Université de Lorraine, Faculté d'odontologie, F-54000 Nancy, France.
CHRU-Nancy, Université de Lorraine, Faculté d'odontologie, F-54000 Nancy, France; Université de Lorraine, Interpsy, EA 4432, F-54000 Nancy, France.
Arch Pediatr. 2023 Jan;30(1):20-24. doi: 10.1016/j.arcped.2022.11.005. Epub 2022 Nov 23.
During the first COVID-19 lockdown, from March 12 to May 15, 2020, private dental practices in France and in many other countries remained closed. Dental emergencies were therefore partly redirected to hospital dental departments. The aim of this article is to describe the modalities of remote management of emergencies during this period, by the pediatric dentistry department of Nancy University Hospital (France), via an oral telemedicine protocol.
All parents of children in difficulty were invited to contact the department by phone. Initial triage was managed by externs, interns, or dental practitioners following a management protocol specifically adapted to pediatric dentistry for this context. Depending on the situation (type of complaint, geographical location of the patients, possibility of travel, availability of digital equipment, etc.), an oral telemedicine solution was proposed using the Covotem® software (Maincare Society, Canejan, France) via the Pulsy platform (public interest grouping validated by the Grand Est Regional Agency for Health) and possibly using an intraoral photographic protocol suggested by the team.
During this period, 176 patients used the pediatric dental department, 40 of whom were managed via oral telemedicine. Of these children, 57% (23/40) required an appointment in the department during the lockdown, 30% (12/40) did not require follow-up, and 13% (5/40) required a post-lockdown appointment. This teledentistry protocol resulted in a diagnosis in most cases (93%).
Patient management through oral telemedicine appears to be an effective tool for planning and organizing oral healthcare. It should be more widely considered in dentistry in the current context of pressure in medical emergencies, significant medical needs, and medical desertification.
2020 年 3 月 12 日至 5 月 15 日，COVID-19 首次封锁期间，法国和许多其他国家的私人牙科诊所关闭。因此，部分牙科急症被转至医院牙科部门。本文旨在描述法国南锡大学医院（ Nancy University Hospital）儿科牙科部门在这一时期通过口腔远程医疗协议管理急症的模式。
所有有困难的儿童的家长都被邀请通过电话联系该部门。根据具体情况，采用专门为儿科牙科制定的管理方案，由实习生或牙医对外科患者进行初步分诊。根据具体情况（投诉类型、患者地理位置、出行可能性、数字设备可用性等），通过 Covotem®软件（Maincare Society，Canejan，法国）和 Pulsy 平台（经大东部地区卫生局批准的公共利益团体）提出口腔远程医疗解决方案，并由团队建议使用口腔内摄影协议。
在此期间，有 176 名患者使用了儿科牙科部门，其中 40 名通过口腔远程医疗进行了管理。在这些儿童中，57%（23/40）需要在封锁期间预约部门就诊，30%（12/40）无需后续治疗，13%（5/40）需要在封锁后预约。该远程牙科协议在大多数情况下可得出明确诊断（93%）。
通过口腔远程医疗进行患者管理似乎是规划和组织口腔保健的有效工具。在当前医疗紧急情况、重大医疗需求和医疗荒漠化的背景下，应在牙科领域更广泛地考虑这一方法。
