Cross-Sectional Analysis of Australian Dental Practitioners’ Perceptions of Teledentistry

Authors

DOI:

https://doi.org/10.4108/eetsis.5366

Keywords:

Teledentistry, Australia, Oral Health

Abstract

INTRODUCTION: There has been an increased use of teledentistry by dental practitioners in Australia as a response to the COVID-19 pandemic. Previous studies conducted analysing the opinions of dental practitioners were performed prior to the pandemic, and therefore it is important to determine if perceptions regarding teledentistry have changed following the outbreak.

OBJECTIVES: The aim of this study was to determine the perceptions of oral healthcare professionals regarding teledentistry in a clinical setting.

METHODS: The cross-sectional study involved an anonymous electronic questionnaire with a sample of 152 dental practitioners. The questionnaire contained 28 questions utilizing a 5-point Likert-scale to assess the perceptions of general dentists on teledentistry regarding diagnosis, accessibility, patient care, technology and finances. Chi-squared test and analysis of variance (ANOVA) were used to analyse the results and percentages of agreement and disagreement were calculated.

RESULTS: The participants of the questionnaire believed that teledentistry was effective for consultations and in the diagnosis of simple cases. They indicated large benefits of teledentistry in improving access, delivering post-operative care, and triaging patients, and found it particularly useful during the COVID-19 pandemic. However, the participants felt that teledentistry was ineffective in diagnosing complex cases such as pathology. Concerns were also raised regarding the interventional capacity of teledentistry, the quality of the technology, data security and medicolegal issues. In general, participants preferred in-person care in comparison with teledentistry. They were neutral regarding finance.

CONCLUSION: The study provided an insight into the perceptions of Australian dental practitioners regarding teledentistry post-COVID-19. Opinions have changed slightly, but there are large hurdles still to overcome before teledentistry is more widely accepted. Research should be continued to further improve teledentistry in the future.

References

Estai M, Kanagasingam Y, Huang B, Checker H, Steele L, Kruger E, Tennant M: The efficacy of remote screening for dental caries by mid-level dental providers using a mobile teledentistry model. Community Dent Oral Epidemiol 2016, 44(5):435-441.

Kayyali R, Hesso I, Mahdi A, Hamzat O, Adu A, Nabhani Gebara S: Telehealth: misconceptions and experiences of healthcare professionals in England. Int J Pharm Pract 2017, 25(3):203-209.

Adly MS, Adly AS, Adly AS: Assessment of early orthodontic treatment on functional shifts by telemonitoring mandibular movements using a smart phone. J Telemed Telecare 2020, 26(3):150-160.

Aziz SR, Ziccardi VB: Telemedicine using smartphones for oral and maxillofacial surgery consultation, communication, and treatment planning. J Oral Maxillofac Surg 2009, 67(11):2505-2509.

Barca I, Novembre D, Giofrè E, Caruso D, Cordaro R, Kallaverja E, Ferragina F, Cristofaro MG: Telemedicine in Oral and Maxillo-Facial Surgery: An Effective Alternative in Post COVID-19 Pandemic. Int J Environ Res Public Health 2020, 17(20).

Baur DA, Pusateri AE, Kudryk VL, Jordan R, Ringgold C, Vandre R, Baker T: Accuracy of orthognathic evaluation using telemedicine technology. Telemed J 1998, 4(2):153-160.

Brucoli M, Boffano P, Franchi S, Pezzana A, Baragiotta N, Benech A: The use of teleradiology for triaging of maxillofacial trauma. J Craniomaxillofac Surg 2019, 47(10):1535-1541.

Herce J, Lozano R, Salazar CI, Rollon A, Mayorga F, Gallana S: Management of impacted third molars based on telemedicine: a pilot study. J Oral Maxillofac Surg 2011, 69(2):471-475.

Moylan HB, Carrico CK, Lindauer SJ, Tüfekçi E: Accuracy of a smartphone-based orthodontic treatment-monitoring application: A pilot study. Angle Orthod 2019, 89(5):727-733.

1Rollert MK, Strauss RA, Abubaker AO, Hampton C: Telemedicine consultations in oral and maxillofacial surgery. J Oral Maxillofac Surg 1999, 57(2):136-138.

