Synchronous Telephone-Based Consultations in Teledentistry: Preliminary Experience of the Telehealth Brazil Platform

Roxo‐Gonçalves, Michelle; Stüermer, Vanessa Müller; Santos, Laura Ferraz dos; Kinalski, Daniela Dal Forno; Oliveira, Elise Botteselle de; Roman, Rudi; Carrard, Vinícius Coelho

doi:10.1089/tmr.2020.0007

Cited by 2 publications

(5 citation statements)

References 32 publications

(41 reference statements)

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“…Moreover, procedures for the early detection of oral cancer are infrequent in PHC; this is an indicator of the need for greater training of professionals and students to enable the detection and biopsy of pre-malignant and malignant lesions and for greater knowledge of the related risk factors [19][20][21]. In this context, teledentistry may represent an important tool to improve access to care-related oral pathologies [12,13] and enhance the effectiveness of the referral and counter-referral system so that only more complex cases will be referred to secondary care [13,21].…”

Section: Resultsmentioning

confidence: 99%

“…The deficiencies in the academic training process suggested by the results of this study raise a concern and point to the constant need for continued education and periodic updating, whether in person or by distance learning. The Telehealth Program is a fundamental tool to support PHC professionals, considering that it provides continuing education and professional empowerment in the learning process [13,31]. In the context of the COVID-19 pandemic, teledentistry initiatives have been further explored to provide needed support [14].…”

Section: Resultsmentioning

confidence: 99%

“…High demand for oral medicine-related requests was also observed in southern Brazil, where the Federal University of Rio Grande do Sul (UFRGS) created a specific telediagnosis service (EstomatoNet) [12]. Diagnosing and managing oral lesions were the main topics broached by the synchronous teleconsulting services offered by the Technical and Scientific Center for Telehealth of the Federal University of Rio Grande do Sul (TelessaúdeTS-UFRGS) [13]. These topics are vital for overall diagnosis and treatment planning at all care levels and are often the core queries of professionals [14].…”

Section: Introductionmentioning

confidence: 99%

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Oral Medicine and Pharmacology Teleconsulting Sessions of the Telehealth Program in one Southeastern State of Brazil

Paixão,

Costa,

Godoy

et al. 2024

Pesqui. Bras. Odontopediatria Clín. Integr.

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Objective: To evaluate questions concerning oral medicine-and pharmacology-related specialties of asynchronous dental teleconsulting sessions of the Telehealth Brazil Networks Program. Material and Methods: Data were collected from secondary databases of asynchronous dental teleconsulting sessions of the telehealth centers of Minas Gerais from July 2015 to July 2017. The variables for dental underlying fields and the types of questions were evaluated. Descriptive analysis was performed with the SPSS v.22.0 program. Results: 3,920 teleconsulting sessions were referred to the telehealth centers of Minas Gerais during the study period. Regarding oral medicine-related questions (n=745), most (n=469; 62.95%) addressed diagnosis, whereas the underlying field questions mostly regarded fungal, viral, and bacterial infections (17.3%), biopsies (16.4%), developmental defects and dental abnormalities (9.9%), and soft tissue tumors (9.4%). Pharmacologyrelated questions (n=738) mostly addressed general approaches (n=672; 91.06%), and the most common questions were about underlying fields' prescriptions (44.7%), anesthetics (17.6%), adverse effects of medications and anesthetics (10.2%), and selection of anesthetics for patients with systemic conditions (9.8%). Conclusion: Most teleconsulting sessions regarded conditions or procedures common in primary health care and essential for diagnosis and treatment planning at all care levels, which suggests a need for more academic learning processes for healthcare professionals, especially in dentistry primary fields.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Oral Medicine and Pharmacology Teleconsulting Sessions of the Telehealth Program in one Southeastern State of Brazil

Paixão,

Costa,

Godoy

et al. 2024

Pesqui. Bras. Odontopediatria Clín. Integr.

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“…Following which, they suggested the conduct and the decision of the teleconsultation, that is, management in the primary health care or referral to specialized care. Teleconsultation is answered based on available scientific evidence in the current literature 24,25 and adapted to the regional reality, the teleconsultations were carried out in real-time through a free telephone service 7 .…”

Section: Methodsmentioning

confidence: 99%

“…Among these, TelessaúdeRS-UFRGS is the only interprofessional synchronous teleconsultation service in Brazil, which provides, in addition to telediagnosis, tele-education, and tele-regulation activities 6 . In 2018, the service was expanded with the inclusion of multi-professional care 7 .…”

Section: Introductionmentioning

confidence: 99%

Synchronous teleconsultation in the management of temporomandibular disorder

et al. 2021

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Purpose: to analyze synchronous teleconsultation as a support tool in the management of temporomandibular disorders in primary health care and to identify which factors have an impact on decisions about teleconsultation. Methods: retrospective study perfomed in TelessaúdeRS, between May 2018 to May 2020. This study used primary data from synchronous teleconsultation, requested by primary health care professionals and carried out by multiprofessional teleconsultants. The data collected were the information reported by the requester, the teleconsultant's suggestions and if there was referral of the patient for specialized care after teleconsultation. The statistical association was investigated between patient characteristics and decision of teleconsultation; and teleconsultation conduct suggestions and decision of teleconsultation, using Fisher's exact test and modeling was performed using binary logistic regression considering 5% of significance (p≤0.05). Results: during the period, 56 teleconsultations had a temporomandibular diagnostic hypothesis, these 79.2% patients were female and the average age was 43.7 years. In 59.1% of teleconsultations, primary care management was suggested, with 72.4% of patients being managed. An association was found between the decision of teleconsultation and referral to specialized care (p <000.1). The trauma report (p = 0.004) was associated with a greater chance of being referred for special care and suggestions for pharmacological (p <0.001) and non-pharmacological (p = 0.007) treatments were introduced among the teleconsultation managed in primary care. Conclusion: teleconsultation helped to manage the majority of temporomandibular disorder, streamlining care and having the potential to avoid unnecessary referrals to special care.

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Synchronous Telephone-Based Consultations in Teledentistry: Preliminary Experience of the Telehealth Brazil Platform

Cited by 2 publications

References 32 publications

Oral Medicine and Pharmacology Teleconsulting Sessions of the Telehealth Program in one Southeastern State of Brazil

Oral Medicine and Pharmacology Teleconsulting Sessions of the Telehealth Program in one Southeastern State of Brazil

Synchronous teleconsultation in the management of temporomandibular disorder

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