Concordance study between regular face-to-face dental diagnosis and dental telediagnosis using fluorescence

Abstract

Background Teledentistry consultations are an effective way to increase access to care. Whether it be for a screening, referral or even an adapted treatment plan for a certain number of patients whose access to care is complicated, demonstrating the reliability of remote consultations is essential in allowing the technique to become generalised. Aim This study aimed to determine if teledentistry consultations using fluorescence are of the same quality as regular consultations in the diagnosis of caries. Methods Patients were seen in consultation in the dental care centre at the Montpellier University Hospital (France) and in the centre at Kyushu Dental University Hospital (Japan). The protocol was broken down into three parts: the regular consultation, the recording of videos with the Soprocare camera and the remote consultation. The regular consultation and the remote consultation were blinded and carried out by two different dentists. The recording of videos was carried out by a third dentist. The carious diagnosis was based on the International Caries Detection and Assessment System: a clinical rating system for the detection and assessment of caries. Results One hundred and ninety-five patients met the predefined inclusion criteria. Most patients had at least one surface at stage 3 or higher (73%) with a higher proportion amongst French patients (81% compared to 66%). However, they had good dental hygiene, given that dental hygiene was only deemed unsatisfactory for 10.8% (19% for French patients and 2% for Japanese patients). The odontogram (presence/absence of each tooth) seemed to be correctly identified during the remote consultation (reinterpretation). Out of the 195 patients, 168 (86.2%) were identified without error. Conclusions Teledentistry consultations can represent acceptable diagnostic performance with regard to the detection of dental caries. The Soprocare camera enables an early diagnosis of carious lesions with optimal efficiency. Several areas still need to be improved, however, so that the use of the camera during remote consultations is as coherent and effective as possible, especially with regard to the organisational aspects of remote consultations.

Applications of teledentistry in a French inmate population: A one-year observational study

“…In order to ensure the same quality of diagnosis by telemedicine as in face-to-face situations, an intraoral camera using fluorescence was chosen: the Soprocare1 (Actéon Group, Mérignac, France). The study carried out by the Montpellier CHU showed a great similarity between the two techniques and validated the use of Soprocare1 in the context of a telemedicine activity [6].…”

A teleodontologia no atendimento ao paciente ambulatorial em meio a pandemia COVID-19: uma revisão de literatura

“…A teleodontologia demonstrou apresentar diagnóstico aceitável ao exame clínico na triagem de cárie dentária (STEINMEIER et al, 2020;INQUIMBERT et al, 2020;TORUL;KAHVECI;KAHVECI, 2021). Estudos realizados por Steinmeier et al(2020) e Inquimbert et al (2020) apresentaram uma porcentagem de concordância entre o diagnóstico clínicos e remotos de 73% e 95% respectivamente.…”

“…A teleodontologia demonstrou apresentar diagnóstico aceitável ao exame clínico na triagem de cárie dentária (STEINMEIER et al, 2020;INQUIMBERT et al, 2020;TORUL;KAHVECI;KAHVECI, 2021). Estudos realizados por Steinmeier et al(2020) e Inquimbert et al (2020) apresentaram uma porcentagem de concordância entre o diagnóstico clínicos e remotos de 73% e 95% respectivamente. Steinmeier et al(2020) relatou que pode ser realizada uma triagem remota eficaz e válida em termos de tempo dos tecidos moles e duros orais com base apenas em varreduras intraorais em cores reais aproximadas.…”

“…A teleconsulta resultou em valores superestimativa de placa (35%) e em valores subvalorizados (30%) placa em comparação com o exame clínico. Inquimbert et al (2020) avalia pontos que precisam ser melhorados para o uso da câmera, durante as consultas remotas. Isso inclui, em particular, treinamento da equipe competente no registro de imagens intraorais, e a transmissão de dados do paciente.…”

Teledentistry and management protocol in a pediatric dental department during the first COVID-19 lockdown

“…Nevertheless, this usual practice causes difficulties in dentistry. Indeed, using the webcam does not offer a qualitative intraoral view and thus requires the use of an intraoral camera [ 7 , 8 ]. This article describes the attendance and management of patients in a pediatric dental department, through a teledentistry protocol, during the first COVID-19 lockdown.…”