the pandemic and technological development, respectively. Conclusion This bibliometric study provided an overview of the progress, trends and current directions for teledentistry in the fields of dentistry, oral surgery and medicine.
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Affiliation(s)
- Ting-Chia Liu
- School of Dentistry, Chung Shan Medical University, Taichung, Taiwan
| | - Yu-Chao Chang
- School of Dentistry, Chung Shan Medical University, Taichung, Taiwan
- Department of Dentistry, Chung Shan Medical University Hospital, Taichung, Taiwan
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dos Santos RTN, Faria CAB, Martins NF, Duda Júnior LGDS, Azevêdo ABF, da Silva WR, Sobral APV. Use of digital strategies in the diagnosis of oral squamous cell carcinoma: a scoping review. PeerJ 2024; 12:e17329. [PMID: 38737735 PMCID: PMC11086294 DOI: 10.7717/peerj.17329] [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: 01/02/2024] [Accepted: 04/11/2024] [Indexed: 05/14/2024] Open
Abstract
Telediagnosis uses information and communication technologies to support diagnosis, shortening geographical distances. It helps make decisions about various oral lesions. The objective of this scoping review was to map the existing literature on digital strategies to assist in the diagnosis of oral squamous cell carcinoma. this review was structured based on the 5-stage methodology proposed by Arksey and O'Malley, the Joanna Briggs Institute Manual for Evidence Synthesis and followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews. The methods were registered on the Open Science Framework. The research question was: What digital strategies have been used to assist in the diagnosis of oral squamous cell carcinoma? The search was conducted on PubMed/MEDLINE, Scopus, Web of Science, Embase, and ScienceDirect. Inclusion criteria comprised studies on telediagnosis, teleconsultation or teleconsultation mediated by a professional and studies in English, without date restrictions. The search conducted in June 2023 yielded 1,798 articles, from which 16 studies were included. Telediagnosis was reported in nine studies, involving data screening through applications, clinical images from digital cameras, mobile phones or artificial intelligence. Histopathological images were reported in four studies. Both, telediagnosis and teleconsultation, were mentioned in seven studies, utilizing images and information submission services to platforms, WhatsApp or applications. One study presented teleconsultations involving slides and another study introduced teleconsultation mediated by a professional. Digital strategies telediagnosis and teleconsultations enable the histopathological diagnosis of oral cancer through clinical or histopathological images. The higher the observed diagnostic agreement, the better the performance of the strategy.
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Affiliation(s)
| | | | | | | | | | - Weslay Rodrigues da Silva
- Department of Oral and Maxillofacial Pathology, University of Pernambuco, Recife, Pernambuco, Brazil
| | - Ana Paula Veras Sobral
- Department of Oral and Maxillofacial Pathology, University of Pernambuco, Recife, Pernambuco, Brazil
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Santana LADM, Floresta LG, Alves ÊVM, Melo LMR, Ferreira RRT, Couto GR, de Arruda JAA, Valadares CV, Roque-Torres GD, Santos GA, Gopalsamy RG, Martins-Filho PR, Borges LP. Advancing oral cancer diagnosis in Brazil: Integrating artificial intelligence with teledentistry for enhanced patient outcomes. Oral Oncol 2024; 151:106741. [PMID: 38458038 DOI: 10.1016/j.oraloncology.2024.106741] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2024] [Accepted: 03/03/2024] [Indexed: 03/10/2024]
Affiliation(s)
- Lucas Alves da Mota Santana
- School of Dentistry, Federal University of Sergipe (UFS), Aracaju, SE, Brazil; School of Dentistry, Tiradentes University (UNIT), Aracaju, SE, Brazil.
