Dental

Attitude of orthodontists and their patients towards telemonitoring

Chi-square tests performed among the orthodontists, investigating the correlation between age and availability to take/examine pictures bi-weekly or weekly, respectively.
Source: https://doi.org/10.3390/dj9050047

The study’s aim was to find out how dentists and patients felt about Dental Monitoring TM (also known as DM), an orthodontic telemonitoring app. The surveys were customized to serve the purpose of this experiment, so two separate specially-made surveys were provided to 80 dentists (40 were general dentists and 40 orthodontists) and 80 orthodontic patients. 96.25% of dentists found telemonitoring to be representative of high-tech and high-quality service, with 100% thinking it reduced the amount of in-office appointments, and 17.5% thinking it provided a better quality of care. On top of that, 97.5% of patients thought telemonitoring was beneficial, while 81.25% said the use of modern technology was beneficial. A further 81.25% said they saw the implementation of modern technology as a sign of high-tech care. Additionally, 81.25% said they were involved in minimizing the amount of clinic visits, and 57.5% said they saw the implementation of modern technology as a sign of high-tech treatment. Both patients and dentists agreed that telemonitoring was a more sophisticated method and made it seem that the care was of higher standard and precision. While the two parties had different goals of minimizing in-office visits, neither of them were able to give any of their resources and time to it.

Orthodontic procedures are often long-term operations, particularly when undesired side effects arise and are detected by the clinician only after many months. Several methods have been recommended to lessen the amount of time required for orthodontic surgery, through the use of surgical and non-surgical procedures. To further ensure the teeth travel at a normal pace, researchers have devised strategies such as these. They want to accelerate the biological processes associated with tooth movement, which will help in the design of individualized orthodontic instruments and aid in the production of effective therapeutic protocols, both with the goal of mitigating time-consuming round-trip motions. And if the care plan is stringent, it is important to monitor treatment development to prevent problems or reduce their effects. Recently, new contact patterns and a more challenging attitude towards immediate knowledge needs and assistance requests were implemented with the help of computers, smartphones, and tablets, particularly among teenagers. This revolution of “permanently online” has now been embraced by the medical and dental professions. Tele dentistry is the therapeutic usage of telecommunications technologies to transfer photographs, graphics, audio, and video between participants that are geographically distant and provide patient care. It involves all the ways to exchange digital knowledge through communication technologies [which includes online browsing and distance learning, but also the creation of thousands of different apps dedicated to healthcare-related educational content distribution, medical data collection, and patient monitoring and motivation]: in addition to that, there are mobile apps for healthcare-related educational content delivery, medical data collection, and patient monitoring and motivation, as well as web apps to browse healthcare-related websites.

The several benefits of tele dentistry include enhanced remote monitoring of the treatment’s evolution, expanded access to oral care, earlier detection of cavities, greater patient collaboration, and less need for patients and orthodontists to travel. To improve your current practices and add to your knowledge, these newer innovations, such as kiosks, website analytics apps, mobile wearable devices, and video conferencing, are listed as ways to expand your practice. A number of studies now confirm the use of WhatsApp, Telegram, and WeChat as tele dentistry opportunities, such as for those looking to communicate with clinicians in a medical emergency or to enhance a good oral health conduct. A software framework was released that helps the therapist to keep track of teeth movement, equipment integrity, and oral hygiene effectiveness when patients undergo orthodontic care by analyzing photos taken by the patient regularly. It incorporates three different platforms: a smartphone app for the user, a proprietary tooth movement-tracking algorithm, and a web-based Doctor Dashboard® where the dentist can monitor progress by tooth. the DM receives the photos of the patient before care and a 3D image that was created using stereolithography. Patients that take intramural photos send their photos to cloud-based servers every time. In order to complete the baseline measurements, the DM’s algorithms connect the image with the 3D model and use an algorithm to quantify overjet, overbite, and interarch relationships, using an IM made up of multidimensional knowledge (a DM-created information map or DMIM). The diagrams, photographs, and 3D models are submitted to the Doctor Dashboard in the form of the data. For this report, the goal was to investigate patients’ and orthodontists’ thoughts about Dental Monitoring TM, based on filling out a questionnaire.

Because of the widespread promise of tele dentistry, there is a considerable likelihood that oral healthcare would be given to many more people. This research focuses on applications created for orthodontists, although it can be applied to any dental care specialist who wants to optimize diagnostic care, receive expert recommendations, evaluate referrals, and exclusively follow up on patients. Several comprehensive systematic studies show that tele dentistry is useful in a variety of specialties, including endodontics, oral surgery, oral medicine, periodontics, prosthetics, pediatrics, conservative dentistry, and orofacial discomfort. The following are the study’s strengths: the usage of two specially constructed questionnaires, both of strong validity and reliability, which may be replicated in the future for other research organizations to conduct similar studies; active participation of patients, who are the ultimate winners of telemonitoring systems; and the reliance on a program uniquely designed for orthodontic use. The main limitations of this study, on the other hand, are the lack of an objective evaluation of patients’ and doctors’ adherence in real life to a telemonitored orthodontic treatment approach, as well as the lack of an evaluation of the impact of using this type of telemonitoring software on parameters such as patient satisfaction, compliance during both active treatment and retention ph. Future research on telemonitoring software may also focus on clinically relevant endpoints, such as the impact on treatment duration and results of a high compliance-demanding and increasingly common type of orthodontic appliance, such as clear aligners, the impact on patient quality of life and satisfaction with treatment management and results, or the use of telemonitoring software.

Citation: Dalessandri, Domenico; Sangalli, Linda; Tonni, Ingrid; Laffranchi, Laura; Bonetti, Stefano; Visconti, Luca; Signoroni, Alberto; Paganelli, Corrado. 2021. “Attitude towards Telemonitoring in Orthodontists and Orthodontic Patients” Dent. J. 9, no. 5: 47. https://doi.org/10.3390/dj9050047

Categories: Dental