Pub Date : 2022-04-30DOI: 10.17126/joralres.2022.020
Lorena Moraga-Aros, Andrea Correa-Ramirez, Josefina Aubert-Valderrama, M. Monsalves-Villalobos
Introduction: Oral diseases are a worldwide public health problem in need of constant evaluation and follow-up. Aim: To analyze Chilean preschoolers’ oral health indicators by age, sex, socioeconomic status and urban/rural location of their school. Material and Methods: Systematic review conducted in PubMed, EMBASE, Scielo and gray literature to identify oral health epidemiological studies in Chile. We included studies with regional representativeness, published until May 2021. We requested the studies’ datasets (individual data) and conducted a reanalysis for six oral health indicators: prevalence of untreated caries, caries experience, gingivitis, malocclusions and dmft/DMFT. Sex, age, urban/rural location of their school and socioeconomic status (SES) were considered as exposure variables. We assessed the risk of bias in each study and synthesized the oral health results for each of them. Differences between each indicator and explanatory variables were analyzed through Fisher’s exact test. Adjusted prevalence ratios were estimated through Poisson regression. Results: We selected nine studies and had access to five individual-level study datasets. Differences were observed in caries and gingivitis according to age, SES and rurality in most of the studies, observing highest differences for low SES in 2009 (PR caries experience = 2.68; PR untreated caries = 2.90). No differences were observed for SES nor rurality for malocclusions. Conclusion: A reduction of indicators was not observed over the years. SES has remained as a social determinant of oral health in preschoolers in Chile.
{"title":"Oral health situation of Chilean preschool children in the years 2007-2015: systematic review and analysis at individual level.","authors":"Lorena Moraga-Aros, Andrea Correa-Ramirez, Josefina Aubert-Valderrama, M. Monsalves-Villalobos","doi":"10.17126/joralres.2022.020","DOIUrl":"https://doi.org/10.17126/joralres.2022.020","url":null,"abstract":"Introduction: Oral diseases are a worldwide public health problem in need of constant evaluation and follow-up. Aim: To analyze Chilean preschoolers’ oral health indicators by age, sex, socioeconomic status and urban/rural location of their school. Material and Methods: Systematic review conducted in PubMed, EMBASE, Scielo and gray literature to identify oral health epidemiological studies in Chile. We included studies with regional representativeness, published until May 2021. We requested the studies’ datasets (individual data) and conducted a reanalysis for six oral health indicators: prevalence of untreated caries, caries experience, gingivitis, malocclusions and dmft/DMFT. Sex, age, urban/rural location of their school and socioeconomic status (SES) were considered as exposure variables. We assessed the risk of bias in each study and synthesized the oral health results for each of them. Differences between each indicator and explanatory variables were analyzed through Fisher’s exact test. Adjusted prevalence ratios were estimated through Poisson regression. Results: We selected nine studies and had access to five individual-level study datasets. Differences were observed in caries and gingivitis according to age, SES and rurality in most of the studies, observing highest differences for low SES in 2009 (PR caries experience = 2.68; PR untreated caries = 2.90). No differences were observed for SES nor rurality for malocclusions. Conclusion: A reduction of indicators was not observed over the years. SES has remained as a social determinant of oral health in preschoolers in Chile.","PeriodicalId":16625,"journal":{"name":"Journal of Oral Research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89183398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-30DOI: 10.17126/joralres.2022.022
M. Galindo, Carlos Araya Vallespir
{"title":"Universality and Compatibility of the Clinical Record of Patients in the Concepción Public Health Service. Are Rules Really Being Complied With?","authors":"M. Galindo, Carlos Araya Vallespir","doi":"10.17126/joralres.2022.022","DOIUrl":"https://doi.org/10.17126/joralres.2022.022","url":null,"abstract":"","PeriodicalId":16625,"journal":{"name":"Journal of Oral Research","volume":"143 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86799050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-30DOI: 10.17126/joralres.2022.013
Gonçalo Abrantes, P. Couto, N. Veiga
Background: The state of oral health plays an important role in the concept of frailty among the elderly, as they tend to suffer from poor oral health conditions. Objective: The aim of our systematic review is to study the impact of oral health on the quality of life of the geriatric patient in different contexts of autonomy. Material and Methods: A systematic literature review was carried out of which the selection of articles, with publication date between 2008 and 2020 was conducted through computer platforms. The studies were analyzed and evaluated respecting the previously established inclusion criteria. The review corpus consisted of 16 articles, which presented methodological quality. Results: Oral health has an impact on the quality of life of the elderly, both in the context of institutionalization and at a community level. Oral health has an effect on the quality of life of the elderly, namely in the dimensions of physical pain, physical disability, psychological discomfort, functional limitation, psychological and social disability. The higher the level of dependency the lower the oral health which has the greatest impact on quality of life. The presence of periodontitis, dental caries, edentulism, oral lesions and unsuitable dental prostheses result in a worse perception of quality of life. Conclusion: The evidence found in this study reveals that the state of oral health among the elderly influences their quality of life, regardless of the context of autonomy, indicating the need for oral health policies aimed at this specific population.
