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远程牙科在改善口腔健康结果和获得牙科护理方面的作用:伞式综述。

The role of teledentistry in improving oral health outcomes and access to dental care: An umbrella review.

机构信息

Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.

Children's Health Research Institute, Lawson Health Research Institute, London, Ontario, Canada.

出版信息

J Oral Rehabil. 2024 Nov;51(11):2375-2389. doi: 10.1111/joor.13836. Epub 2024 Aug 13.

Abstract

OBJECTIVES

This umbrella review aims to synthesise and summarise the role of teledentistry in improving oral health outcomes and access to dental care.

METHODS

We searched the databases PubMed (Medline), Scopus, CINHAL, OVID, ScienceDirect, JSTOR, JBI Database of Systematic Reviews & Implementation Reports and the Cochrane Database of Systematic Reviews through March 2024. Systematic reviews and meta-analyses on teledentistry were eligible for inclusion. No publication time or language restrictions were applied. Our search retrieved 24 studies for which we conducted quality assessments using the Joanna Biggs Institute (JBI) for Systematic Reviews and Research Synthesis Critical Appraisal Tool. Results were reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.

RESULTS

Studies addressed clinical oral health outcomes, health-related quality of life and patient experience, access to dental care and cost-effectiveness of teledentistry compared to conventional, face-to-face dental consultations. We found that there was consensus that teledentistry enhanced oral health through the early detection of oral lesions and increased access to dental care in remote areas and was time- and cost-saving.

CONCLUSION

Teledentistry can improve oral health outcomes and access to dental care. Future research on its impact on oral health equity is warranted.

摘要

目的

本伞式综述旨在综合总结远程牙科在改善口腔健康结果和获得牙科护理方面的作用。

方法

我们检索了数据库 PubMed(医学索引在线)、Scopus、CINHAL、OVID、ScienceDirect、JSTOR、JBI 系统评价和实施报告数据库以及 Cochrane 系统评价数据库,检索截至 2024 年 3 月。纳入远程牙科的系统评价和荟萃分析。没有应用出版时间或语言限制。我们的检索共检索到 24 项研究,我们使用 Joanna Biggs 研究所(JBI)的系统评价和研究综合批判性评估工具对这些研究进行了质量评估。结果按照系统评价和荟萃分析的首选报告项目(PRISMA)指南进行报告。

结果

研究涉及临床口腔健康结果、与健康相关的生活质量和患者体验、远程牙科与传统面对面牙科咨询相比获得牙科护理的机会和成本效益。我们发现,远程牙科通过早期发现口腔病变和增加偏远地区获得牙科护理的机会来改善口腔健康,并且具有节省时间和成本的优势,这一点已达成共识。

结论

远程牙科可以改善口腔健康结果和获得牙科护理的机会。需要进一步研究其对口腔健康公平性的影响。

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