Giraudeau Nicolas, Camman Paul, Pourreyron Laurence, Inquimbert Camille, Lefebvre Patrick
CEPEL, UMR 5112, CNRS, Université de Montpellier, Montpellier, France.
Dental Department, University Hospital of Montpellier, University of Montpellier, Montpellier, France.
Digit Health. 2021 May 22;7:20552076211019250. doi: 10.1177/20552076211019250. eCollection 2021 Jan-Dec.
The aim of this study was to demonstrate that including a teledentistry consultation in the standard care provided to patients in an eating disorder day hospital could be beneficial, notably for screening for particular pathologies and preventing dental erosion.
We included 50 patients from the eating disorders unit of the University Hospital of Montpellier, all of whom underwent a dental examination using asynchronous telemedicine. We recorded the data using teledentistry software for the medical file and an intraoral camera for the clinical videos. Remote diagnosis was performed using the Basic Erosive Wear Examination index. In addition, the participants completed a questionnaire to assess their risk factors for dental pathologies.
We found dental erosion in 92% of the patients, and 50% had at least one tooth with BEWE 2 or 3 type erosion.
Despite the fact that there can be wide variety within a group of individuals with similar risk factors, dental telemedicine could promote awareness within this at-risk population, as well as provide personalised prevention advice to each patient. Above all, it would make it possible to treat these patients' lesions at the earliest possible moment, thereby improving their outcomes.
本研究旨在证明，在饮食失调日间医院为患者提供的标准护理中纳入远程牙科咨询可能有益，特别是在筛查特定病症和预防牙齿侵蚀方面。
我们纳入了蒙彼利埃大学医院饮食失调科的50名患者，他们均通过异步远程医疗接受了牙科检查。我们使用远程牙科软件记录医疗文件数据，并使用口腔内摄像头记录临床视频。使用基本侵蚀性磨损检查指数进行远程诊断。此外，参与者完成了一份问卷，以评估他们患牙齿疾病的风险因素。
我们发现92%的患者存在牙齿侵蚀，50%的患者至少有一颗牙齿出现BEWE 2或3级侵蚀。
尽管在具有相似风险因素的个体群体中可能存在很大差异，但远程牙科医疗可以提高这一高危人群的认识，并为每位患者提供个性化的预防建议。最重要的是，这将使我们能够尽早治疗这些患者的病变，从而改善治疗效果。
