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Mohamed Estai, Stuart M Bunt, Yogesan Kanagasingam, Estie Kruger, Marc Tennant
OBJECTIVE: To estimate the scale of resource transfer that could be achieved by screening low-risk schoolchildren using teledentistry rather than using traditional visual dental examination. METHODS: This study was based on a previous cost-minimisation study that compared the costs of two dental-screening approaches (visual and teledentistry). The data for the population of children 5-14 years of age was obtained from the Australian Bureau of Statistics and was divided across Australia according to statistical local area (SA2)...
January 30, 2018: International Dental Journal
Neal D Kravitz
No abstract text is available yet for this article.
November 2017: Journal of Clinical Orthodontics: JCO
Jafar H Alabdullah, Susan J Daniel
OBJECTIVES: The aim of this systematic review was to evaluate the validity of using teledentistry in oral care examination and diagnosis. METHODS: In June 2016, a systematic search of the literature was conducted without time restrictions in three electronic databases (Ebscohost, Pubmed, and Scopus). Two reviewers screened the retrieved articles first by title and then by abstract to determine relevant articles for full text review. Studies included were as follows: (1) related to teledentistry, (2) available in full text and English, (3) compared teledentistry application to a gold standard, and (4) provided clear statistical tests for validity...
January 5, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
Jonathan Teoh, Arthur Hsueh, Rodrigo Mariño, David Manton, Kerrod Hallett
OBJECTIVE: To assess the use of Teledentistry (TD) in delivering specialist dental services at the Royal Children's Hospital (RCH) for rural and regional patients and to conduct an economic evaluation by building a decision model to estimate the costs and effectiveness of Teledental consultations compared with standard consultations at the RCH. METHODS: A model-based analysis was conducted to determine the potential costs of implementing TD at the RCH. The outcome measure was timely consultations (whether the patient presented within an appropriate time according to the recommended schedule)...
November 27, 2017: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
Subbalekshmi T, Vasanthakumari Anandan, Renugalekshmi Apathsakayan
Aim The aim of this study was to assess the reliability and feasibility of using teledentistry for the screening and diagnosis of dental caries in children between the age groups of three to six years. Design This study included a total of 318 school-going children whose caries scores were calculated by visual method and using digital photographs generated by an intraoral camera by two examiners: examiner 1 and examiner 2 (E1 and E2). Intra-examiner and inter-examiner variability were determined. Reliability was compared across the three groups...
July 1, 2017: Curēus
Nicolas Giraudeau, Camille Inquimbert, Robin Delafoy, Paul Tramini, Jean Valcarcel, Fadi Meroueh
Purpose In France, all incarcerated prisoners are required to undergo a dental examination (Ministère de la santé et de la protection sociale, 2004 and Ministère de la justice, 2004). However, only one in two prisoners benefits from this oral health check-up. Oral teleconsultation could improve the quality of oral care in prisons. The paper aims to discuss these issues. Design/methodology/approach The focus of this study was therefore to apply oral teleconsultation as an experiment. Using an oral teleconsultation system, a dentist and a nurse were separately asked to give patients a score, according to how urgently their dental issue needed to be treated...
June 12, 2017: International Journal of Prisoner Health
Mohamed Estai, Stuart Bunt, Yogesan Kanagasingam, Marc Tennant
Objective The aim of the present study was to compare the costs of teledentistry and traditional dental screening approaches in Australian school children.Methods A cost-minimisation analysis was performed from the perspective of the oral health system, comparing the cost of dental screening in school children using a traditional visual examination approach with the cost of mid-level dental practitioners (MLDPs), such as dental therapists, screening the same cohort of children remotely using teledentistry. A model was developed to simulate the costs (over a 12-month period) of the two models of dental screening for all school children (2...
