A computerized dental examination record system

Southard, Thomas E.; Ralls, Stephen A.

doi:10.1016/0010-4825(86)90062-4

Cited by 3 publications

(4 citation statements)

References 10 publications

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“…More recently other input devices such as the X-Y digitizer described by FAIRPO (14), the touch screen described by Dii-iiL (9), user definable keyboard or touch pad described by DIEIIL (9) and SOUTHARD & RALLS (15). and voice recognition system described by BAUMGARII-N (16) have been used.…”

mentioning

confidence: 99%

Pilot study on the feasibility of a computerized speech recognition charting system

Feldman¹,

Stevens

1990

Comm Dent Oral Epid

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The objective of this study was to determine the feasibility of developing and using a voice recognition computerized charting system to record dental clinical examination data. More specifically, the study was designed to analyze the time and error differential between the traditional examiner/recorder method (ASSISTANT) and computerized voice recognition method (VOICE). DMFS examinations were performed twice on 20 patients using the traditional ASSISTANT and the VOICE charting system. A statistically significant difference was found when comparing the mean ASSISTANT time of 2.69 min to the VOICE time of 3.72 min (P less than 0.001). No statistically significant difference was found when comparing the mean ASSISTANT recording errors of 0.1 to VOICE recording errors of 0.6 (P = 0.059). 90% of the patients indicated they felt comfortable with the dentist talking to a computer and only 5% of the sample indicated they opposed VOICE. Results from this pilot study indicate that a charting system utilizing voice recognition technology could be considered a viable alternative to traditional examiner/recorder methods of clinical charting.

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confidence: 99%

Pilot study on the feasibility of a computerized speech recognition charting system

Feldman¹,

Stevens

1990

Comm Dent Oral Epid

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“…In 1986 Southard and Rails at the Naval Dental Research Institute in Great Lakes, Illinois, described a computer-based dental record system that collected, stored, and displayed in a standard clinical format, the information generated during a comprehensive general dental examination. They used a microcomputer with a keyboard, visual display, and a dot matrix printer with high-resolution graphics capabilities for printing symbols, markings, and text, to print a copy of the computer-stored examination record in the same textual and graphic format as standard, manually recorded dental charts [ 170 ]. Using preprinted examination charts showing all 32 teeth, their computer program overprinted on each of the teeth appropriate marks and symbols for missing teeth, existing restorations, root-canal treatments, partial dentures, and caries; it also gave recommendations for extracting any teeth.…”

Section: Oral Surgery and Dentistrymentioning

confidence: 99%

“…After taking a dental history and completing an examination of the teeth, the user would answer a series of computer-displayed questions. Using algorithms and rules such as, if this … then do this …, if the answers representing the dental fi ndings fi t a diagnostic pattern, the computer classifi ed the patient's dental abnormality and recommended treatment if requested [ 170 ].…”

Section: Oral Surgery and Dentistrymentioning

confidence: 99%

Information Systems for Clinical Subspecialties

Collen¹,

Lorenzi

2015

Health Informatics

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Some of the earliest applications of computers in clinical medicine were in the clinical subspecialties, including cardiology, pulmonary, nephrology, gastroenterology, pediatrics, and the surgical sciences. But health professionals found these prototypes diffi cult to use; data entry devices were awkward and ineffi cient, and order entry functions were often not integrated. Each information system for a clinical subspecialty (ISCS) evolved differently, with its own specialized functional and technical requirements. In the 1960s mainframe computers were limited in their ability to meet all the processing requirements of all the ICSCs in a large hospital. By the 1970s each ISCS could have its own minicomputer-based system linked directly to the central mainframe. Health care professionals used terminals connected to the central computer to enter orders and to receive test results; the central computer transferred the orders to the appropriate ISCS subsystems and integrated the data coming back from the ISCSs into the patients' records stored in the mainframe computer. In the 1980s local area networks linked multiple lower-cost minicomputers; with distributed minicomputers and interactive visual display terminals, clinicians could begin to benefi t from the ISCSs in direct patient care and each ISCS could develop its own system to meet its own requirements. In the 1990s distributed information systems allowed physicians to enter orders and retrieve test results using clinical workstations connected to client-server minicomputers in the local area network that linked the entire hospital, and patient data from all of the distributed ISCS databases were integrated in a computer-based patient record.

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“…Orthodontics, for example, has a computer-based program that offers advice on the selection and treatment of cases suitable for removable 3 or fixed 4 appliances. Recording systems are available to direct, store, and display information generated during comprehensive oral examinations 5 and to provide expert assistance for diagnosing and treating dental emergencies. 6 More typically, however, computers have been used for quite specific tasks, such as a differential diagnosis of pulpal disease, 7,8 interpretation of dental radiographs, 9 diagnosis of malocclusions 10,11 and caries, 12,13 or analysis of potential loads on oral implants.…”

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confidence: 99%

A Measure of Agreement Between Clinicians and a Computer‐Based Decision Support System for Planning Dental Treatment

Kawahata

MacEntee

2002

Journal of Dental Education

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This study was conducted to estimate agreement and explain differences between treatment decisions and associated fees recommended by dentists and by a computer-based decision-support program (TxDENT 2.0 © ). The treatment fees associated with forty-eight clinical records of patients attending a dental school clinic provided a measure of correlation and agreement between treatments recommended by TxDENT and by clinical instructors with students. The average difference between the two methods of forecasting fees was $466, and a regression line (y=0.43x+407) with an r-value of 0.54 indicated the strength of the relationship. The differences between methods increased as the cost of treatment increased, due largely to disagreements about the need to restore or replace weak or missing teeth. There is reasonable agreement between TxDENT and the collaborative treatment plans of clinical instructors with their students, which suggests that this computer-based decision-support system for screening patients in a standardized way could be a helpful predictor of treatment provided in a dental school clinic.

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A computerized dental examination record system

Cited by 3 publications

References 10 publications

Pilot study on the feasibility of a computerized speech recognition charting system

Pilot study on the feasibility of a computerized speech recognition charting system

Information Systems for Clinical Subspecialties

A Measure of Agreement Between Clinicians and a Computer‐Based Decision Support System for Planning Dental Treatment

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