Rouanet Fiona, Masucci Caterina, Khorn Brandon, Oueiss Arlette, Dridi Sophie-Myriam, Charavet Carole
Université Côte d'Azur, Faculté de Chirurgie Dentaire, Département d'Orthodontie, 06300 Nice, France.
Centre Hospitalier Universitaire de Nice, Pôle d'Odontologie, Unité d'Orthodontie, 06300 Nice, France.
Orthod Fr. 2022 Dec 1;93(4):353-375. doi: 10.1684/orthodfr.2022.104.
The concept of teleorthodontics was recently born; the Covid-19 crise has participated to the emergence and the amplification of this phenomenon.
The main aim of the present systematic review was to evaluate the teleorthodontics relevance.
An electronic and manual search was performed in four databases (PubMed, Scopus, Embase and Cochrane Library) up to December 2021 according to PRISMA guidelines. Both prospective and retrospective studies, as well as case reports, case series and satisfaction surveys published in English or in French without time restriction were included. Two independant reviewers were involved in the selection of the studies and a third reviewer was required in case of disagreement. A bias assessment was performed using the Mixed Methods Appraisal Tools.
Out of 1757 articles, 22 articles published mainly between 2019 and 2021 and with varying levels of evidence, were included. Considering the results obtained, different concepts were discussed (time management, quality of communication, reliability and use of tools, satisfaction, quality of human relations, emergency management, compliance).
Teleorthodontics is an interesting and complementary tool that is, in no way, a systematic alternative to face-to-face orthodontic appointments in the office. However, many essential aspects of telemedicine in orthodontics, such as data protection, still need to be investigated in order to fully analyze this tool.
远程正畸的概念最近才出现;新冠疫情推动了这一现象的出现和扩大。
本系统评价的主要目的是评估远程正畸的相关性。
根据PRISMA指南,截至2021年12月,在四个数据库(PubMed、Scopus、Embase和Cochrane图书馆)中进行了电子和手动检索。纳入了前瞻性和回顾性研究,以及无时间限制的以英文或法文发表的病例报告、病例系列和满意度调查。两名独立评审员参与了研究的筛选,如有分歧则需要第三名评审员。使用混合方法评估工具进行偏倚评估。
在1757篇文章中,纳入了22篇主要在2019年至2021年期间发表且证据水平各异的文章。考虑到所获得的结果,讨论了不同的概念(时间管理、沟通质量、工具的可靠性和使用、满意度、人际关系质量、应急管理、依从性)。
远程正畸是一种有趣且具有补充性的工具,但绝不是办公室面对面正畸预约的系统性替代方案。然而,正畸远程医疗的许多重要方面,如数据保护,仍需进行研究,以便全面分析这一工具。