Salazar-Fernandez CI, Herce J, Garcia-Palma A, Delgado J, Martín JF, Soto T: Telemedicine as an effective tool for the management of temporomandibular joint disorders. J Oral Maxillofac Surg 2012, 70(2):295-301.

Vetchaporn S, Rangsri W, Ittichaicharoen J, Rungsiyakull P: Validity and Reliability of Intraoral Camera with Fluorescent Aids for Oral Potentially Malignant Disorders Screening in Teledentistry. Int J Dent 2021, 2021:6814027.

Wood EW, Strauss RA, Janus C, Carrico CK: Telemedicine Consultations in Oral and Maxillofacial Surgery: A Follow-Up Study. J Oral Maxillofac Surg 2016, 74(2):262-268.

Cook J, Mullings C, Vowles R, Stephens C: The use of teledentistry to provide GDPs with advice in orthodontics. Dent Update 2002, 29(5):249-255.

Keeppanasserril A, Matthew A, Muddappa S: Effectiveness of Tele-guided Interceptive Prosthodontic treatment in rural India: A comparative pilot study. Online J Public Health Inform 2011, 3(2).

Australian Dental Association: ADA Dental Service Restrictions in COVID-19. In.; 2020.

Zimmermann M, Nkenke E: Approaches to the management of patients in oral and maxillofacial surgery during COVID-19 pandemic. J Craniomaxillofac Surg 2020, 48(5):521-526.

Lee J, Park JS, Wang KN, Feng B, Tennant M, Kruger E: The use of telehealth during the coronavirus (COVID-19) pandemic in oral and maxillofacial surgery–A qualitative analysis. EAI SIS 2022:e10-e10.

Ekeland AG, Bowes A, Flottorp S: Effectiveness of telemedicine: a systematic review of reviews. Int J Med Inform 2010, 79(11):736-771.

Green T, Hartley N, Gillespie N: Service Provider’s Experiences of Service Separation: The Case of Telehealth. Journal of Service Research 2016, 19(4):477-494.

Estai M, Kruger E, Tennant M: Perceptions of Australian dental practitioners about using telemedicine in dental practice. Br Dent J 2016, 220(1):25-29.

Lee J, Park J, Wang K, Feng B, Tennant M, Kruger E: The Use of Telehealth in Australia During the Coronavirus (COVID-19) Pandemic for Medical Practitioners: A retrospective epidemiological analysis. Asia Pacific Journal of Health Management 2022, 17(2).

Estai M, Kruger E, Tennant M, Bunt S, Kanagasingam Y: Challenges in the uptake of telemedicine in dentistry. Rural Remote Health 2016, 16(4):3915.

Dentists now have new item number for telehealth consultations [ https://www.ada.org.au/News-Media/News-and-Release/Latest-News/New-item-number-for-telehealth-consultations]

Eysenbach G: Improving the quality of Web surveys: the Checklist for Reporting Results of Internet E-Surveys (CHERRIES). J Med Internet Res 2004, 6(3):e34.

Lee J, Park JS, Wang H, Feng B, Wang KN: Assessing the Utilisation of TELedentistry from Perspectives of Early Career Dental Practitioners - Development of the UTEL Questionnaire. In: Health Information Science: 2022// 2022; Cham: Springer Nature Switzerland; 2022: 189-196.

Kelly LM, Cordeiro M: Three principles of pragmatism for research on organizational processes. Methodological Innovations 2020, 13(2):2059799120937242.

Zimmerman J, Forlizzi J: Research Through Design in HCI. In: Ways of Knowing in HCI. edn. Edited by Olson JS, Kellogg WA. New York, NY: Springer New York; 2014: 167-189.

Gajarawala SN, Pelkowski JN: Telehealth Benefits and Barriers. J Nurse Pract 2021, 17(2):218-221.

Al-Hashimi I, Schifter M, Lockhart PB, Wray D, Brennan M, Migliorati CA, Axéll T, Bruce AJ, Carpenter W, Eisenberg E, Epstein JB, Holmstrup P, Jontell M, Lozada-Nur F, Nair R, Silverman B, Thongprasom K, Thornhill M, Warnakulasuriya S, van der Waal I: Oral lichen planus and oral lichenoid lesions: diagnostic and therapeutic considerations. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007, 103 Suppl:S25.e21-12.

