Singhal Sonica, Mohapatra Shwetabh, Quiñonez Carlos
Public Health Ontario, Toronto, ON M5G 1M1, Canada.
Department of Dental Public Health, Faculty of Dentistry, University of Ontario, Toronto, ON L1H 7K4, Canada.
Int J Environ Res Public Health. 2021 Dec 21;19(1):31. doi: 10.3390/ijerph19010031.
During the COVID-19 pandemic, the limited in-person availability of oral health care providers resulted in an unprecedented utilization of the teledentistry tool. This paper reviews how Canadian organizations supported teledentistry and what can be expected about its usage in the post-pandemic era. An environmental scan across relevant Canadian federal, provincial, and territorial organizations was conducted to review pertinent publicly available documents, including dental regulators' or associations' COVID-19 guidance documents, government documents, and media articles. Almost all jurisdictions promoted teledentistry for triaging dental emergencies and screening patients for COVID-19 symptoms but not even half of them have developed guidelines in terms of modalities of usage, handling of personal information, informed consent process, or maintaining standards of practice. During the COVID-19 recovery phase, these advances across Canada will support in developing a comprehensive guidance for teledentistry and possibly specific codes for its utilization. This can create a niche for teledentistry as an adjunct to the main stream dental care delivery where some visits can always be accommodated virtually, reducing disparities in oral healthcare between rural and urban communities. Ultimately, this can potentially make oral health care delivery more effective, efficient, and environmentally friendly in Canada.
在新冠疫情期间,口腔保健服务提供者亲自看诊的机会有限,这导致远程牙科工具的使用达到了前所未有的程度。本文回顾了加拿大各机构如何支持远程牙科,以及在疫情后时代对其使用有何预期。对加拿大相关联邦、省和地区机构进行了环境扫描,以审查相关的公开可用文件,包括牙科监管机构或协会的新冠疫情指导文件、政府文件和媒体文章。几乎所有司法管辖区都推广远程牙科用于对牙科急诊进行分诊以及筛查新冠症状患者,但其中甚至不到一半的地区在使用方式、个人信息处理、知情同意程序或维持执业标准方面制定了指南。在新冠疫情恢复阶段,加拿大各地的这些进展将有助于为远程牙科制定全面的指南,并可能制定其使用的具体规范。这可以为远程牙科创造一个利基市场,作为主流牙科护理服务的辅助手段,在这种情况下,一些就诊可以始终通过虚拟方式进行,减少城乡社区在口腔医疗保健方面的差距。最终,这有可能使加拿大的口腔医疗服务提供更加有效、高效且环保。