| | | | | | | | | | | | - José Alcides Almeida de Arruda
- Department of Oral Diagnosis and Pathology, School of Dentistry, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
| | | | | | - Gilmagno Amado Santos
- NOVA National School of Public Health, Public Health Research Centre, Universidade NOVA de Lisboa, Lisbon, Portugal
| | - Rajiv Gandhi Gopalsamy
- Division of Phytochemistry and Drug Design, Department of Biosciences, Rajagiri College of Social Sciences, Kochi, Kerala, India
| | - Paulo Ricardo Martins-Filho
- Investigative Pathology Laboratory, Federal University of Sergipe (UFS), Rua Cláudio Batista, s/n, Santo Antônio, 49060100 Aracaju, SE, Brazil.
| | - Lysandro Pinto Borges
- School of Pharmacy, Federal University of Sergipe (UFS), Avenida Marechal Rondon, S/N, Av. Marechal Rondon, S/N - Rosa Elze, 49100-000 São Cristóvão, SE, Brazil.
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Niknam F, Sharifian R, Bashiri A, Mardani M, Akbari R, Tuffaha H, Do L, Bastani P. Tele-dentistry, its trends, scope, and future framework in oral medicine; a scoping review during January 1999 to December 2021. Arch Public Health 2023; 81:104. [PMID: 37316914 DOI: 10.1186/s13690-023-01128-w] [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: 11/30/2022] [Accepted: 06/05/2023] [Indexed: 06/16/2023] Open
Abstract
BACKGROUND Tele-dentistry has been increasingly used for different purposes of visit, consultation, triage, screening, and training in oral medicine. This study aims to determine the main facilitators, barriers, and participants` viewpoints of applying tele-dentistry in oral medicine and develop a framework indicating the input, process, output, and feedback. METHOD This was a scoping review conducted in 2022 applying Arksey and O'Malley (2005) approach. Four databases including ISI web of science, PubMed, Scopus, and ProQuest were searched from January 1999 to December 2021. Inclusion criteria consisted of all original and non-original articles (reviews, editorials, letters, comments, and book chapters), and dissertations in English with a full text electronic file. Excel2016 was used for descriptive quantitative analysis and MAXQDA version 10 was applied for qualitative thematic analysis. A thematic framework was developed customizing the results of the review in a virtual mini expert panel. RESULTS Descriptive results show that among 59 included articles, 27 (46%) have addressed the various applications of tele-dentistry during COVID-19 pandemic in the field of oral medicine. From geographical distribution perspective, most of the papers were published in Brazil (n = 13)/ 22.03%, India (n = 7)/11.86% and USA (n = 6)/10.17%. Thematic analysis shows that seven main themes of "information", "skill", "human resource", 'technical", "administrative', 'financial', and 'training and education' are explored as facilitators. 'Individual', 'environmental', 'organizational', 'regulation', 'clinical', and 'technical barriers' are also identified as main barriers of tele-dentistry in oral medicine. CONCLUSION According to the results for using tele-dentistry services in oral medicine, a diverse category of facilitators should be considered and at the same time, different barriers should be managed. Users` satisfaction and perceived usefulness of tele-dentistry as final outcomes can be increased considering the system`s feedback and applying facilitator incentives as well as decreasing the barriers.
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Affiliation(s)
- Fatemeh Niknam
- Department of Health Information Management, School of Health Management and Information Sciences, Student Research Committee, Health Human Resources Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Roxana Sharifian
- Department of Health Information Management, School of Health Management and Information Sciences, Health Human Resources Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Azadeh Bashiri
- Department of Health Information Management, School of Health Management and Information Sciences, Health Human Resources Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Maryam Mardani
- Oral and Dental Disease Research Center, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
- Department of Oral & Maxillofacial Medicine, School of Dentistry, Oral and Dental Disease Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Reza Akbari
- Department of Computer Engineering and Information Technology, Shiraz University of Technology, Shiraz, Iran
| | - Haitham Tuffaha
- Centre for the Business and Economics of Health, Faculty of Business Economics and Law, The University of Queensland, Brisbane, Australia
| | - Loc Do
- School of Dentistry, Faculty of Health and Behavioural Sciences, Oral Health Centre, The University of Queensland, Brisbane, Australia
| | - Peivand Bastani
- Department of Health Information Management, School of Health Management and Information Sciences, Health Human Resources Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
- School of Dentistry, Faculty of Health and Behavioural Sciences, Oral Health Centre, The University of Queensland, Brisbane, Australia.
