Management of Impacted Third Molars Based on Telemedicine: A Pilot Study

Teledentistry: A Systematic Review of the Literature

“…Regardless of their design, the overall conclusion of most of the studies was that teledentistry is a feasible approach ( n = 33) and as efficient and effective as the alternatives. 13,14,17,26–33 Some studies identified disadvantages that required further improvement. 26,34–42 In three cases, the conclusion was that the advantages of teledentistry over the conventional alternative was either unclear, or that the conventional approach had advantages over teledentistry.…”

Reliability of intra-oral camera using teledentistry in screening of oral diseases – Pilot study

“…Teledentistry for screening caries was shown to be reliable tool in previous studies (Kopycka-Kedzierawski and Billings, 2006, Kopycka-Kedzierawski et al, 2007, Kopycka-Kedzierawski et al, 2008). Teledentistry was also used to evaluate the interceptive orthodontic services provided to disadvantaged children (Berndt et al, 2008), orthodontic referrals (Stephans et al, 2002, Mandall et al, 2005), dental prosthetics and oral rehabilitation consultations (Ignatius et al, 2010), diagnosis and management of impacted 3rd molars (Duka et al, 2009, Herce et al, 2011), oral and maxillofacial consultations and treatment planning (Aziz and Ziccardi, 2009), recognition of root canal orifices (Brullmann et al, 2011), periapical bone lesions (Baker et al, 2000), oral lesions (Torres-Pereira et al, 2008) and even follow-up of facial laceration in the emergency department (Walker et al, 2011).…”

Patient satisfaction with e-oral health care in rural and remote settings: a systematic review

“…The majority of the studies were conducted between 2010 and 2019 [ 31 – 44 ], with only two prior studies carried out in 1998 and 2002 [ 29 , 30 ]. In total, five studies were from Australia [ 35 , 40 – 43 ], three from India [ 34 , 39 , 44 ], two studies were conducted in the USA [ 36 , 37 ], two in Spain [ 32 , 33 ], one in Canada [ 29 ], one in the UK [ 30 ], one in Italy [ 38 ], and one in Finland [ 31 ]. The types of studies comprised non-randomized clinical trials [ 30 , 33 ], observational studies [ 31 , 34 , 36 , 37 , 39 , 42 – 44 ], pilot intervention studies [ 29 , 32 , 38 ], and cost analysis [ 35 , 40 , 41 ].…”

“…In total, five studies were from Australia [ 35 , 40 – 43 ], three from India [ 34 , 39 , 44 ], two studies were conducted in the USA [ 36 , 37 ], two in Spain [ 32 , 33 ], one in Canada [ 29 ], one in the UK [ 30 ], one in Italy [ 38 ], and one in Finland [ 31 ]. The types of studies comprised non-randomized clinical trials [ 30 , 33 ], observational studies [ 31 , 34 , 36 , 37 , 39 , 42 – 44 ], pilot intervention studies [ 29 , 32 , 38 ], and cost analysis [ 35 , 40 , 41 ]. Most studies used teledentistry consultations, either live or store and forward [ 29 , 30 , 32 , 33 , 35 , 37 , 40 – 43 ], and other studies used smartphone-based applications like WhatsApp [ 38 , 44 ], the Oncogrid application for oral cancer surveillance [ 34 ], and videographic examination [ 39 ].…”

“…The greater the distance, the higher the satisfaction ( p < 0.01) •Professionals were also satisfied 4. Herce et al 2011 [ 32 ] Spain J Oral Maxillofac Surg Evaluative pilot study (multicenter, longitudinal, descriptive) Evaluation of presurgical management of impacted third molar pathology 97 (52♀ 45♂) 35.07 ± 13 Patients with impacted third molars with no contraindication for extraction under local anesthesia; university hospital and 4 rural dental clinics •Presurgical management of third molar pathology: dentist examination via PC, information is gathered and sent to Oral and Maxillofacial surgery unit Store-and-forward telemedicine system (SFTMS) Clinical effectiveness of SFTMS as a preoperative management and planning tool; waiting intervals; patient satisfaction •Evaluation of teleconsultations by the maxillofacial surgeon, patient examination and clinical information compared to clinical data registered by PC dentist •Days between visit to PC dentist and day of inclusion on surgical wait list •Patient satisfaction surveys •The SFTMS is effective tool in the presurgical management of patients •Statistically significant shorter waiting intervals achieved by SFTMS (3.33; 95% CI = 2–4.65 days) in comparison to conventional referral system (28; 95% CI = 24.51–29.6 days) ( p < .001) •Avoidance of unnecessary hospital visits •No statistical significance in cancellations between telemedicine and traditional system ( p = 0.76) •Patient satisfaction: 77.3% very satisfied and 22.3% just satisfied 5. Salazar-Fernandez et al 2012 [ 33 ] Spain J Oral Maxillofac Surg Quasi-experimental Analytical Clinical study Management of temporomandibular Joint (TMJ) Disorders patients 1052 E: 342 (276♀ 66♂) C: 710 (587♀ 123♂) E: 38.3 C: 41.08 TMJ Disorders patients in 10 primary care hospitals, Northern Seville •Using telemedicine system (images and clinical records examined by 2 distant maxillofacial surgeons) as a method for the selection, diagnosis, and treatment of patients with TMJ disorders at remote site compared to conventional hospital consultation Store-and-forward telemedicine system through the Andalusian Public Health System Intranet (TMJ, ISDR-B, and Frame Relay/ADSL networks) to the e-mail account 1.…”