Othodontic Department, University of Padua, Italy.
Eur J Paediatr Dent. 2009 Dec;10(4):163-7.
The aim of the study is codify both a methodological and communication standard based on teleassistance, and the emergencies that can be treated from a remote location along with the related clinical applications, limitations, medicolegal considerations and the patients' opinion on this new opportunity of assistance.
To codify a distance communication method, ten young patients aged 10-16 years, equipped with a mobile videophone and after clear instructions, asked the advice of the orthodontic specialist to deal with minor orthodontic emergencies. Upon completion of the treatment they filled out a questionnaire on satisfaction level and difficulties encountered with the use of this technology.
Most of the orthodontic emergencies can be solved at home: rubber ligature displacement, discomfort due to the appliance, irritation of cheeks. Those patients who used the videophone to handle the orthodontic emergencies considered it an easy and useful method, possibly due to the young age of the subjects involved, who are familiar with the new technologies.
Telecommunications applied to medicine and dentistry is currently a subject of topical interest. The most developed countries are investing resources in order to improve assistance and communication between physicians and patients and among specialists. The possibility of sharing videos and images is particularly useful in the orthodontic field, as minor emergencies can be solved easily at home, reassuring patient and parents on one hand, and limiting visits to the dental office to cases of real need.
本研究旨在制定基于远程协助的方法学和交流标准，以及可以远程处理的紧急情况，以及相关的临床应用、限制、医学法律考虑因素以及患者对这种新援助机会的看法。
为了制定一种远程通信方法，我们选择了 10 名 10-16 岁的年轻患者，他们配备了移动可视电话，并在经过明确的指导后，向正畸专家咨询处理轻微正畸急症的建议。在完成治疗后，他们填写了一份关于满意度和使用这项技术遇到的困难的问卷。
大多数正畸急症都可以在家中解决：橡皮结扎移位、矫正器不适、颊部刺激。那些使用可视电话处理正畸急症的患者认为这是一种简单而有用的方法，可能是因为参与的患者年龄较小，熟悉新技术。
电信在医学和牙科领域的应用目前是一个热门话题。最发达的国家正在投入资源，以改善医生和患者之间以及专家之间的沟通和协助。分享视频和图像的可能性在正畸领域特别有用，因为轻微的紧急情况可以在家中轻松解决，一方面可以让患者和家长安心，另一方面可以限制到牙医办公室就诊的次数，只限于真正需要的情况。
