Télédent, une expérience de téléexpertise bucco-dentaire en milieu pénitentiaire

Abstract

La santé bucco-dentaire participe au maintien d’un bon état général de l’organisme. Certaines populations, dont les personnes détenues, ont des besoins importants mais, simultanément, un accès limité aux soins dentaires. Télédent est un outil complémentaire de téléexpertise bucco-dentaire qui facilite le dépistage et la prévention des troubles oraux. À partir d’une caméra intra-buccale qui enregistre des images qui sont analysées par l’équipe du service de médecine bucco-dentaire de l’Hôpital Henri Mondor, l’Unité sanitaire du centre pénitentiaire de Fresnes dispose d’une expertise dentaire détaillée. Télédent permet ainsi une coopération entre les services qui améliore le dépistage et la prise en charge de soins bucco-dentaires, tout en diminuant les coûts et en favorisant la sécurité des patients détenus.

Facilitating dental disease screening program in prisoners using an intraoral camera in teledentistry

“…However, these values were relatively low when comparing the teledentistry examination by the PHV and direct oral examination by the dentist. The first study using oral teleconsultation in a prison was performed by Giraudeau et al [ 5 ] and several studies have utilized the IOC in teletedentistry for oral examination of prisoners [ 5 , 17 , 18 ]. However, to our knowledge, our study is the first to assess the validity, regarding sensitivity and specificity, of using teledentistry for dental disease screening in comparison to the direct oral examination by a dentist.…”

“…In the present teledentistry program, the IOC was used due to its low cost, being convenient to transport, and easy to maintain. The IOC has been used for patient-dentist communication [ 5 , 22 ], oral examination [ 17 , 18 ], screening oral cancer lesions [ 23 ], and identifying dental diseases and soft tissue conditions [ 21 , 24 ]. Previous studies have found that the IOC is a valid and reliable tool for screening oral diseases, such as dental caries [ 21 ] and oral cancer [ 23 ], compared with a direct oral examination.…”

A scoping review of interventions to improve oral health in prison settings

“…The development of good working relationships with prison staff supported the practical elements of delivering the intervention in a number of studies 24,25 . In the case of teledentistry, prison health staff trained in teledentistry recorded the teleconsultation for a dental professional to review remotely 25 . In the study conducted by Grey and Fawcett, prison nurses carried out the dental triaging protocol 23 …”

“…Three studies involved teledentistry in screening of prisoners for dental treatment needs on their admission to prison. [24][25][26] All studies were conducted in France, two of which were carried out in the same prison. 24,26 The interventions involved a nurse in the prison using an intraoral camera and fluorescent light to record the mouth of the prisoner for asynchronous review by a remote dentist.…”

“…In order to maintain the safety of prisoners, prison staff escorts are required to transfer prisoners from one area of the prison to another and stay with them during the delivery of the intervention. Processes such as teledentistry are dependent on having trained nurses available 25 …”