{"title":"Oral health and quality of life of the geriatric patient: contexts of autonomy","authors":"Gonçalo Abrantes, P. Couto, N. Veiga","doi":"10.17126/joralres.2022.013","DOIUrl":"https://doi.org/10.17126/joralres.2022.013","url":null,"abstract":"Background: The state of oral health plays an important role in the concept of frailty among the elderly, as they tend to suffer from poor oral health conditions. Objective: The aim of our systematic review is to study the impact of oral health on the quality of life of the geriatric patient in different contexts of autonomy. Material and Methods: A systematic literature review was carried out of which the selection of articles, with publication date between 2008 and 2020 was conducted through computer platforms. The studies were analyzed and evaluated respecting the previously established inclusion criteria. The review corpus consisted of 16 articles, which presented methodological quality. Results: Oral health has an impact on the quality of life of the elderly, both in the context of institutionalization and at a community level. Oral health has an effect on the quality of life of the elderly, namely in the dimensions of physical pain, physical disability, psychological discomfort, functional limitation, psychological and social disability. The higher the level of dependency the lower the oral health which has the greatest impact on quality of life. The presence of periodontitis, dental caries, edentulism, oral lesions and unsuitable dental prostheses result in a worse perception of quality of life. Conclusion: The evidence found in this study reveals that the state of oral health among the elderly influences their quality of life, regardless of the context of autonomy, indicating the need for oral health policies aimed at this specific population.","PeriodicalId":16625,"journal":{"name":"Journal of Oral Research","volume":"82 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72419512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: There are multiple techniques for vertical bone augmen-tation. Guided bone regeneration is one of them; however, the literature is diverse and includes different study designs, which makes it difficult to synthesize results. Objective: To analyze the general technical characteristics, clinical results, and complications of vertical bone augmentation performed with guided bone regeneration in humans. Material and Methods: This scoping review was based on the PRISMA-ScR guidelines. A search was performed in the Pubmed, Scielo, and Worldcat databases. Papers published from 1990 to April 2020 were included in the study. Research articles not conducted in humans or published in languages other than English and Spanish were excluded. Title and abstract were screened by two reviewers, then full studies were extracted, and data tabulated. Results: 89 studies were included. The highest percentage reported having obtained a vertical bone increase of less than 5 mm and having used non-resorbable membranes. The most frequent type of graft is autogenous and combinations of grafts, the most common being autogenous with xenograft. All studies that reported bone stability of implants in regenerated bone were favorable, as was implant survival, reporting values between 83.8% and 100%. Membrane exposure is the most frequently reported complication, followed by infection or abscesses, and tissue dehiscence. Conclusion: Vertical bone regeneration is a reliable technique, with high predictability and low incidence of complications compared to other vertical bone augmentation techniques.
