Accuracy of Teledentistry for Diagnosing Dental Pathology Using Direct Examination as a Gold Standard: Results of the Tel-e-dent Study of Older Adults Living in Nursing Homes

Queyroux, Alain; Saricassapian, Bernard; Herzog, David P.; Müller, Karin; Herafa, Isabelle; Ducoux, Dorothée; Marin, Benoît; Dantoine, Thierry; Preux, Pierre‐Marie; Tchalla, Achille

doi:10.1016/j.jamda.2016.12.082

Cited by 64 publications

(63 citation statements)

References 18 publications

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“…New technologies in tele-dentistry have been developed that may assist in addressing some of the barriers for residents accessing oral health services and potentially reducing the number of referrals for face to face Dentist appointments [ 33 , 34 ]. Tele-dentistry provides a viable option for remote screening, diagnosis, consultation, treatment planning and mentoring and has been successfully implemented in different settings to a variety of populations including rural, remote and other isolated populations [ 35 – 39 ].…”

Section: Introductionmentioning

confidence: 99%

An integrated oral health program for rural residential aged care facilities: a mixed methods comparative study

Tynan

Deeth

McKenzie

2018

BMC Health Serv Res

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BackgroundPeople in residential aged care facilities (RACF) are at very high risk of developing complex oral diseases and dental problems. A multidisciplinary approach incorporating oral health professionals and RACF staff is important for improving and sustaining oral health in RACFs. However, difficulties exist with access to oral health services for RACFs, particularly those in regional and rural areas. This study investigated the impact and experience of an integrated oral health program utilising tele-dentistry and Oral Health Therapists (OHT) in RACFs in a rural setting within Australia.MethodsA mixed method comparison study was undertaken. Two hundred fifty-two clinical audits were completed across nine facilities with and without access to the integrated oral health program. Twenty-seven oral health quality of life surveys were completed with eligible residents. One focus group discussions (FGD) and eight interviews were completed with RACF staff. Thematic analysis was conducted on the transcribed FGDs and IDIs. Quantitative data were analysed using descriptive statistics.ResultsAudits showed an improved compliance to Australian Aged Care Quality Accreditation Standards for oral health in the facilities with access to the integrated program compared to those without the program. Thematic analysis revealed that facilities with the integrated program reported improvements in importance placed on OH, better access to OH services and training, and decreased disruption of residents, particularly those with high care needs.ConclusionsThe integrated oral health program incorporating OHTs and tele-dentistry shows potential to improve the oral health outcomes of residents of RACFs. Improvements for managing oral health of residents with high care needs were observed. RACFs without easy access to an oral health service will also likely benefit from the increased support and training opportunities that the program enables.Electronic supplementary materialThe online version of this article (10.1186/s12913-018-3321-5) contains supplementary material, which is available to authorized users.

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Section: Introductionmentioning

confidence: 99%

An integrated oral health program for rural residential aged care facilities: a mixed methods comparative study

Tynan

Deeth

McKenzie

2018

BMC Health Serv Res

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“…Of the 128 cases of dental disease identified by remote sensing, 6 (4.8%) were false positives. Remote sensing assessments were faster than face-to-face exams, taking 12 and 20 minutes, respectively [41]. …”

Section: Methodsmentioning

confidence: 99%

Telemedicine and Geriatrics in France: Inventory of Experiments

Zulfiqar

Hassani

Talha

et al. 2018

Current Gerontology and Geriatrics Research

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Telemedicine is now in vogue, being deployed through computer and communication tools in various health fields, such as diabetology, nephrology, dermatology, neurology, and cardiology. With population ageing, geriatrics is coming into sharp focus. Telemedicine practices differ for home-based or institutionalized patients in long-term care homes. We take a look at telemedicine projects in France concerning the elderly.

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“…Examples being, the e-DENT project from the University Hospital of Montpellier 5 and the TEL-E-DENT project from the public hospital of Guéret. 6 These projects allow older adults and/or disabled people and/or inmates 7 to gain access to an oral telediagnosis.…”

Section: Introductionmentioning

confidence: 99%

2019: The Year of Teledentistry in France?

Giraudeau¹,

Roy²,

Malthiéry³

et al. 2019

J Int Soc Telemed eHealth

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In France, access to a dentist for elderly people, disabled people or inmates is limited. A person's access to a dentist decreases by 25% when joining a nursing home. A national report mentioned that 85% of residents in nursing homes didn't have access to a dentist in the past year and 42% in the last 5 years. There are fewer data on disabled people, but 48% of people with disabilities have, at least, one important issue related to oral health. Two examples of teledentistry, the e-DENT project from University Hospital of Montpellier and the TEL-E-DENT project from the public Hospital of Guéret, are presented to describe how teledentistry works in France, the current legal framework, remuneration of teledentistry and the pros and cons of teledentistry in France. 2019 will be crucial for the development of teledentistry as a number official decisions will be made that will influence the implementation of this kind of activity.

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Accuracy of Teledentistry for Diagnosing Dental Pathology Using Direct Examination as a Gold Standard: Results of the Tel-e-dent Study of Older Adults Living in Nursing Homes

Abstract: Teledentistry showed excellent accuracy for diagnosing dental pathology in older adults living in nursing homes; its use may allow more regular checkups to be carried out by dental professionals.

Cited by 64 publications

References 18 publications

An integrated oral health program for rural residential aged care facilities: a mixed methods comparative study

An integrated oral health program for rural residential aged care facilities: a mixed methods comparative study

Telemedicine and Geriatrics in France: Inventory of Experiments

2019: The Year of Teledentistry in France?

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