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Czerninski R, Mordekovich N, Basile J. Factors important in the correct evaluation of oral high-risk lesions during the telehealth era. J Oral Pathol Med 2022; 51:747-754. [PMID: 36053963 PMCID: PMC9544116 DOI: 10.1111/jop.13343] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2022] [Revised: 06/28/2022] [Accepted: 07/27/2022] [Indexed: 01/10/2023]
Abstract
BACKGROUND Considering that early detection of squamous cell carcinoma (SCC) improves prognosis and clinical examination is the primary detection method, we identified factors related to the clinical evaluation of oral mucosal lesions. Due to the growing role of telehealth, our study was based on clinical image evaluation. SUBJECTS AND METHODS Oral medicine specialists and dental students evaluated six images of benign, potentially malignant, or SCC lesions (18 images in total). We analyzed the role of personal factors of the examiners and the visual pathological features of the lesion upon which the participants based their evaluation. RESULTS One hundred thirty-three subjects participated. Half of the benign images were correctly evaluated. On average 1.2 (±SD1.3) cancer pictures were recognized correctly and 3.66 (±SD1.42) images were considered potentially malignant. Potentially malignant lesions were correctly evaluated at an average of 4.08 (±SD1.48) images. For cancer and potentially malignant lesion images, there were significantly better results among clinicians with the worst results from the fourth-year students. Student results correlated significantly with years of study, number of weeks spent in the oral medicine clinic, and interest in oral pathology. Consideration of lesion irregularity yielded a correct diagnosis, whereas wrong answers were based on color changes. Lesion size and margins were considered equally important. CONCLUSIONS Using clinical images as part of the diagnostic process provides good results, though increased clinical experience for graduates and undergraduates may be necessary to improve accuracy. Therefore, emphasizing the important visual parameters of malignancy may be valuable in the current telehealth era.
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Affiliation(s)
- Rakefet Czerninski
- Department of Oral Medicine, Sedation and Imaging, Hadassah Medical Center, Faculty of Dental MedicineHebrew University of JerusalemJerusalemIsrael
| | - Netanel Mordekovich
- Hadassah Medical Center, Faculty of Dental MedicineHebrew University of JerusalemJerusalemIsrael
| | - John Basile
- Department of Oncology and Diagnostic SciencesUniversity of Maryland School of Dental MedicineBaltimoreMarylandUSA
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Bleiel D, Rott T, Scharfenberg I, Wicht MJ, Barbe AG. Use of smartphone photos to document the oral care status of nursing home residents. Gerodontology 2022; 40:244-250. [PMID: 35924660 DOI: 10.1111/ger.12650] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/24/2022] [Indexed: 11/27/2022]
Abstract
OBJECTIVE Investigate whether clinically assessed oral care status by an external dentist can be replicated using smartphone photographs. BACKGROUND Many people with care needs have poor oral hygiene. To help maintain oral health, caregivers require a simple way of communicating oral care status to the dental team. MATERIALS AND METHODS Cross-sectional study in which smartphone photographs of the oral and prosthetic care situation of N = 50 nursing-home patients (mean age 85.6 [SD 6] years, 74% women) were assessed by two blinded, external examiners (D1/D2) and compared with clinical assessments made by the onsite dentist who also took the photographs (D0). Intraoral care status was clinically evaluated using the modified Plaque Index for Long-Term Care (PI-LTC) and Denture Hygiene Index (DHI). The intraclass correlation coefficient (ICC) determined correlations between clinical and photographic findings. RESULTS The ICC was assessed for the PI-LTC (upper jaw, n = 41; lower jaw, n = 49) and DHI (upper jaw, n = 25; lower jaw, n = 18). The DHI showed excellent reliability between clinical assessment and smartphone evaluation for the determination of positive surfaces (ICC: upper 0.91 [95% confidence interval (CI) 0.83-0.96], P < 0.001; lower 0.95 [95% CI 0.89-0.98], P < 0.001). The PI-LTC showed good reliability between clinical assessment (D0) and D1/D2 for determination of vestibular plaque (ICC: upper 0.84 [95% CI 0.74-0.91], P < 0.001; lower 0.87 [95% CI 0.79-0.92], P < 0.001). CONCLUSIONS Although limited, this pilot study demonstrated that standardised smartphone photographs can simply communicate the intraoral care status of patients who have difficulties accessing their dentist. This should be considered when planning improved communication between dentists, care recipients, and their support network.
