Remote clinical consultations in restorative dentistry—A survey

Gleeson, H.B.; Kalsi, A. S.

doi:10.1016/j.jdent.2021.103914

Cited by 8 publications

(9 citation statements)

References 16 publications

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“…With certain orthodontic emergencies, teledentistry provided a platform to advise patients about home remedies such as using a pencil eraser to push on metal ligatures causing soft tissue trauma or using sterilized nail clippers to remove protruding archwire [32]. As an ancillary benefit, telemedicine led to shorter wait times for pre-and postoperative evaluations and specialty consultations [16,18,19,28,29,31,33,37] and mitigated COVID-19 spread by reducing clinic overcrowding [17]. A Saudi Arabian clinic successfully used a questionnaire to triage patients and determine whether a pediatric patient needed in-person treatment [38].…”

Section: Were There Innovative Ideas That Resulted From the Implement...mentioning

confidence: 99%

“…They also provided previsit videos about COVID-19 protocols to protect all parties present in the dental office [38]. The implementation of virtual waiting areas was another teledentistry innovation [35,37,38]. For patients with concerns about oral pathology and who are uncomfortable with [34] suggested home saliva testing to assess oncologic pathology.…”

Section: Were There Innovative Ideas That Resulted From the Implement...mentioning

confidence: 99%

“…The most mentioned applications were WhatsApp, Skype, Zoom, and Google-related services [16,17,19,24,[26][27][28][29][30][31][32][33][34][35]. Less common were Mobile Mouth Screening Anywhere, a program specifically designed to detect oral cancer via photos uploaded by patients; a video platform called Video 4 Health used in conjunction with a teletrailer program, Telegram; Attend Anywhere; Facetime; and Health Insurance Portability and Accountability Act (HIPAA)-compliant programs such as Mailgate SC, Doxy.me, WebEx, Virtru, MD Office Mail, and LuxSci [5,27,36,37]. Teledentistry for orthodontics used programs that tracked the progress of orthodontic treatment.…”

Section: How Was Teledentistry Implemented During the Covid-19 Pandemic?mentioning

confidence: 99%

“…The dental professionals either managed the patient virtually or triaged the patient for an in-person appointment with an appropriate provider [5]. Gleeson and Kalsi [37] discussed Attend Anywhere's ability to provide remote clinical consultation for patients with complex restorative needsf and patient satisfaction. In Brazil, physicians used telemedicine networks to provide coverage for all State municipalities.…”

Section: How Was Teledentistry Implemented During the Covid-19 Pandemic?mentioning

confidence: 99%

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Teledentistry Implementation During the COVID-19 Pandemic: Scoping Review