Kichloo A, Albosta M, Dettloff K, Wani F, El-Amir Z, Singh J, Aljadah M, Chakinala RC, Kanugula AK, Solanki S, Chugh S: Telemedicine, the current COVID-19 pandemic and the future: a narrative review and perspectives moving forward in the USA. Fam Med Community Health 2020, 8(3).

Appukuttan DP: Strategies to manage patients with dental anxiety and dental phobia: literature review. Clin Cosmet Investig Dent 2016, 8:35-50.

Fortuna KL, Aschbrenner KA, Lohman MC, Brooks J, Salzer M, Walker R, St George L, Bartels SJ: Smartphone Ownership, Use, and Willingness to Use Smartphones to Provide Peer-Delivered Services: Results from a National Online Survey. Psychiatr Q 2018, 89(4):947-956.

Lowry SJ, Kay CN, Marsom EN, Park JS, Poole S, Page AT: Optimising health outcomes via pharmacist delivered telehealth medicines management: a systematic review. J Pharm Pract 2020, 50(5):377-390.

Greenhalgh T, Wherton J, Shaw S, Morrison C: Video consultations for covid-19. Bmj 2020, 368:m998.

Scott Kruse C, Karem P, Shifflett K, Vegi L, Ravi K, Brooks M: Evaluating barriers to adopting telemedicine worldwide: A systematic review. J Telemed Telecare 2018, 24(1):4-12.

Almathami HKY, Win KT, Vlahu-Gjorgievska E: Barriers and Facilitators That Influence Telemedicine-Based, Real-Time, Online Consultation at Patients' Homes: Systematic Literature Review. J Med Internet Res 2020, 22(2):e16407.

Bradford NK, Caffery LJ, Smith AC: Telehealth services in rural and remote Australia: a systematic review of models of care and factors influencing success and sustainability. Rural Remote Health 2016, 16(4):3808.

Cardozo I, Silva VCD, Perdoncini NN, Torres-Pereira CC: Telehealth in Oral Medicine: report of an experience from public health care in a southern Brazilian state. Braz Oral Res 2022, 36:e031.

Carrard VC, Roxo Gonçalves M, Rodriguez Strey J, Pilz C, Martins M, Martins MD, Schmitz CA, Dal Moro RG, D'Ávila O P, Rados D, Harzheim E, Gonçalves MR: Telediagnosis of oral lesions in primary care: The EstomatoNet Program. Oral Dis 2018, 24(6):1012-1019.

Ignatius E, Perälä S, Mäkelä K: Use of videoconferencing for consultation in dental prosthetics and oral rehabilitation. J Telemed Telecare 2010, 16(8):467-470.

Beauquis J, Petit AE, Michaux V, Sagué V, Henrard S, Leprince JG: Dental Emergencies Management in COVID-19 Pandemic Peak: A Cohort Study. J Dent Res 2021, 100(4):352-360.

Abdelrahman H, Atteya S, Ihab M, Nyan M, Maharani DA, Rahardjo A, Shaath M, Aboalshamat K, Butool S, Shamala A, Baig L, El Tantawi M: Dental practice closure during the first wave of COVID-19 and associated professional, practice and structural determinants: a multi-country survey. BMC Oral Health 2021, 21(1):243.

Singh R, et. al. Antisocial Behavior Identification from Twitter Feeds Using Traditional Machine Learning Algorithms and Deep Learning. EAI Endorsed Transactions on Scalable Information Systems 10 (4), e17-e17, 2023.

Sarki R., Ahmed K., Wang H., Zhang Y., Wang K. Convolutional neural network for multi-class classification of diabetic eye disease. EAI Endorsed Transactions on Scalable Information Systems, e15-e15, 2022.

Gupta M, Dwivedi RK. Blockchain- Based Secure and Efficient Scheme for Medical Data . EAI Endorsed Scal Inf Syst. 2023, https://publications.eai.eu/index.php/sis/article/view/3235.

Ghosh H, et al. Potato Leaf Disease Recognition and Prediction using Convolutional Neural Networks. EAI Endorsed Scal Inf Syst [Internet]. 2023;10(6). https://publications.eai.eu/index.php/sis/article/view/3937.