{"title":"Vertical bone augmentation with guided bone regeneration. A scoping review","authors":"Jaime Segovia-Chamorro, Natalia Faúndez-Moreno, Matías Valenzuela-Lezana, Héctor Oñate","doi":"10.17126/joralres.2022.021","DOIUrl":"https://doi.org/10.17126/joralres.2022.021","url":null,"abstract":"Introduction: There are multiple techniques for vertical bone augmen-tation. Guided bone regeneration is one of them; however, the literature is diverse and includes different study designs, which makes it difficult to synthesize results. Objective: To analyze the general technical characteristics, clinical results, and complications of vertical bone augmentation performed with guided bone regeneration in humans. Material and Methods: This scoping review was based on the PRISMA-ScR guidelines. A search was performed in the Pubmed, Scielo, and Worldcat databases. Papers published from 1990 to April 2020 were included in the study. Research articles not conducted in humans or published in languages other than English and Spanish were excluded. Title and abstract were screened by two reviewers, then full studies were extracted, and data tabulated. Results: 89 studies were included. The highest percentage reported having obtained a vertical bone increase of less than 5 mm and having used non-resorbable membranes. The most frequent type of graft is autogenous and combinations of grafts, the most common being autogenous with xenograft. All studies that reported bone stability of implants in regenerated bone were favorable, as was implant survival, reporting values between 83.8% and 100%. Membrane exposure is the most frequently reported complication, followed by infection or abscesses, and tissue dehiscence. Conclusion: Vertical bone regeneration is a reliable technique, with high predictability and low incidence of complications compared to other vertical bone augmentation techniques.","PeriodicalId":16625,"journal":{"name":"Journal of Oral Research","volume":"56 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89687840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-30DOI: 10.17126/joralres.2022.014
R. E. Campos, Paulo César Freitas Santos Filho, Érice França Resende, Lílian Vieira Oliveira, G. M. Bovi Ambrosano
Introduction: The purpose of this study was to evaluate the effectiveness and compare the accuracy of pulp tests in the diagnosis of teeth pulpal health. Material and Methods: Traumatized (n=71) and non-traumatized (n=71) teeth from 42 patients were evaluated. Each tooth underwent cold, heat, electric and oximetry tests, followed by radiographic examination and calculation of the sensitivity, specificity, PPV, NPV and accuracy. Results: Clinical and radiographic examination showed no alteration for the 71 teeth from the intact contralateral group. From the traumatized group, 29 teeth presented complete endodontic treatment, 17 presented periapical alterations that required endodontic treatment and 25 teeth did not present conclusive radiographic alteration. The cold test showed a significantly higher proportion of correct results, while the electric test showed a significantly lower proportion. The data showed higher accuracy for the cold, followed by oximeter and heat tests, while the electric test presented the lowest accuracy. Cold and oximeter tests proved superior over the electric and heat tests, while the electric test showed better parameters when diagnosing diseased pulp. Conclusion: Combining two pulp tests seems reasonable for improving the pulp diagnoses using both oximeter and cold or oximeter and heat tests to detect healthy pulp; or cold and electric tests to define diseased pulp.