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Affiliation(s)
- Dirk Bleiel
- Department of Operative Dentistry and Periodontology, Centre of Dental Medicine, University of Cologne, Köln, Germany
| | - Thea Rott
- Department of Operative Dentistry and Periodontology, Centre of Dental Medicine, University of Cologne, Köln, Germany
| | - Isabel Scharfenberg
- Department of Operative Dentistry and Periodontology, Centre of Dental Medicine, University of Cologne, Köln, Germany
| | - Michael Jochen Wicht
- Department of Operative Dentistry and Periodontology, Centre of Dental Medicine, University of Cologne, Köln, Germany
| | - Anna Greta Barbe
- Department of Operative Dentistry and Periodontology, Centre of Dental Medicine, University of Cologne, Köln, Germany
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Bastani P, Niknam F, Rezazadeh M, Rossi-Fedele G, Edirippulige S, Samadbeik M. Dentistry website analysis: An overview of the content of formulated questions and answers. Heliyon 2022; 8:e10250. [PMID: 36042730 PMCID: PMC9420359 DOI: 10.1016/j.heliyon.2022.e10250] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2021] [Revised: 06/12/2022] [Accepted: 08/05/2022] [Indexed: 12/01/2022] Open
Abstract
Aim This study aimed to analyze the content of questions and answers posted on dentistry websites. Subject and methods A mixed-method study was conducted in 2020. A total of 1354 related questions were included, of which 1182 were answered by dentists. The data was analyzed quantitatively according to the classification of the questions, main complaints of the subjects and length of the questions and answers using Excel2013. A qualitative content analysis was carried out also for data robustness and triangulation. Results Of the 1354 questions, 866 of them were categorized into 11 categories according to the main sub-classes of the International Classification of Diseases to Dentistry and Stomatology. Furthermore, the inquiries were allocated to 3 communication styles to present the users' main complaints that included contextual (52.33%), emotional (6.79%) and focal (40.89%) strategies. Results of the qualitative content analysis have led to 6 main themes: seeking the related recommendations of any actions, treatment seeking, information seeking, seeking for causes and reasons, seeking for oral and dental health recommendations and seeking for the dentists' diagnosis or comments. Conclusions The present study can be used for designing specific customized websites of dentistry and help the website managers for better optimization of the websites. All these interventions can pave the way for developing teleconsulting in dentistry for middle-income countries.
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Affiliation(s)
- Peivand Bastani
- Health Human Resources Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Fatemeh Niknam
- Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Mahboobeh Rezazadeh
- Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Giampiero Rossi-Fedele
- Department of Endodontics, Faculty of Health and Medical Sciences, Adelaide Dental School, University of Adelaide, Adelaide, South Australia, Australia
| | - Sisira Edirippulige
- Centre for Online Health, Faculty of Medicine, The University of Queensland, Brisbane, Australia
| | - Mahnaz Samadbeik
- Social Determinants of Health Research Center, Lorestan University of Medical Sciences, Khorramabad, Iran
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