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远程牙科是颌面外科患者随访的有效方法吗?

Is Tele-Dentistry an Effective Approach for Patient Follow-up in Maxillofacial Surgery.

作者信息

Torul Damla, Kahveci Kadircan, Kahveci Cigdem

机构信息

Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Ordu University, 52200 Ordu, Turkey.

Department of Prosthodontics, Ordu University, 52200 Ordu, Turkey.

出版信息

J Maxillofac Oral Surg. 2021 May 31;22(3):1-7. doi: 10.1007/s12663-021-01596-z.

Abstract

PURPOSE

To explore the feasibility and diagnostic accuracy of the tele-dentistry for the follow-up of different diagnostic groups of Turkish patients in maxillofacial surgery.

MATERIALS AND METHODS

In this study, follow-up patients were allocated to four groups as dental implant, minor surgical procedure, infection-medication-related osteonecrosis of the jaws (MRONJ) and temporomandibular joint disorder (TMD). In all groups, remote examination via video call and subsequently face-to-face clinic examination were performed. The quality and accuracy of the video call were scored by the same investigator. Also, patient satisfaction regarding the video call was evaluated with a questionnaire.

RESULTS

Twenty-one patients (12 females, 9 males) between 18 and 71 years (38.90 ± 17.88) participated in the study. A strong preference of 71% and 95% toward video call by patients was seen in the questionnaires performed after video call and face-to-face examination, respectively. Regarding the rating of the clinician, no significant differences were found between groups in terms of the quality and accuracy of video call ( ≥ 0.05).

CONCLUSION

Remote follow up of diagnostic groups which can benefit from tele-dentistry pose a promising remedy that is reliable as in-person visits and also can reduce the clinical visits in routine clinical practice.

摘要

目的

探讨远程牙科用于土耳其颌面外科不同诊断组患者随访的可行性和诊断准确性。

材料与方法

在本研究中,随访患者被分为四组:牙种植、小型外科手术、感染-药物相关颌骨坏死(MRONJ)和颞下颌关节紊乱病(TMD)。在所有组中,均通过视频通话进行远程检查,随后进行面对面临床检查。视频通话的质量和准确性由同一名研究者评分。此外,通过问卷调查评估患者对视频通话的满意度。

结果

21名年龄在18至71岁(38.90±17.88)之间的患者(12名女性,9名男性)参与了本研究。在视频通话后和面对面检查后进行的问卷调查中,分别有71%和95%的患者强烈倾向于视频通话。关于临床医生的评分,各诊断组在视频通话质量和准确性方面差异无统计学意义(P≥0.05)。

结论

对于可受益于远程牙科的诊断组进行远程随访是一种有前景的补救措施,其可靠性与亲自就诊相同,且在常规临床实践中还可减少临床就诊次数。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21be/10390402/d10f092ece4b/12663_2021_1596_Fig1_HTML.jpg

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