June 5, 2017: Australian Health Review: a Publication of the Australian Hospital Association
Roland Petcu, Chris Kimble, Roxana Ologeanu-Taddei, Isabelle Bourdon, Nicolas Giraudeau
OBJECTIVES: The evaluation of telemedicine from the patient's point of view has focused on the patient pathway and patient satisfaction. However, research in this field does not provide us with the means to assess a patient's perception of the procedure if their reasoning ability is impaired. In this study, we use direct observation of a patient's behavior and mood to assess their perception of an oral teleconsultation procedure. METHODS: This study has been conducted in the context of a pilot project using an asynchronous teleconsultation to improve access to dental care for the dependent elderly, disabled people, and prisoners, some of whom may be cognitively impaired...
May 30, 2017: International Journal of Technology Assessment in Health Care
Kalyana Chakravarthy Pentapati, Preetinanda Mishra, Mehrshad Damania, Siddharth Narayanan, Garima Sachdeva, Geetanshu Bhalla
OBJECTIVE: Reliability of intra-oral camera using teledentistry in screening of oral diseases. METHODOLOGY: A trained and calibrated examiner used intra-oral camera to capture videos of oral cavity along with clinical examination to evaluate caries, plaque, calculus, tooth wear and fluorosis, stains in children. RESULTS: The mean DT and DMFT were significantly higher with use of intra-oral camera than with clinical examination (p = 0.001 and 0...
April 2017: Saudi Dental Journal
Rogério de Almeida Geraldino, Liliana Vicente Melo de Lucas Rezende, Cibele Queiroz da-Silva, Júlio César Franco Almeida
BACKGROUND: Intra-oral photographs have been aided diagnosis of several pathologies in teledentistry. Mobile phone cameras may produce high-quality photographs, presenting itself as a viable tool for remote diagnosis of traumatic dental injuries. AIM: To evaluate the levels of interexaminer agreement in cases of traumatic dental injuries when comparing diagnoses conducted in person and remotely. MATERIAL AND METHODS: The sample included 40 patients with 73 traumatized teeth, and a total of 90 diagnoses, who had presented to two dental clinics, one private, and the other public, in Brazil's Federal District...
October 2017: Dental Traumatology: Official Publication of International Association for Dental Traumatology
K K McFarland, P Nayar, A Chandak, N Gupta
INTRODUCTION: The objective of this study was to conduct a formative evaluation of a teledentistry (TD) programme that was developed for a predominantly rural state in the Midwestern United States. MATERIALS AND METHODS: Formative evaluation data were collected on programme activities from the TD programme records. In addition, the effectiveness of the TD training programme was evaluated using a self-administered paper-based survey administered to the participants, immediately following completion of the training activity...
March 15, 2017: European Journal of Dental Education: Official Journal of the Association for Dental Education in Europe
Neal D Kravitz, Benjamin Burris, David Butler, C William Dabney
No abstract text is available yet for this article.
December 2016: Journal of Clinical Orthodontics: JCO
Alain Queyroux, Bernard Saricassapian, Daniel Herzog, Karin Müller, Isabelle Herafa, Dorothée Ducoux, Benoît Marin, Thierry Dantoine, Pierre-Marie Preux, Achille Tchalla
IMPORTANCE: Dental neglect and high levels of unmet dental needs are becoming increasingly prevalent among elderly residents of long-term care facilities, although frail, elderly, and dependent populations are the most in need of professional dental care. Little is known about the validity of teledentistry for diagnosing dental pathology in nursing home residents. OBJECTIVES: To evaluate the accuracy of teledentistry for diagnosing dental pathology, assessing the rehabilitation status of dental prostheses, and evaluating the chewing ability of older adults living in nursing homes (using direct examination as a gold standard)...
February 21, 2017: Journal of the American Medical Directors Association
Mohamed Estai, Yogesan Kanagasingam, Marc Tennant, Stuart Bunt
Objective This review is designed to inform future decisions about the benefits of integrating teledentistry into routine health services, by presenting an overview of the evidence for the effectiveness and economic impact of teledentistry. Methods Two reviewers searched PubMed, EMBASE and CINAHL databases through November 2016 to identify published peer-reviewed studies in English. Teledentistry studies were included if they were; (a) controlled (randomised or non-randomised) assessment studies; and (b) compared outcomes of a teledentistry intervention in terms of clinical or economic evaluation with the outcomes of traditional clinical alternatives...
