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即将出现的创新:远程牙科、人工智能以及改善弱势群体口腔健康的混合模式。

Innovations on the horizon: teledentistry, artificial intelligence, and hybrid models to improve oral health for vulnerable communities.

作者信息

Drafta Sergiu, Macris Andrei, Petre Alexandru E

机构信息

Prosthetic Department, Faculty of Stomatology, "Carol Davila" University of Medicine and Pharmacy from Bucharest, Bucharest, Romania.

出版信息

Front Oral Health. 2025 Aug 11;6:1649715. doi: 10.3389/froh.2025.1649715. eCollection 2025.

DOI:10.3389/froh.2025.1649715
PMID:40860795
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12375626/
Abstract

OBJECTIVES

Vulnerable populations experience substantial challenges accessing dental care, leading to disproportionate oral health burdens. Digital solutions, such as teledentistry and artificial intelligence, offer new opportunities to improve access, quality and effectiveness of the care.

METHODS

This paper presents a narrative literature review incorporating findings from peer-reviewed journals, systematic reviews, and case studies retrieved from PubMed, Scopus, and Web of Science (2013-2024). Evidence was also synthesized using the artificial intelligence tool Elicit to include high-quality data on teledentistry, artificial intelligence and hybrid dental care models, focusing on their implementation and effectiveness. Studies were selected to address relevance for underserved populations and digital innovation in dental care delivery.

RESULTS

Teledentistry modalities, including e-consults and virtual dental homes, have demonstarte enhanced access and delivery of preventative care. Artificial intelligence tool provide accurate diagnoses, predict treatment needs, and streamline workflows. Hybrid models combining virtual screening with in-person treatment bridge care gaps and enhance continuity and efficiency, particularly for underserved populations.

CONCLUSIONS

The integration of teledentistry, artificial intelligence and hybrid dental practice models offers a transformative approach to improving oral health care acces and equity. However, success will require investment, support and collaboration to scale these innovations effectively.

摘要

目标

弱势群体在获得牙科护理方面面临巨大挑战,导致口腔健康负担不均衡。远程牙科和人工智能等数字解决方案为改善护理的可及性、质量和有效性提供了新机会。

方法

本文进行了一项叙述性文献综述,纳入了从PubMed、Scopus和科学网检索到的同行评审期刊、系统评价和案例研究(2013 - 2024年)的研究结果。还使用人工智能工具Elicit综合证据,以纳入有关远程牙科、人工智能和混合牙科护理模式的高质量数据,重点关注其实施情况和有效性。所选研究旨在探讨其与服务不足人群的相关性以及牙科护理提供中的数字创新。

结果

远程牙科模式,包括电子咨询和虚拟牙科之家,已证明可提高预防性护理的可及性和提供效率。人工智能工具可提供准确诊断、预测治疗需求并简化工作流程。将虚拟筛查与面对面治疗相结合的混合模式弥合了护理差距,提高了连续性和效率,特别是对服务不足人群而言。

结论

将远程牙科、人工智能和混合牙科实践模式相结合,为改善口腔医疗保健的可及性和公平性提供了一种变革性方法。然而,要取得成功需要投资、支持和合作,以有效推广这些创新。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c730/12375626/e7c7daadd11b/froh-06-1649715-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c730/12375626/13be1a4575e9/froh-06-1649715-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c730/12375626/608ec5afc942/froh-06-1649715-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c730/12375626/e7c7daadd11b/froh-06-1649715-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c730/12375626/13be1a4575e9/froh-06-1649715-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c730/12375626/608ec5afc942/froh-06-1649715-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c730/12375626/e7c7daadd11b/froh-06-1649715-g003.jpg

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本文引用的文献

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2
Assessment of teledentistry in improving access to dental care: a systematic review.远程牙科在改善牙科护理可及性方面的评估:一项系统综述。
Aust Dent J. 2025 Mar;70(1):4-41. doi: 10.1111/adj.13045. Epub 2024 Oct 23.
3
A rural teledentistry care experience: a geriatric approach to assessing oral health status and treatment needs in older adults from a Mapuche community in Chile.
农村远程口腔护理体验:智利马普切社区老年人的口腔健康评估和治疗需求的老年学方法。
Front Public Health. 2024 Jun 5;12:1356622. doi: 10.3389/fpubh.2024.1356622. eCollection 2024.
4
Evaluating the Impact of Teledentistry on Patient Outcomes, Diagnostic Accuracy, and Satisfaction in a Prospective Observational Analysis.在一项前瞻性观察分析中评估远程牙科对患者治疗结果、诊断准确性和满意度的影响。
Cureus. 2024 Feb 18;16(2):e54424. doi: 10.7759/cureus.54424. eCollection 2024 Feb.
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AI-Assisted Screening of Oral Potentially Malignant Disorders Using Smartphone-Based Photographic Images.使用基于智能手机的摄影图像进行人工智能辅助的口腔潜在恶性疾病筛查。
Cancers (Basel). 2023 Aug 16;15(16):4120. doi: 10.3390/cancers15164120.
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JMIR Hum Factors. 2023 Aug 18;10:e45418. doi: 10.2196/45418.
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The use of teledentistry in clinical oral and maxillofacial pathology practice: an institutional experience.远程牙科在临床口腔颌面病理学实践中的应用:一项机构经验。
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