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      Teledentistry from a patient perspective during the coronavirus pandemic

      research-article
      1 , , 2 , 3
      British Dental Journal
      Nature Publishing Group UK

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          Abstract

          Objective Evaluation of patient experience when utilising teledentistry during the coronavirus (COVID-19) pandemic.

          Methods We designed a ten-item, five-point Likert-scale questionnaire assessing: 1) patient satisfaction; 2) ease of use; 3) the effectiveness including increasing access to clinical services; 4) reliability of the teledentistry system; and 5) usefulness for patients. Fifty-two patients completed the survey and data was analysed.

          Results We had a 100% response rate with 52 surveys completed over seven clinics. Patients that used the virtual clinic and telephone consultation had 97% and 94% satisfaction with their experience, respectively. All respondents agreed or strongly agreed with statements indicating that the teledentistry system would be very useful in saving time and a substantial proportion (96%) would use this system again in light of COVID-19.

          Conclusion Our study has shown positive patient experiences towards the use of teledentistry in all five domains. In light of the COVID-19 pandemic, healthcare providers should consider adapting patient pathways and using telehealth as a method of consultation in the recovery planning of services, as well as to reduce the spread of this highly transmissible disease.

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          Most cited references6

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          Is Open Access

          Applications of teledentistry: A literature review and update

          Teledentistry is a combination of telecommunications and dentistry involving the exchange of clinical information and images over remote distances for dental consultation and treatment planning. Teledentistry has the ability to improve access to oral healthcare, improve the delivery of oral healthcare, and lower its costs. It also has the potential to eliminate the disparities in oral health care between rural and urban communities. This article reviews the origin, rationale, scope, basis, and requirements for teledentistry, along with the current evidence that exists in the literature. This article also reviews the ethical and legal issues related to the practice of teledentistry and the future of this alternative and innovative method of delivering dental care.
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            Teledentistry for screening new patient orthodontic referrals. Part 1: A randomised controlled trial.

            The primary aim was to evaluate the validity of a teledentistry system for screening new patient orthodontic referrals. The secondary aims were to evaluate whether the teledentistry system affected i) referral rates ii) inappropriate referral rates iii) number of failed appointments. Randomised controlled trial. Fifteen dental practices in Greater Manchester, UK, were randomly allocated to either a teledentistry test group (n = 8) or a control group (n = 7). They referred 327 patients over a 15 month period. Practitioners in the test group referred patients to one of two consultant orthodontists via a 'store and forward' teledentistry system consisting of photographs sent as email attachments. The decision to accept or not accept a referral on this basis was compared with the same decision choice when the same patient was subsequently seen on a new patient clinic. This measured the validity of the system with the clinic's decision used as the gold standard. Patients in the control group were referred using the usual letter system. Referral rates, inappropriate referrals and number of failed appointments were then compared between the teledentistry and control groups. The sensitivity (true positive value) of the teledentistry system was high at 0.80 with a positive predictive value of 0.92. The specificity (true negative value) was slightly lower at 0.73 with a negative predictive value of 0.50. The inappropriate referral rate for the teledentistry group was 8.2% and for the controls 26.2% (p = 0.037). There was no statistically significant difference in clinic attendance between teledentistry and control groups (p = 0.36). Teledentistry is a valid system for positively identifying appropriate new patient orthodontic referrals. However, there is a risk that a patient is not accepted on the teledentistry system who would benefit from a full clinical examination. Teledentistry could be a significant factor in reducing the inappropriate referral rate. Patient participation in a teledentistry system does not appear to mean they are any more likely to attend their hospital appointment.
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              Mobile Phone Imaging in Low Resource Settings for Early Detection of Oral Cancer and Concordance with Clinical Oral Examination.

              This study examined the concordance in clinical diagnosis of high-risk lesions in the oral cavity and referral decisions between clinical oral examination (COE) and teledentistry.
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                Author and article information

                Contributors
                naomi.rahman@nhs.net
                Journal
                Br Dent J
                Br Dent J
                British Dental Journal
                Nature Publishing Group UK (London )
                0007-0610
                1476-5373
                14 August 2020
                : 1-4
                Affiliations
                [1 ]GRID grid.414355.2, ISNI 0000 0004 0400 0067, Consultant Oral Surgeon, East Surrey Hospital, Canada Avenue, Redhill, ; RH1 5RH, UK
                [2 ]GRID grid.414355.2, ISNI 0000 0004 0400 0067, Consultant in Oral Surgery, East Surrey Hospital, Canada Avenue, Redhill, ; RH1 5RH, UK
                [3 ]GRID grid.414355.2, ISNI 0000 0004 0400 0067, Lead for Dental and Maxillofacial Services, East Surrey Hospital, Canada Avenue, Redhill, ; RH1 5RH, UK
                Article
                1919
                10.1038/s41415-020-1919-6
                7427495
                32801323
                c1712ff0-b892-4ce4-9735-b8d1496cd7c6
                © British Dental Association 2020

                This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.

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