January 1, 2017: Journal of Telemedicine and Telecare
Michelle Irving, Rosemary Stewart, Heiko Spallek, Anthony Blinkhorn
Background Access to dental care is important for overall health, but can remain problematic for those in rural or isolated locations. It can be difficult to encourage clinicians to choose or continue a rural health career. Teledentistry is showing some promise as a strategy to support rural, isolated and new health care workers. This study aims to explore the quantitative and qualitative framework associated with teledentistry in an effort to uncover the interaction of multiple influences on its delivery and sustainability...
January 1, 2017: Journal of Telemedicine and Telecare
Bharathi M Purohit, Abhinav Singh
OBJECTIVE: The study aims to assess the reliability of video-graphic method as a tool to screen the dental caries among 12-year-old school children in a rural region of India. METHODS: A total of 139 school children participated in the study. Visual tactile examinations were conducted using the Decayed, Missing, and Filled Teeth (DMFT) index. Simultaneously, standardized video recording of the oral cavity was performed. Sensitivity and specificity values were calculated for video-graphic assessment of dental caries...
December 30, 2016: Journal of Public Health Dentistry
Amy B Martin, Joni D Nelson, Grishma P Bhavsar, James McElligott, David Garr, Renata S Leite
OBJECTIVE: South Carolina Dental Association members were surveyed on telehealth knowledge, need, and interest in using it for access to care improvements. METHODS: Dependent variables were Medicaid patient population size (less than or greater than 10%), career stage (early to middle and advanced), and National Health Service Corps participation (yes or no). Practice and provider characteristics were screener questions. Data were collected electronically and analyzed with SAS...
December 2016: Journal of Evidence-based Dental Practice
Mohamed Estai, Estie Kruger, Marc Tennant, Stuart Bunt, Yogesan Kanagasingam
With the availability of oral care services very unevenly distributed in rural or remote areas, underserved people seek oral care from non-dental care providers. Against this backdrop, and coupled with the decreasing cost of and innovations in technology, there is a growing interest in the adoption of telemedicine services. Regardless of the lack of good-quality evidence supporting the cost-effectiveness of telemedicine, evidence already indicates that telemedicine, even with extra costs, helps in reducing the inequalities in the provision of primary health care...
October 2016: Rural and Remote Health
Mohamed Estai, Stuart Bunt, Yogesan Kanagasingam, Estie Kruger, Marc Tennant
OBJECTIVE: This study sought to systematically review the literature for research evidence for the diagnostic accuracy of teledentistry in the detection of dental caries. METHODS: Two reviewers searched PubMed, EMBASE, and Scopus databases through January 2016 for comparative studies that examined the diagnostic accuracy of teledentistry for detecting caries compared with nontelemedicine alternatives. Retrieved studies were screened for inclusion criteria and were evaluated for methodological quality using the quality assessment of diagnostic accuracy studies (QUADAS-2) checklist...
September 2016: Journal of Evidence-based Dental Practice
Mohamed Estai, Yogesan Kanagasingam, Boyen Huang, Julia Shiikha, Estie Kruger, Stuart Bunt, Marc Tennant
OBJECTIVES: This study sought to evaluate the efficacy of a mobile teledentistry approach using a smartphone camera for remote screening of dental caries. MATERIALS AND METHODS: An image acquisition Android App was created to facilitate the acquisition and transmission of dental images to a store-and-forward based telemedicine server. One hundred participants who were attending routine checkups at dental clinics were enrolled in 2014. Following a face-to-face oral screening by a screener (dentist), images of patients' teeth were obtained using a smartphone camera...
May 2017: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
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