Referral for secondary restorative dental care in rural and urban areas of Scotland: findings from the Highlands &amp; Islands Teledentistry Project

Nuttall, N M; Steed, M; Donachie, M A

doi:10.1038/sj.bdj.4801339

Cited by 10 publications

(6 citation statements)

References 13 publications

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“…However, the impact that the COVID-19 pandemic is having on the increase of TD knowledge among dentists is a great opportunity for policy makers and educators to engage in TD as a priority (Wu et al 2020) in terms of their current and future plans implementing TD programs to support the improvement of oral health care of vulnerable communities in remote or rural areas. A variety of authors (Nuttall et al 2002; Martin et al 2016; Estai et al 2018; Tella et al 2019) mention the importance of TD to provide easier access to preventive dental care, diagnosis, and specialist consultation in rural areas and areas with limited access to care, where oral health inequalities could increase (especially in developing countries).…”

Section: Discussionmentioning

confidence: 99%

Impact of COVID-19 on the Knowledge and Attitudes of Dentists toward Teledentistry

Plaza-Ruíz

Barbosa-Liz

Agudelo‐Suárez

2021

JDR Clinical & Translational Research

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Introduction: The coronavirus disease 2019 (COVID-19) pandemic has created a new scenario for dental practice, and teledentistry (TD) is a field of relevance for dentists. Objective: To evaluate the impact of the COVID-19 pandemic on the knowledge, practices, and expectations of dentists toward TD and its association with sociodemographic variables. Methods: A cross-sectional survey was administered to dentists in Colombia as part of global research on the impact of COVID-19 on dentistry. The core questionnaire included 5 additional questions on TD that were added by the Colombian research team in 5 domains about TD: Q1, knowledge; Q2, practices; Q3, expectations; Q4, usefulness; and Q5, reimbursement. Sociodemographic variables were also measured. The questionnaire was validated in a pilot test and administered via digital media. Descriptive and bivariate analysis for sociodemographic and TD variables were done. For the evaluation of the chances of a determined answer, an ordinal multinomial logistic regression (Q1 and Q2) and binomial logistic regression (Q3 and Q5) analyses were made. Results: In total, 5,370 dentists answered the survey (women: 3,878; mean age: 45 y). The response rate of the survey was 16.84%. Knowledge and practice of TD before the COVID-19 pandemic were both low (25.75% and 12.42%, respectively); however, since the beginning of the current pandemic, knowledge increased by 62.72% and practice by 42.53%. Some 93.1% of respondents considered that TD could be useful in their clinical practice, and 59.55% would consider practicing it after the pandemic. A high number of dentists (88.58%) did not charge for these services. Logistic regressions showed significant differences according to sociodemographic variables. Conclusions: The COVID-19 pandemic has had a great impact on TD, increasing knowledge and practice significantly. Dentists expect to continue practicing TD in the future. However, some geographical, technological, and attitudinal barriers need to be broken down to increase daily use of TD. Knowledge Transfer Statement: This article provides an overview about the impact of COVID-19 pandemic in the knowledge and attitudes about teledentistry (TD) in general dentists and both clinical and nonclinical specialists. Although some barriers to the use of TD continue, this pandemic brought with it a new scenario for dental practice, which must be implemented through training for professionals to increase its use.

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Section: Discussionmentioning

confidence: 99%

Impact of COVID-19 on the Knowledge and Attitudes of Dentists toward Teledentistry

Plaza-Ruíz

Barbosa-Liz

Agudelo‐Suárez

2021

JDR Clinical & Translational Research

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“…Rural dental practitioners did not refer for a second opinion as readily as their colleagues in areas closer to hospitals or specialist offices. 5 Teledentistry has the potential to serve rural dental practitioners by facilitating secondary dental care.…”

Section: Discussionmentioning

confidence: 99%

“…4 More studies will be required before the generalized implementation of teledentistry into public health facilities, child-care centres, schools and clinical practices can be recommended. 5…”

Section: Limitations Of Teledentistrymentioning

confidence: 99%

Teledentistry in inner-city child-care centres

Kopycka‐Kedzierawski

Billings

2006

J Telemed Telecare

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In Rochester, NY, telehealth centres were established in six inner-city elementary schools and seven child-care centres. The teledentistry project complemented the existing telehealth model. Using an intraoral camera, telehealth assistants record digital images of children's teeth (768 x 494 pixels) and send the images to a computer at the expert dental site (the Eastman Department of Dentistry at the University of Rochester). The paediatric dentist at the expert site reviews the images, and provides referral and treatment recommendations. Subsequently, the telehealth assistant contacts the child's parents or guardians and assists them to obtain appropriate dental care for their child. In the pilot study, we screened 50 children. In the first nine months of 2005, we screened 123 children. The results of our initial teledental screenings of children aged 12-48 months attending inner-city child-care centres revealed that almost 40% had active dental caries, mainly early childhood caries (ECC). For the first time, many children attending inner-city child-care centres have had their teeth examined at an early age and been given prompt feedback on the need for dental care.

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“…Existem países em que a organização da interface entre a atenção primária e a secundária dos serviços odontológicos funciona de maneira organizada e integrada, para suprir a necessidade de atendimento de sua população (Lo, Lin, Wang, Wong, & Schwarz, 2001;Morris, & Burke, 2001;Nuttall, Steed, & Donachie, 2002;Scott, Brodeur, Olivier, & Benigeri, 2002). Porém, para que haja efetiva utilização dos serviços de saúde, não basta apenas uma maior disponibilidade e oferta, é necessário analisar determinados fatores, como a distribuição geográfica, a facilidade de acesso ao atendimento odontológico, as mudanças do perfil epidemiológico e as características da gestão do serviço.…”

Section: Discussionunclassified

Análise temporal dos planos de saúde médicos e odontológicos do Brasil

Moimaz

Oliveira

Botan

et al. 2021

RSD

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Os planos de saúde médicos e odontológicos apresentam uma expansão significativa no Brasil, logo torna-se necessário analisar as características desse tipo de prestação de serviço, como parte de um modelo de atenção à saúde. O objetivo deste estudo foi realizar uma análise descritiva das operadoras de planos de saúde médicos e odontológicos do Brasil e as características de seus beneficiários no período de 2009 a 2019. Trata-se de uma pesquisa realizada por meio de uma análise descritiva dos dados fornecidos pela plataforma de registro online da ANS. Foram analisadas as seguintes variáveis, no período de 2009 a 2019: número de operadoras e modalidades, faixa etária, tipo de plano e sexo dos beneficiários. Em 2009, havia 1498 operadoras de planos de saúde e em 2019, notaram-se 1022. Quanto aos beneficiários, havia 55 milhões de beneficiários em 2009 e em 2019 foram verificados 72 milhões, com predomínio do sexo feminino 53%, e faixa etária entre 34 a 38 anos e modalidade coletiva empresarial, para ambas coberturas assistenciais, médica e odontológica. Conclui-se que houve crescimento expressivo no número de beneficiários dos planos de saúde, entretanto ocorreu um decréscimo na quantidade de operadoras de 2009 a 2019.

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Referral for secondary restorative dental care in rural and urban areas of Scotland: findings from the Highlands & Islands Teledentistry Project

Cited by 10 publications

References 13 publications

Impact of COVID-19 on the Knowledge and Attitudes of Dentists toward Teledentistry

Impact of COVID-19 on the Knowledge and Attitudes of Dentists toward Teledentistry

Teledentistry in inner-city child-care centres

Análise temporal dos planos de saúde médicos e odontológicos do Brasil

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