Faculty of Dental Medicine and Oral Health Science, McGill University, Montreal, QC H3A 1G1, Canada.
Department of Dental Clinical Sciences, Faculty of Dentistry, Dalhousie University, Halifax, NS B3H 1W2, Canada.
Int J Environ Res Public Health. 2023 Mar 6;20(5):4671. doi: 10.3390/ijerph20054671.
During the COVID-19 pandemic, teledentistry was suggested as a cost-effective and promising approach to improve access to oral health care. In response, Canadian provincial and territorial dental regulatory authorities (DRAs) published teledentistry-related clinical practice guidances (TCPGs). However, an in-depth comparison between them is needed to understand their gaps and commonalities so as to inform research, practice, and policy. This review aimed to provide a comprehensive analysis of TCPGs published by Canadian DRAs during the pandemic. A critical comparative analysis of these TCPGs published between March 2020 and September 2022 was conducted. Two members of the review team screened the official websites of dental regulatory authorities (DRAs) to identify TCPGs and performed data extraction. Among Canada's 13 provinces and territories, only four TCPGs were published during the relevant time period. There were some similarities and differences in these TCPGs, and we identified gaps pertaining to communication tools and platforms, and measures to safeguard patients' privacy and confidentiality. The insights from this critical comparative analysis and the unified workflow on teledentistry can aid DRAs in their development of new or an improvement to existing TCPGs or the development of nationwide TCP guidelines on teledentistry.
在 COVID-19 大流行期间,远程牙科被认为是一种具有成本效益且有前途的方法,可以改善口腔保健的可及性。有鉴于此,加拿大省级和地区牙科监管机构 (DRA) 发布了与远程牙科相关的临床实践指南 (TCPG)。然而,需要对它们进行深入比较,以了解它们的差距和共同点,从而为研究、实践和政策提供信息。本综述旨在对大流行期间加拿大 DRA 发布的 TCPG 进行全面分析。对 2020 年 3 月至 2022 年 9 月期间发布的这些 TCPG 进行了批判性的比较分析。审查小组成员中的两名成员筛选了牙科监管机构 (DRA) 的官方网站以识别 TCPG 并进行了数据提取。在加拿大的 13 个省和地区中,只有四个 TCPG 在相关时间段内发布。这些 TCPG 既有相似之处,也有不同之处,我们发现了一些与沟通工具和平台以及保护患者隐私和保密性措施有关的差距。这种批判性的比较分析和远程牙科的统一工作流程可以帮助 DRA 制定新的或改进现有的 TCPG,或制定全国性的远程牙科 TCP 指南。