{"title":"Comparative evaluation of dental pulp tests in pulpal status diagnostics","authors":"R. E. Campos, Paulo César Freitas Santos Filho, Érice França Resende, Lílian Vieira Oliveira, G. M. Bovi Ambrosano","doi":"10.17126/joralres.2022.014","DOIUrl":"https://doi.org/10.17126/joralres.2022.014","url":null,"abstract":"Introduction: The purpose of this study was to evaluate the effectiveness and compare the accuracy of pulp tests in the diagnosis of teeth pulpal health. Material and Methods: Traumatized (n=71) and non-traumatized (n=71) teeth from 42 patients were evaluated. Each tooth underwent cold, heat, electric and oximetry tests, followed by radiographic examination and calculation of the sensitivity, specificity, PPV, NPV and accuracy. Results: Clinical and radiographic examination showed no alteration for the 71 teeth from the intact contralateral group. From the traumatized group, 29 teeth presented complete endodontic treatment, 17 presented periapical alterations that required endodontic treatment and 25 teeth did not present conclusive radiographic alteration. The cold test showed a significantly higher proportion of correct results, while the electric test showed a significantly lower proportion. The data showed higher accuracy for the cold, followed by oximeter and heat tests, while the electric test presented the lowest accuracy. Cold and oximeter tests proved superior over the electric and heat tests, while the electric test showed better parameters when diagnosing diseased pulp. Conclusion: Combining two pulp tests seems reasonable for improving the pulp diagnoses using both oximeter and cold or oximeter and heat tests to detect healthy pulp; or cold and electric tests to define diseased pulp.","PeriodicalId":16625,"journal":{"name":"Journal of Oral Research","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91190772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-30DOI: 10.17126/joralres.2022.018
S. Satpathy, Ravi Gupta
Objetive: To evaluate the awareness of root canal treatment therapy in the rural population of Eastern India. Introduction: The most common reason for which a patient visits any dental setup is tooth pain. Most people in the rural population are not aware of root canal treatment therapy nor of medications that are used for tooth pain management in case of emergency. Lack of adequate knowledge of root canal therapy leads to tooth pain and swelling which lead to worsening issues. This is further complicated by self-management at home by taking clove and essential oils. Hence this study was conducted to evaluate the knowledge and awareness of the rural population of Eastern India regarding root canal therapy and medications used during tooth pain and the course of root canal treatment. Material and Methods: A pre-structured, closed-ended questionnaire was applied to patients visiting the Department of Dentistry, Fakir Mohan Medical College and Hospital, Balasore, Odisha (India). The questionnaire consisted of twenty multiple-choice questions. The questions were framed to understand the level of awareness of the sample population. The data was collected and analyzed for descriptive statistics such as mean and percentages. Results: 72% had firsthand experience of tooth pain at some point in time. Around 34% of the responders who had been treated in the past replied that they did not have any knowledge and awareness about root canal treatment, whereas the remaining 66% reported they had treatment done from a dentist before and were advised over the counter analgesics like paracetamol and ibuprofen. The majority of the patients were unaware of root canal treatment and antibiotics used during the treatment such as metronidazole, amoxicillin, and amoxicillin-clavulanate. Conclusion: There is a lack of awareness and knowledge regarding root canal treatment and medication used during tooth pain and its course of treatment.
{"title":"Knowledge and awareness of Root Canal Treatment therapy in the Eastern Indian population: A cross-sectional study","authors":"S. Satpathy, Ravi Gupta","doi":"10.17126/joralres.2022.018","DOIUrl":"https://doi.org/10.17126/joralres.2022.018","url":null,"abstract":"Objetive: To evaluate the awareness of root canal treatment therapy in the rural population of Eastern India. Introduction: The most common reason for which a patient visits any dental setup is tooth pain. Most people in the rural population are not aware of root canal treatment therapy nor of medications that are used for tooth pain management in case of emergency. Lack of adequate knowledge of root canal therapy leads to tooth pain and swelling which lead to worsening issues. This is further complicated by self-management at home by taking clove and essential oils. Hence this study was conducted to evaluate the knowledge and awareness of the rural population of Eastern India regarding root canal therapy and medications used during tooth pain and the course of root canal treatment. Material and Methods: A pre-structured, closed-ended questionnaire was applied to patients visiting the Department of Dentistry, Fakir Mohan Medical College and Hospital, Balasore, Odisha (India). The questionnaire consisted of twenty multiple-choice questions. The questions were framed to understand the level of awareness of the sample population. The data was collected and analyzed for descriptive statistics such as mean and percentages. Results: 72% had firsthand experience of tooth pain at some point in time. Around 34% of the responders who had been treated in the past replied that they did not have any knowledge and awareness about root canal treatment, whereas the remaining 66% reported they had treatment done from a dentist before and were advised over the counter analgesics like paracetamol and ibuprofen. The majority of the patients were unaware of root canal treatment and antibiotics used during the treatment such as metronidazole, amoxicillin, and amoxicillin-clavulanate. Conclusion: There is a lack of awareness and knowledge regarding root canal treatment and medication used during tooth pain and its course of treatment.","PeriodicalId":16625,"journal":{"name":"Journal of Oral Research","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88959836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-28DOI: 10.17126/joralres.2022.023
