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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...
November 17, 2016: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
Preethy Nayar, Kimberly K McFarland, Aastha Chandak, Niodita Gupta
We validated a survey tool to test the readiness of oral health professionals for teledentistry (TD). The survey tool, the University of Calgary Health Telematics Unit's Practitioner Readiness Assessment Tool (PRAT) gathered information about the participants' beliefs, attitudes and readiness for TD before and after a teledentistry training program developed for a rural state in the Mid-Western United States. Ninety-three dental students, oral health and other health professionals participated in the TD training program and responded to the survey...
January 2017: Journal of Medical Systems
Michelle Roxo-Gonçalves, Jéssica R Strey, Caren S Bavaresco, Marco Antonio T Martins, Juliana Romanini, Carlos Pilz, Erno Harzheim, Roberto Umpierre, Manoela D Martins, Vinicius C Carrard
BACKGROUND: Difficulties in diagnosis of oral mucosal lesions are a significant cause of delayed oral cancer diagnosis, and this difficulty may be due to gaps in knowledge. This study evaluated the diagnostic skills of primary healthcare professionals regarding oral cancer and presented them with an e-learning course. MATERIALS AND METHODS: Forty-seven primary healthcare professionals (32 dentists and 15 nondentists) enrolled in a 24-h course on oral medicine delivered through an e-learning platform...
April 2017: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
Nabihah Haron, Rosnah Binti Zain, Wan Maria Nabillah, Amyza Saleh, Thomas George Kallarakkal, Anand Ramanathan, Suraya Hani Mohd Sinon, Ishak Abdul Razak, Sok Ching Cheong
INTRODUCTION: This study examined the concordance in clinical diagnosis of high-risk lesions in the oral cavity and referral decisions between clinical oral examination (COE) and teledentistry. MATERIALS AND METHODS: Sixteen individuals with a range of oral potentially malignant disorders (OPMD) and normal oral mucosa were included. Five areas of the oral cavity were photographed by three dentists using mobile phone cameras with 5 MP-13 MP resolutions. On the same day, the patients were given COE by two oral medicine specialists (OMS) and 3 weeks later, they reviewed the images taken using the phone, and concordance was examined between the two by Kappa statistics...
March 2017: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
Sean W McLaren, Dorota T Kopycka-Kedzierawski, Jed Nordfelt
OBJECTIVES: The purpose of this study was to assess the accuracy of predicting dental treatment modalities for children seen initially by means of a live-video teledentistry consultation. METHODS: A retrospective dental record review was completed of 251 rural pediatric patients from the Finger Lakes region of New York State who had an initial teledentistry appointment with a board-certified pediatric dentist located remotely at the Eastman Institute for Oral Health in Rochester, NY...
August 9, 2016: Journal of Telemedicine and Telecare
Liam Caffery, Natalie Bradford, Maria Meurer, Anthony Smith
A retrospective analysis of hospitalisation due to oral and dental conditions (ODC) was performed for patients in Queensland. The aim was to identify the rate and cost of hospitalisation and to examine the association between hospitalisation and age, geographical location and Indigenous status. There were 81528 admissions to Queensland's hospitals due to ODC during the 3-year study period (2011-2013). The annual cost of ODC-related hospitalisation was estimated to be AU$87million. Indigenous infants (Z=4.08, P<0...
July 15, 2016: Australian Journal of Primary Health
S J Daniel, S Kumar
RATIONALE FOR STUDY: Teledentistry is an effective and efficient means of increasing access to care for screening, referral and treatment. Practice restrictions and the undocumented concern that dental hygienists do not have the skill or knowledge to identify or diagnose a carious lesion impede access to care. PURPOSE: This study compared the identification of dental caries by both dental hygienists and dentists and by both clinical and teledentistry methods. METHODS: A sample of 82 children 4-7 years of age attending an elementary school in Memphis, Tennessee, was selected for the study...
June 3, 2016: International Journal of Dental Hygiene
Mohamed Estai, Yogesan Kanagasingam, Boyen Huang, Hellen Checker, Lesley Steele, Estie Kruger, Marc Tennant
OBJECTIVES: This study aimed to determine whether intraoral photographic assessment by mid-level dental providers (MLDPs) offers a valid and reliable means of dental caries screening. METHODS: A mobile teledentistry model was developed to facilitate the acquisition of dental images, and transmission and reviewing of data. One hundred regularly attending patients at a dental clinic participated in the study. Following an on-site clinical examination by a senior dentist, photographs of participants' teeth were taken by a teledental assistant, using a smartphone camera...
October 2016: Community Dentistry and Oral Epidemiology
Luís Henrique Schlichting, Kyle Stanley, Michel Magne, Pascal Magne
The restoration of anterior teeth is frequently a demanding mission. Patients generally have high expectations for the anterior region, which makes the emotional side of treatment especially important. When this involves discolored endodontically treated teeth, consensus can hardly ever be found as to the chosen approach. Bleaching with direct composites is undoubtedly the most conservative choice for these cases. However, this may require more maintenance (touch-up bleaching and repairs) in the long term, which is an important issue for adult patients...
2015: International Journal of Esthetic Dentistry
M Estai, E Kruger, M Tennant
Objective This study aimed to explore Australian dental practitioners' perceptions of the usefulness of teledentistry in improving dental practice and patient outcomes.Methods A descriptive cross-sectional study involving an anonymous electronic survey of a sample of 169 Australian dental practitioners. We designed a 24-item, 5-point Likert-scale questionnaire assessing perceptions of dentists in four domains: usefulness of teledentistry for patients; usefulness of teledentistry for dental practice; capability of teledentistry to improve practice; and perceived concerns about the use of teledentistry...
January 15, 2016: British Dental Journal
Mohamed Estai, Yogesan Kanagasingam, Di Xiao, Janardhan Vignarajan, Stuart Bunt, Estie Kruger, Marc Tennant
Objective This study aimed to evaluate users' acceptance of a teledentistry model utilizing a smartphone camera used for dental caries screening and to identify a number of areas for improvement of the system. Methods A store-and-forward telemedicine platform "Remote-I" was developed to assist in the screening of oral diseases using an image acquisition Android app operated by 17 teledental assistants. A total of 485 images (five images per case) were directly transmitted from the Android app to the server...
January 2017: Journal of Telemedicine and Telecare
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