Hung¹,

Lipsky²,

Phuatrakoon³

et al. 2022

Interact J Med Res

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Background COVID-19 spreads via aerosol droplets. The dental profession is at high risk of contracting the virus since their work includes treatment procedures that produce aerosols. Teledentistry offers an opportunity to mitigate the risk to dental personnel by allowing dentists to provide care without direct patient contact. Objective The purpose of this scoping review was to examine the implementation, challenges, strategies, and innovations related to teledentistry during the COVID-19 pandemic lockdown. Methods This scoping review evaluated teledentistry use during the pandemic by searching for articles in PubMed and Google Scholar using the search terms teledentistry, tele-dentistry, covid-19, coronavirus, telehealth, telemedicine, and dentistry. Inclusion criteria consisted of articles published in English from March 1, 2020, to April 1, 2022, that were relevant to dentistry and its specialties, and that included some discussion of teledentistry and COVID-19. Specifically, the review sought to explore teledentistry implementation, challenges, strategies to overcome challenges, and innovative ideas that emerged during the pandemic. It followed the 2020 Preferred Reporting Items for Systematic reviews and Meta-Analyses for Scoping Reviews (PRISMA-ScR). This approach is organized into 5 distinct steps: formulating a defined question, using the question to develop inclusion criteria to identify relevant studies, an approach to appraise the studies, summarizing the evidence using an explicit methodology, and interpreting the findings of the review. Results A total of 32 articles was included in this scoping review and summarized by article type, methodology and population, and key points about the aims; 9 articles were narrative review articles, 10 were opinion pieces, 4 were descriptive studies, 3 were surveys, 2 were integrative literature reviews, and there was 1 each of the following: observational study, systematic review, case report, and practice brief. Teledentistry was used both synchronously and asynchronously for virtual consultations, often employing commercial applications such as WhatsApp, Skype, and Zoom. Dental professionals most commonly used teledentistry for triage, to reduce in-person visits, and for scheduling and providing consultations remotely. Identified challenges included patient and clinician acceptance of teledentistry, having adequate infrastructure, reimbursement, and security concerns. Strategies to address these concerns included clinician and patient training and utilizing Health Insurance Portability and Accountability Act-compliant applications. Benefits from teledentistry included providing care for patients during the pandemic and extending care to areas lacking access to dental care. Conclusions Pandemic lockdowns led to new teledentistry implementations, most commonly for triage but also for follow-up and nonprocedural care. Teledentistry reduced in-person visits and improved access to remote areas. Challenges such as technology infrastructure, provider skill level, billing issues, and privacy concerns remain.

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Section: Were There Innovative Ideas That Resulted From the Implement...mentioning

confidence: 99%

Section: Were There Innovative Ideas That Resulted From the Implement...mentioning

confidence: 99%

Section: How Was Teledentistry Implemented During the Covid-19 Pandemic?mentioning

confidence: 99%

Section: How Was Teledentistry Implemented During the Covid-19 Pandemic?mentioning

confidence: 99%

See 2 more Smart Citations

Teledentistry Implementation During the COVID-19 Pandemic: Scoping Review

Hung¹,

Lipsky²,

Phuatrakoon³

et al. 2022

Interact J Med Res

View full text Add to dashboard Cite

show abstract

“…Often, when junior dentists encounter complex oral diseases to diagnose and treat, they need to consult a senior doctor for their guidance and help [20]. Many studies show that remote consultation is a relatively quick and convenient solution [21,22,23].…”

Section: Discussionmentioning

confidence: 99%

Chinese dentists' use of teledentistry and its influencing factors - A Cross-sectional study

Zheng¹,

wu²,

li³

et al. 2022

Preprint

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Background We investigated the factors influencing the utilization of teledentistry among dentists to improve the effective use of teledentistry in clinical work. Further, we provided suggestions to promote the development and improvement of teledentistry in the dental industry. Methods We conducted a descriptive cross-sectional study using an electronic survey in a sample of Chinese dental professionals. We designed 17 electronic questionnaires to evaluate the basic information of the dentists and four areas of perception in dentists: knowledge and attitude of the teledentistry, medical needs, teledentistry participation satisfaction and telemedicine use. We summarized the survey results using descriptive statistics and multivariate logistic regression analysis. Results 601 dental professionals participated in the study. 90.8% of dentists were aware of teledentistry, but only 51.7% agreed that teledentistry was effective in practice. The utilization rate of teledentistry was 59.1% in the previous year. The factors affecting teledentistry use were gender (OR=1.57, P<0.05), daily working hours (OR=1.86, P<0.05), level of knowledge (OR=2.50, P<0.05), consultation needs (OR=0.46, P<0.05), technology (OR=1.90, P<0.05) and network (OR=1.86, P<0.05). Conclusion Teledentistry should be combined with digital dental technology (e.g. 3D printing and CAD/CAM), visualization technology (e.g. VR/AR) and 5G technology to provide dentists with better technical standards and network transmission to help diagnose and treat patients. Simultaneously, we should pay attention to the associated factors such as understanding the degree of teledentistry, relevant demographic and sociological characteristics and working hours. Considering the current progress, we should optimize the process and efficiency in the teledentistry to increase its utilization among dentists.

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