Víctor Beltrán, Pablo Acuña-Mardones, Jaime Díaz, E. Alvarado, Alfredo von Marttens
Objective: To develop a new concept of teledentistry for the elderly through a web platform and associated mobile application in the context of the COVID-19 pandemic. Material and Methods: A new concept for attention via teledentistry of the elderly supported by the web platform/app TEGO (Acronym for Tele-platform of Geriatric and Dental Specialties in Spanish) was developed. Priority and urgent dental care for elderly patients in the context of the COVID-19 pandemic was provided onboard a mobile dental clinic equipped with all the necessary conventional dental care facilities as well as state-of-the-art digital technology. Dental care was carried out in five cities of Chile. For the study, 135 elderly patients were treated. The tele-dental care model includes visit-appointment and remote interconsultation with a staff of specialists. To evaluate patient satisfaction aspects, regarding the service / care provided, a user satisfaction survey was applied. Results: A total of 68 questionnaires were completed by patients. The results showed high levels of patients’ satisfaction after the priority or urgent dental care, which reached above 75% in all dimensions of the questionnaire (Access to dental care, user treatment, platform, recommendation). Conclusion: The generation of a technological eco-system for teledentistry can provide a series of important advantages in the attention of elderly patients, by optimizing the dental care coverage by different specialists who can provide attention to a population that has limited or no access to them.
{"title":"TEGO: A new concept of teledentistry for the elderly through a web platform and mobile app in the context of the covid-19 pandemic.","authors":"Víctor Beltrán, Pablo Acuña-Mardones, Jaime Díaz, E. Alvarado, Alfredo von Marttens","doi":"10.17126/joralres.2022.023","DOIUrl":"https://doi.org/10.17126/joralres.2022.023","url":null,"abstract":"Objective: To develop a new concept of teledentistry for the elderly through a web platform and associated mobile application in the context of the COVID-19 pandemic. Material and Methods: A new concept for attention via teledentistry of the elderly supported by the web platform/app TEGO (Acronym for Tele-platform of Geriatric and Dental Specialties in Spanish) was developed. Priority and urgent dental care for elderly patients in the context of the COVID-19 pandemic was provided onboard a mobile dental clinic equipped with all the necessary conventional dental care facilities as well as state-of-the-art digital technology. Dental care was carried out in five cities of Chile. For the study, 135 elderly patients were treated. The tele-dental care model includes visit-appointment and remote interconsultation with a staff of specialists. To evaluate patient satisfaction aspects, regarding the service / care provided, a user satisfaction survey was applied. Results: A total of 68 questionnaires were completed by patients. The results showed high levels of patients’ satisfaction after the priority or urgent dental care, which reached above 75% in all dimensions of the questionnaire (Access to dental care, user treatment, platform, recommendation). Conclusion: The generation of a technological eco-system for teledentistry can provide a series of important advantages in the attention of elderly patients, by optimizing the dental care coverage by different specialists who can provide attention to a population that has limited or no access to them.","PeriodicalId":16625,"journal":{"name":"Journal of Oral Research","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87549492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-28DOI: 10.17126/joralres.2022.024
Víctor Beltrán, Pablo Acuña-Mardones, Francisco Fernández-Gil, Diego Acuña-Mardones, W. Engelke
Objective: To recognize the usefulness of incorporating Three-Dimensional models of standardized humans in electronic health records, in the context of the development of a teledentistry web platform designed for the attention of the elderly population in COVID-19 pandemic context. Material and Methods: A teledentistry web platform designed with different modules for clinical records. Through a new user-computer interface with a standardized virtual 3D phantom, an extraoral physical examination, an intraoral examination section was modeled. A label-associated marker is allowed to record descriptive aspects of the findings. A 3D odontogram represents multiple patient’s conditions for each of the 32 dental positions. Results: From a total of 135 patients registered on the platform, 51 markers and 33 photographs associated with the surface of the virtual 3D phantoms were recorded. For the Location parameter: Hard palate 27.6%, inserted gingiva 15.7%, tongue 15.6%. For the Type of lesion parameter (according to the information entered in the pathology selector): unidentified 35.3%, sub-prosthetic stomatitis 23.5%, irritative fibroma 9.8%. Through the registration of the exact location of the finding in the virtual phantom by a 3D marker, the 3D modeling of the oral pathologies contributed to a better diagnosis, improving the remote communication between the attending dentist and specialists. Conclusion: The combination of the 3D modeling and anatomical-referencing in a teledentistry platform can become a powerful tool for the dental practice, due to their utility and specificity.
{"title":"Development of a teledentistry system for the elderly in the context of the COVID-19 pandemic: 3D diagnostic models integration in a web platform.","authors":"Víctor Beltrán, Pablo Acuña-Mardones, Francisco Fernández-Gil, Diego Acuña-Mardones, W. Engelke","doi":"10.17126/joralres.2022.024","DOIUrl":"https://doi.org/10.17126/joralres.2022.024","url":null,"abstract":"Objective: To recognize the usefulness of incorporating Three-Dimensional models of standardized humans in electronic health records, in the context of the development of a teledentistry web platform designed for the attention of the elderly population in COVID-19 pandemic context. Material and Methods: A teledentistry web platform designed with different modules for clinical records. Through a new user-computer interface with a standardized virtual 3D phantom, an extraoral physical examination, an intraoral examination section was modeled. A label-associated marker is allowed to record descriptive aspects of the findings. A 3D odontogram represents multiple patient’s conditions for each of the 32 dental positions. Results: From a total of 135 patients registered on the platform, 51 markers and 33 photographs associated with the surface of the virtual 3D phantoms were recorded. For the Location parameter: Hard palate 27.6%, inserted gingiva 15.7%, tongue 15.6%. For the Type of lesion parameter (according to the information entered in the pathology selector): unidentified 35.3%, sub-prosthetic stomatitis 23.5%, irritative fibroma 9.8%. Through the registration of the exact location of the finding in the virtual phantom by a 3D marker, the 3D modeling of the oral pathologies contributed to a better diagnosis, improving the remote communication between the attending dentist and specialists. Conclusion: The combination of the 3D modeling and anatomical-referencing in a teledentistry platform can become a powerful tool for the dental practice, due to their utility and specificity.","PeriodicalId":16625,"journal":{"name":"Journal of Oral Research","volume":"89 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73363825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-28DOI: 10.17126/joralres.2022.026
Cristina Sanzana-Luengo, Leonard Diaz, Liliann Abarza, E. Alvarado, Víctor Beltrán
Objective: To generate teledentistry protocols for urgent and priority dental care for the elderly population through a technological web platform and mobile application in the context of the COVID-19 pandemic. Material and Methods: Teledentistry protocols were developed in five sequential steps: Staff training, Patient recruitment, Patient admission, Patient reception and Patient care. Reasons for admission were categorized in urgencies and priority dental treatment. Results: The most prevalent reasons for consultation were prosthesis mismatch (18.37%), dental pain (16.33%) and fractured teeth (14.29%). In urgencies by need for treatment: due to infection or pain (24.44%) or to avoid pulp involvement (26.67%). The rest of the care did not require immediate attention. Regarding the OHIP-14Sp survey prior to care, in which patients were consulted for problems with their teeth, mouth or prosthesis, two questions were answered per dimension, for each dimension the following values were obtained: functional limitation (71.30% and 50.44%), physical pain (68.97% and 70.18%), psychological discomfort (75.00% and 74.14%), physical disability (57.39% and 46.09%), psychological disability (37.72% and 53.91%), social disability (33.91% and 30.97%) and handicap (27.83% and 25.86%). Conclusion: A teledentistry protocol for urgent and priority dental care of the elderly in the context of the COVID-19 pandemic with a focus on a general dentist remotely supported specialists was a useful tool to effectively systematize the care of elderly patients, reducing risk of exposure to COVID-19 and solving dental urgencies in this population
{"title":"Teledentistry protocol for the elderly in the context of the COVID-19 pandemic through a web platform/mobile app: approach from the general dentist.","authors":"Cristina Sanzana-Luengo, Leonard Diaz, Liliann Abarza, E. Alvarado, Víctor Beltrán","doi":"10.17126/joralres.2022.026","DOIUrl":"https://doi.org/10.17126/joralres.2022.026","url":null,"abstract":"Objective: To generate teledentistry protocols for urgent and priority dental care for the elderly population through a technological web platform and mobile application in the context of the COVID-19 pandemic. Material and Methods: Teledentistry protocols were developed in five sequential steps: Staff training, Patient recruitment, Patient admission, Patient reception and Patient care. Reasons for admission were categorized in urgencies and priority dental treatment. Results: The most prevalent reasons for consultation were prosthesis mismatch (18.37%), dental pain (16.33%) and fractured teeth (14.29%). In urgencies by need for treatment: due to infection or pain (24.44%) or to avoid pulp involvement (26.67%). The rest of the care did not require immediate attention. Regarding the OHIP-14Sp survey prior to care, in which patients were consulted for problems with their teeth, mouth or prosthesis, two questions were answered per dimension, for each dimension the following values were obtained: functional limitation (71.30% and 50.44%), physical pain (68.97% and 70.18%), psychological discomfort (75.00% and 74.14%), physical disability (57.39% and 46.09%), psychological disability (37.72% and 53.91%), social disability (33.91% and 30.97%) and handicap (27.83% and 25.86%). Conclusion: A teledentistry protocol for urgent and priority dental care of the elderly in the context of the COVID-19 pandemic with a focus on a general dentist remotely supported specialists was a useful tool to effectively systematize the care of elderly patients, reducing risk of exposure to COVID-19 and solving dental urgencies in this population","PeriodicalId":16625,"journal":{"name":"Journal of Oral Research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78662027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-28DOI: 10.17126/joralres.2022.025
Patricio Ly, Alfredo von Marttens, Andrés Ly, J. Fonseca, Víctor Beltrán
Objective: To analyze clinical indicators of teledentistry management for the elderly population during the COVID-19 pandemic in Chile. Material and Methods: A pilot teledentistry project was developed for dental care of the elderly in 5 regions of Chile. The data obtained were recorded on the TEGO Platform to be subsequently selected and analyzed by the researchers in terms of clinical management indicators: degree of installed occupancy, degree of available occupation, degree of real occupation, interconsultation indicator per patient attended, urgencies according to reason for consultations, unpostponable prosthetic treatment according to reason for consultations, prevention in relation to granted benefits, prevention in relation to the patients cared for, and project absenteeism indicator. Results: The clinical management indicators obtained were as follows: The average degree of installed occupancy was 67%. The average degree of available occupancy was 78%, which accounts for the clinical time in which there are dental chairs and dentists willing to work. The average real occupancy degree was 86%. The average interconsultation indicator per patient observed was 25%. The indicator of urgencies according to the reason for the consultation was 95%, which indicates that the purpose of the study was fulfilled. The average unpostponable prosthetic treatment according to the reason for consultations was 5%. The prevention in relation to granted benefits reached 39%. Finally, the average indicator of absenteeism was 17%. Conclusion: The measurement of clinical management indicators contributes to meet the Chilean Ministry of Health Explicit Health Guarantees (GES), which are: Access, Timely Attention, Quality and Financial Protection.
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