scholarly journals Teledentistry: A Novel Tool in our Arsenal to Combat COVID-19

2020 ◽  
Vol 4 (4) ◽  
pp. 77-80
Author(s):  
Amar Bhochhibhoya ◽  
Rejina Shrestha

The prevailing havoc due to rapid spread of COVID-19 has led to an unprecedented impact on dental care delivery. With the postponement or cancellation of all routine dental work, other than emergency care, the dental economy has come to a grinding halt. Aerosols and droplets are generated in many dental procedures, so dental professionals are under an enormous risk of occupational exposure to COVID-19. With no clear forays for the restoration of normalcy, the current crisis poses unique challenges to commence and sustain dental practice. Teledentistry has emerged as a panacea to the delivery of health care, with modified approaches promoting a virtual method of consultations, avoiding direct physical contact. Teledentistry can aid in prescreening patients for COVID symptoms, inquiring about travel history or a recent COVID-19 test result, that helps in risk stratification and deferring dental care to protect vulnerable and high-risk groups. But, it is improvident to restrict the utility of teledentistry to this time of pandemic only. Proactive integration of teledentistry in dental practice will enhance the virtual care which will change the way in which dental care services are rendered in the future.

Author(s):  
Damien Offner ◽  
Gabriel Fernandez De Grado ◽  
Marion Strub ◽  
Laure Belotti ◽  
Stéphanie Deboscker ◽  
...  

Mobile dental delivery systems (MDDSs) are receiving growing interest for reaching isolated patients, as well as in dental care for fragile and hospitalized patients, with the advantage of being able to be used from room to room or during general anesthesia (GA) in an operating room. Therefore, ensuring the care safety is crucial. The aim of this study was to elaborate and assess an MDDS maintenance protocol, containing the management of dental unit waterlines and adapted to specific conditions such as dental care under GA. A step-by-step protocol was established and implemented for an MDDS used during dental care under GA in children. Samples of the output water were collected at J0, J+1, 3, 6, 12, and 24 months, and cultured to observe the microbiological quality of the water. All the results (heterotrophic plate count at 22 °C, at 37 °C, and specific pathogenic germs sought) showed an absence of contamination. The protocol presented was effective over time and allowed ensuring the safety of care to be ensured when using MDDS, even during dental procedures under GA. As a result, it could be implemented by any dental care delivery structure wanting to reinforce the safety of its practice.


F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 1843
Author(s):  
Riccardo Tizzoni ◽  
Laura Veneroni ◽  
Alfonso D'Aloia ◽  
Marta Tizzoni ◽  
Carlo Alfredo Clerici

Anxiety and distress can jeopardize dental care experience of patients and may affect the clinical result. Although a wide range of sedation and analgesia techniques are currently available to relieve distress and pain during dental procedures, operative models to choose the most effective sedation-analgesic strategies are lacking. This case series proposes a patient-centred model to optimize patients’ cooperation during dental care delivery. We describe how to achieve correct anaesthesia by using the least sedative procedure, accounting for the dental procedure needed and patient’s psychological profile. Five patients were considered as paradigmatic to show the balance between patients’ subjective experiences and the clinical procedures: a patient with low stress, good compliance (case 1); moderate stress and reduction in compliance (case 2); anxious patient (case 3); patient with acute anxiety and emotional distress (case 4); anguished patient (case 5). A multimodal treatment of emotional and behavioural condition and a patient-centred model approach contributed to achieve the best patient satisfaction in the five cases detailed here.


1988 ◽  
Vol 38 (3) ◽  
pp. 276-283
Author(s):  
Yoshinobu MAKI ◽  
Anna-Lisa BJÖRN ◽  
Birger RICKARDSSON

2013 ◽  
Vol 73 (3) ◽  
pp. 195-203 ◽  
Author(s):  
M. Marianne Jurasic ◽  
Gretchen Gibson ◽  
Sharron Rich ◽  
Terry G. O'Toole ◽  
Susan Bestgen ◽  
...  

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