Teledentistry as a new service line—Not just a coping mechanism for the pandemic

Danciu, Theodora E.; Gagari, Eleni; DaSilva, Alexandre F.; Nalliah, Romesh

doi:10.1002/jdd.12645

Cited by 3 publications

(3 citation statements)

References 3 publications

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“…The coronavirus 2019 (COVID-19) pandemic has changed teledentistry dramatically. During this challenging period, one of the benefits of teledentistry for patients and dental services is the ability to screen cases who do not require immediate attention to be promptly assigned to a provider (Danciu et al 2021). This practical remote approach eliminates the cost associated with an initial in-person appointment (teletriage) or treatment follow-up (telemonitoring), such as the use of personal protective equipment and transportation.…”

Section: Teledentistrymentioning

confidence: 99%

The Forefront of Dentistry—Promising Tech-Innovations and New Treatments

DaSilva

Robinson

Shi³

et al. 2022

JDR Clinical & Translational Research

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Change in our world is happening quickly. For dentistry, this is no exception, and now is the time to foster new opportunities. Advances in the foundational science of dental, oral, and craniofacial health are expanding and enabling personalized care built on strong discoveries in the fields of microbiology, immunology, and neuroscience. Digital communication through electronic health records, patient portals, and teledentistry is emerging as vital new armamentarium for contemporary dental practice. Wearables linked with smartphone apps are trending to monitor pain levels, postoperative symptoms, wound healing, and home oral health habits. Oral fluid diagnostics are rapidly surfacing for use in diagnostics, drug testing, and hormone detection. Manipulation of the oral microbiome is under investigation for caries management and for potential impact on systemic conditions. Resolving mediators of inflammation are promising for addressing the chronic inflammation that plagues periodontal patients. New imaging modalities paired with digital approaches and 3-dimensional printing are formulating disruptions in the technical aspects of dentistry. Augmented reality and virtual reality are providing great potential as teaching tools for dental students and bear promise for lifelong learning for providers. Optimization of information technology and the incorporation of data science partnered with artificial intelligence and machine learning to improve patient care in a learning health care system approach will benefit large numbers of patients. These are exciting times for our profession, yet we need to navigate these paths carefully. Technology needs to significantly and positively change the experience of those involved (patients, dentists, staff, payors). New technologies need to be backed with solid research and implementation science. Automation should focus on improving care with attention to expanding care to the underserved and not lose the critical human connection that our patients need. There is great potential in the emerging innovations yet also great responsibility to ensure they are evidence based on rigorous science and deployable with equity and sensitivity. Knowledge Transfer Statement: This article discusses innovations in technology and treatments that have enormous potential to revolutionize our dental care, including novel concepts in electronic health records, communication between dentists and patients, biologics around diagnosis and treatment, digital dentistry, and, finally, the real-time optimization of information technology. The early implementation and validation of these innovations can drive down their costs and provide better dental and medical services to all members of our society.

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Section: Teledentistrymentioning

confidence: 99%

The Forefront of Dentistry—Promising Tech-Innovations and New Treatments

DaSilva

Robinson

Shi³

et al. 2022

JDR Clinical & Translational Research

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Section: Introductionmentioning

confidence: 99%

“…13,14 While debate exists regarding whether or not dental schools ought to adopt teledentistry into their curricula, 15 already dental practices and programs are embracing teledentistry as a new service line, rather than merely a pandemic safety intervention. 16 The aim of this pilot study is to assess the feasibility and acceptability of integrating a tele-mentoring component using intra-oral cameras into the detection and identification of oral lesions at the dental clinics of Family Health Centers at NYU Langone, a Federally Qualified Health Center (FQHC) network in Brooklyn, NY. The General Practice Residency (GPR) program director, faculty, and residents collaborated with NYU Langone Health oral surgeons, dentists, administrators, research staff, biostatisticians, and technology experts to design, implement, and evaluate this pilot study.…”

Section: Introductionmentioning

confidence: 99%

A feasibility and acceptability study of using an intra-oral camera and an asynchronous tele-mentoring protocol to detect and identify oral lesions

Northridge

Weiserbs

Sabounchi

et al. 2022

Journal of Public Health Research

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Background: To examine the feasibility and acceptability of integrating a tele-mentoring component into the identification of oral lesions at the dental clinics of a Federally Qualified Health Center network. Design and Methods: General Practice Residency faculty and residents completed research ethics courses and trained dentists to use intra-oral cameras at chairside to photograph oral lesions of patients at routine dental visits. These images were then uploaded into the patient electronic health records (EHRs) with attendant descriptions and an oral surgeon was notified, who reviewed the charts, placed his observations in the EHR, and communicated his findings via secure e-mail to the involved residents, who in turn contacted their patients regarding follow-up actions. Feasibility was assessed via checklists completed by provider participants and semi-structured interviews. Acceptability was assessed via brief exit interviews completed by patient participants. Results: All 12 of the dentist participants reported that they had successfully provided the tele-mentoring intervention, and that the process (from EHR data entry to interaction with the oral surgeon over findings to patient referral) was clear and straightforward. Of 39 patient participants, most strongly agreed or agreed that the use of an intra-oral camera by their dentists helped them to better understand oral cancer screening (94.9%) and that dentists answered their questions about oral cancer and were able to provide them with resources (94.8%). Conclusions: Findings support further implementation research into adapting tele-mentoring using intra-oral cameras for training dental residents to detect and identify oral lesions and educating patients about oral cancer across settings.

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