Wang H, Zhang Y, and Cao J. Ubiquitous computing environments and its usage access control. In Proceedings of the 1st international conference on Scalable information systems (InfoScale '06). 2006. https://doi.org/10.1145/1146847.1146853.

Kabir ME, Wang H, Bertino E. A conditional purpose-based access control model with dynamic roles. Expert Systems with Applications 38 (3), 1482-1489, 2011.

Wang H, Jiang X., Kambourakis, G. Special issue on Security, Privacy and Trust in network-based Big Data, Information Sciences, Volume 318, 48-50, 2015.

Sun X, Li M, Wang H. A family of enhanced (L, α)-diversity models for privacy preserving data publishing. Future Generation Computer Systems 27 (3), 348-356, 2011.

Zhang J, Tao X, Wang H. Outlier detection from large distributed databases. World Wide Web 17 (4), 539-568, 2014.

Pandey D, Yin X, H Wang H, Y Zhang Y. Accurate vessel segmentation using maximum entropy incorporating line detection and phase-preserving denoising. Computer Vision and Image Understanding 155, 162-172, 2017.

Zhang F, Wang Y, Liu S, Wang H. Decision-based evasion attacks on tree ensemble classifiers. World Wide Web 23 (5), 2957-2977, 2020.

Li JY, et al. Distributed Differential Evolution With Adaptive Resource Allocation. IEEE Transactions on Cybernetics. 53(5), pp. 2791-2804, 2023.

Du J. et al. Neighbor-aware review helpfulness prediction, Decision Support Systems, Volume 148, 113581, 2021.

Ge YF, et al. Distributed Cooperative Coevolution of Data Publishing Privacy and Transparency. ACM Trans. Knowl. Discov. Data 18, 1, Article 20 (January 2024), 23 pages. https://doi.org/10.1145/3613962

Supriya S, Siuly S, Wang H and Zhang Y. Epilepsy Detection From EEG Using Complex Network Techniques: A Review. IEEE Reviews in Biomedical Engineering, vol. 16, pp. 292-306, 2023

D Pandey D. et al. Automatic breast lesion segmentation in phase preserved DCE-MRIs. Health Information Science and Systems 10 (1), 1-19, 2022.

Pang X. et al. Patient assignment optimization in cloud healthcare systems: a distributed genetic algorithm. Health Information Science and Systems 11 (1), 30, 2023.

Ge YF. et al. Evolutionary Dynamic Database Partitioning Optimization for Privacy and Utility. IEEE Transactions on Dependable and Secure Computing, 2023. pp. 1-17. doi: 10.1109/TDSC.2023.3302284.

Tawhid MNA, et al. Automatic and Efficient Framework for Identifying Multiple Neurological Disorders From EEG Signals. IEEE Transactions on Technology and Society, vol. 4, no. 1, pp. 76-86, March 2023.

Yin J. et al. Knowledge-Driven Cybersecurity Intelligence: Software Vulnerability Coexploitation Behavior Discovery. IEEE Transactions on Industrial Informatics, vol. 19, no. 4, pp. 5593-5601, April 2023.

Alvi AM, Siuly S and Wang H. A Long Short-Term Memory Based Framework for Early Detection of Mild Cognitive Impairment From EEG Signals. IEEE Transactions on Emerging Topics in Computational Intelligence, vol. 7, no. 2, pp. 375-388, April 2023.

Nowrozy R. et al. Privacy Preservation of Electronic Health Records in the Modern Era: A Systematic Survey. ACM Comput. Surv. 56(8), Article 204 (August 2024), 37 pages. https://doi.org/10.1145/3653297.

Sun X. et al. Injecting purpose and trust into data anonymisation. Computers & security 30 (5), 332-345, 2011.

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Published

16-07-2024

How to Cite

1.
Lee J, Park JS, Feng B, Wang KN. Cross-Sectional Analysis of Australian Dental Practitioners’ Perceptions of Teledentistry . EAI Endorsed Scal Inf Syst [Internet]. 2024 Jul. 16 [cited 2024 Nov. 20];11. Available from: https://publications.eai.eu/index.php/sis/article/view/5366

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Research articles