Teleconsultation/telediagnosis using teledentistry technology: a pilot feasibility study

This study assessed the feasibility of a teledentistry model for teleconsultation and telediagnosis in Residential Aged Care Facilities. Study feasibility was defined by the ability to develop remote treatment plans. Reliability of the remote assessments was assessed by comparing with those performed by traditional face-to-face oral examinations. An intraoral camera was operated by trained teledentistry assistants with the aim of screening residents for oral diseases and pathological conditions. The model was supported by traning and an instructional kit for the introral camera operators. The structure, content and delivery of the program, was evaluated. Residents’ views about the structure, content and delivery of the program were also evaluated. A total of 50 residents participated in this assessment. Results indicated that the proposed teledentistry approach for oral health screening is feasible and reliable as an alternative to traditional oral health examination. Residents expressed high levels of satisfaction with the teledentistry service. This study provides an innovative solution towards closing the service delivery gap in the provision of sustainable oral health care services to underserviced populations (e.g., nursing homes, rural areas).

[1]  P. Scuffham,et al.  An Economic Evaluation of the Highlands and Islands Teledentistry Project , 2002, Journal of telemedicine and telecare.

[2]  A. Ismaila,et al.  A tutorial on pilot studies: the what, why and how , 2010, BMC Medical Research Methodology.

[3]  Rodrigo Mariño,et al.  Teledentistry: A Systematic Review of the Literature , 2013, Journal of telemedicine and telecare.

[4]  M. Morgan,et al.  Dental service provision in Victorian residential aged care facilities. , 2008, Australian dental journal.

[5]  M. Drummond,et al.  Health Care Technology: Effectiveness, Efficiency and Public Policy@@@Methods for the Economic Evaluation of Health Care Programmes , 1988 .

[6]  M. Clarke,et al.  Nurses’ and community support workers’ experience of telehealth: a longitudinal case study , 2014, BMC Health Services Research.

[7]  H. Richards,et al.  Adoption of telemedicine in Scottish remote and rural general practices: a qualitative study , 2007, Journal of telemedicine and telecare.

[8]  G. Antonarakis,et al.  Factors influencing the adoption and implementation of teledentistry in the UK, with a focus on orthodontics. , 2012, Community dentistry and oral epidemiology.

[9]  A. Stranieri,et al.  Field testing of remote teledentistry technology , 2014, eTELEMED 2014.

[10]  A. Pearson,et al.  A systematic review of oral health assessment by nurses and carers for residents with dementia in residential care facilities. , 2005, Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry.

[11]  Grazyna Adamiak,et al.  Methods for the economic evaluation of health care programmes, 3rd ed , 2006 .

[12]  G. Seymour,et al.  A scoring system for the quantitative evaluation of oral mucositis during bone marrow transplantation. , 1990, Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry.