Browsing by Subject "teledentistry"

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    The Enhancers and Barriers of Implementing a Teledentistry Program in a Long-term Care Facility: A Pilot Study
    (2023-03) Fashingbauer, Emily
    Objective: Teledentistry is an emerging care delivery model that has the potential to increase access to dental care to residents of long-term care facilities. This study was to evaluate the enhancers and barriers of implementing teledentistry in a long-term care (LTC) facility by collecting qualitative data from oral health providers, administrators, and residents.Methods: A qualitative study was conducted at a Walker Methodist long-term care facility in Edina, MN via guided interviews based on Leveque’s Theoretical Framework. There was a total of ten participants in the study: three residents and/or their responsible parties, and five providers and two administrators involved with the implementation of teledentistry services at the long-term care facility. Results: Thematic analysis of providers’, administrators’ and residents’ structured interviews revealed seven main themes: internal support and staff education, communication, information technology (IT) support, reliable funding, resident understanding, feasibility, and cost. Conclusion: Enhancers to teledentistry implementation were reliable financial capital and a skilled team of providers willing to work with this population. Barriers revealed were lack of support from organization administration and support staff, poor internal communication, disconnect with the onsite dental clinic and adequate IT support.
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    Mobile Health Assessment of Traumatic Dental Injuries Using Smartphone Acquired Photographs: A Multicenter Diagnostic Accuracy Study
    (Telemedicine and e-Health, 2024) Huang, Boyen; Estai, Mohamed; Pungchanchaikul, Patimaporn; Quick, Karin; Ranjitkar, Sarbin; Fashingbauer, Emily; Askar, Abdirahim; Wang, Josiah; Diefalla, Fatma; Shenouda, Margaret; Seyffer, Danae; Louie, Jeffrey P
    Background: Mobile health (mHealth) has an emerging potential for remote assessment of traumatic dental injuries (TDI) and support of emergency care. This study aimed to determine the diagnostic accuracy of TDI detection from smartphone-acquired photographs. Methods: The upper and lower anterior teeth of 153 individuals aged ≥ 6 years were photographed using a smartphone camera app. The photos of 148 eligible participants were reviewed independently by a dental specialist, two general dentists, and two dental therapists, using predetermined TDI classification and criteria. The sensitivity, specificity, accuracy, positive predictive value, negative predictive value, and inter-rater reliability were estimated to evaluate the diagnostic performance of the photographic method relative to the reference standard established by the dental specialist. Results: Of the 1,870 teeth screened, one-third showed TDI; and one-seventh of the participants had primary or mixed dentitions. Compared between the specialist’s reference standard and four dental professionals’ reviews, the diagnostic sensitivity and specificity for TDI versus non-TDI was 59-95% and 47-93%, respectively, with better performance for urgent types of TDI (78-89% and 99-100%, separately). The diagnostic consistency was also better for the primary/mixed dentitions than the permanent dentition. Conclusion: This study suggested a valid mHealth practice for remote assessment of TDI. A better diagnostic performance in the detection of urgent types of TDI and examination of the primary/mixed dentitions was also reported. Future directions include professional development activities involving dental photography and photographic assessment, incorporation of a machine learning technology to aid photographic reviews, and randomized controlled trials in multiple clinical settings.