The role of teledentistry in improving access to care for patients with special health-care needs
Notice bibliographique
Résumé
Teledentistry has been described as the use of telehealth systems and methodologies in dentistry. The technology for remote telephonic consults in dentistry has existed for nearly as century; however, it was the Internet revolution of the 1990s that saw the first formal investigations to the accuracy and reliability of teledentistry.[1] The COVID-19 pandemic changed many things about the practice of dentistry globally. At the onset of the pandemic, dental regulators around the world permitted the use of teledentistry to screen patients and offer emergency consults. However, it has become apparent that the uses of teledentistry have become more acceptable as the pandemic has progressed. One of the greatest beneficiaries of this acceptance of teledentistry has perhaps been the dental care of individuals with special health-care needs. The provision of dental care to individuals with special health-care needs has fallen on different dental specialties across the globe. Despite the growth of special care dentistry as a recognized specialty across the globe, the number of specialists remains few and far between. The use of teledentistry can help bridge the deficit in several ways. It has been estimated that only about 5%–10% of individuals with special health-care needs require a hospital setting for their oral health care.[2] However, the lack of an effective triage system results in hospital oral health units being overwhelmed with cases, which in turn result increased wait times for the patient. Teledentistry allows for the virtual consultation between both patient and dentist, as well as the transmission of records between general dentist and specialist.[1] This allows for a safe and effective determination of the type of care that can be provided in the dental office by the general dentist and facilitates referral in those cases that need advanced dental care or medical support. The second barrier to providing effective care to patients with special health-care needs is the time it takes dentists to gather relevant medical history and makes an honest assessment of their own comfort with treating the patient. Teledentistry facilitates this first visit virtually, thereby saving time for the dentist as well as allowing patients to interact from the comfort and safety of their homes. Saudi Arabia is a world leader in per capita Internet connectivity. There had been efforts to validate easy-to-use methods such as mobile phone teledentistry even before pandemic began. Recent national surveys have shown that over 70% of dentists have a positive view of teledentistry and over half of the dentists surveyed were using teledentistry in some form.[3,4] These studies have highlighted the need to develop national programs to educate both dentists and patients about teledentistry. While the benefits of such a program would benefit all patients and dentists, the benefit would perhaps be the greatest for those in the greatest need, individuals with special health-care needs.
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Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,006 | 0,035 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,001 |
| Bibliométrie | 0,002 | 0,001 |
| Études des sciences et des technologies | 0,001 | 0,001 |
| Communication savante | 0,003 | 0,003 |
| Science ouverte | 0,001 | 0,005 |
| Intégrité de la recherche | 0,002 | 0,005 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,027 | 0,003 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
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