Laroque Mariane Baltassare, Tillmann Thais Freitas Formozo, Liskoski Bruna Vettorazzi, Silva Alexandre Emidio Ribeiro
Universidade Federal de Pelotas, Pelotas, Programa de Pós-Graduação em Odontologia, Pelotas, RS, Brazil.
Universidade Federal de Pelotas, Graduação em Odontologia, Pelotas, RS, Brazil.
Epidemiol Serv Saude. 2025 Sep 8;34:e20240669. doi: 10.1590/S2237-96222025v34e20240669.en. eCollection 2025.
To analyze the use of teledentistry in Primary Healthcare in Brazil at the end of the second year of the COVID-19 pandemic.
Cross-sectional study with dentists and dental surgeons in Primary Healthcare. Study data were obtained through an online form. The outcome was the use of teledentistry in Basic Health Units. The exposure variables were related to dentists, municipalities and the adoption of protocols by the municipality to reduce the risk of COVID-19. Descriptive and bivariate analyses were performed, and finally, adjusted regression analysis was performed, in which prevalence ratios (PR) and 95% confidence intervals (95%CI) were obtained.
416 dentists were evaluated. Of these, 24.3% reported using teledentistry, with remote guidance being the most used modality (85.6%). The highest probability of implementing teledentistry occurred in Basic Health Units in the South (RP 4.20; 95%CI 1.71; 10.28) and Southeast (RP 6.85; 95%CI 2.74; 17.67) regions of Brazil, which adopted protocols to reduce the risk of COVID-19 (PR 1.59; 95%CI 1.01; 2.50) and had dentists specialized in Public/Collective Health (PR 2.12; 95%CI 1.20; 3.75).
Limited use of teledentistry was observed by Basic Health Units in Brazil. Factors related to the adoption of protocols to reduce the risk of COVID-19, the Brazilian region of the Basic Health Unit and the presence of a dentist with specialization in Public/Collective Health were positively associated with the implementation of teledentistry.
分析在新冠疫情第二年年底巴西初级卫生保健中远程牙科的使用情况。
对初级卫生保健中的牙医和口腔外科医生进行横断面研究。研究数据通过在线表格获取。结果是远程牙科在基本卫生单位的使用情况。暴露变量与牙医、市以及市为降低新冠风险而采用的方案有关。进行了描述性和双变量分析，最后进行了调整回归分析，得出患病率比（PR）和95%置信区间（95%CI）。
对416名牙医进行了评估。其中，24.3%报告使用了远程牙科，远程指导是最常用的方式（85.6%）。在巴西南部（PR 4.20；95%CI 1.71；10.28）和东南部（PR 6.85；95%CI 2.74；17.67）地区的基本卫生单位实施远程牙科的可能性最高，这些地区采用了降低新冠风险的方案（PR 1.59；95%CI 1.01；2.50），并且有公共/集体卫生专业的牙医（PR 2.12；95%CI 1.20；3.75）。
巴西基本卫生单位对远程牙科的使用有限。与采用降低新冠风险的方案、基本卫生单位所在的巴西地区以及有公共/集体卫生专业的牙医相关的因素与远程牙科的实施呈正相关。
