Compliance with dental treatment recommendations by rural paediatric patients after a live-video teledentistry consultation: A preliminary report

Abstract

Objective

The purpose of this research was to assess the compliance rate with recommended dental treatment by rural paediatric dental patients after a live-video teledentistry consultation.

Methods

A retrospective dental chart review was completed for 251 rural paediatric patients from the Finger Lakes region of New York State who had an initial teledentistry appointment with a paediatric dentist located remotely at the Eastman Institute for Oral Health in Rochester, NY. The recommended treatment modalities were tabulated and comprehensive dental treatment completion rates were obtained.

Results

The recommended treatment modality options of: treatment in the paediatric dental clinic; treatment using nitrous oxide anxiolysis; treatment with oral sedation; treatment in the operating room with general anaesthesia; or teleconsultation were identified for the 251 patients. Compliance rates for completed dental treatment based on initial teleconsultation recommendations were: 100% for treatment in the paediatric dental clinic; 56% for nitrous oxide patients; 87% for oral sedation; 93% for operating room; and 90% for teleconsultations. The differences in the compliance rates for all treatment modalities were not statistically significant (Fisher’s exact test, p > 0.05).

Conclusions

Compliance rates for completed comprehensive dental treatment for this rural population of paediatric dental patients were quite high, ranging from 56% to 100%, and tended to be higher when treatment was completed in fewer visits. Live-video teledentistry consultations conducted among rural paediatric patients and a paediatric dentist in the specialty clinic were feasible options for increasing dental treatment compliance rates when treating complex paediatric dental cases.

Keywords

Remote consultation teleconsulting telehealth

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References

US Dept of Health and Human Services. Oral health in America: A report of the Surgeon General, Rockville, Md: US Dept of Health and Human Services. National Institute of Dental and Craniofacial Research, National Institutes of Health, 2000.

Tsai

Wides

Mertz

. Dental workforce capacity and California’s expanding pediatric Medicaid population. J Calif Dent Assoc 2014; 42(11): 757–764, 766.

Damiano

Brown

Johnson

. Factors affecting dentist participation in a state Medicaid program. J Dent Educ 1990; 54(11): 638–643.

Morris

Freed

Nguyen

. Pediatric dentists’ participation in the California Medicaid program. Pediatr Dent 2004; 26(1): 79–86.

Hughes

Damiano

Kanellis

. Dentists’ participation and children’s use of services in the Indiana dental Medicaid program and SCHIP: Assessing the impact of increased fees and administrative changes. J Am Dent Assoc 2005; 136(4): 517–523.

Berman

Dolins

Tang

. Factors that influence the willingness of private primary care pediatricians to accept more Medicaid patients. Pediatrics 2002; 110(2): 239–248.

Dye

Tan

Smith

. Trends in oral health status: United States, 1988–1994 and 1999–2004. Vital Health Stat 11 2007; 248: 1–92.

Skillman

Doescher

Mouradian

. The challenge to delivering oral health services in rural America. J Publ Health Dent 2010; 70: S49–S57.

Kopycka-Kedzierawski

Billings

McConnochie

. Dental screenings of preschool children using teledentistry: A feasibility study. Pediatr Dent 2007; 29: 209–213.

10.

Kopycka-Kedzierawski

Billings

. Comparative effectiveness study to assess two examination modalities used to detect dental caries in preschool urban children. Telemed J E Health 2013; 19(11): 834–840.

11.

Khan

Omar

. Teledentistry in practice: Literature review. Telemed J E Health 2013; 7: 565–567.

12.

Rollert

Strauss

Abubaker

. Telemedicine consultations in oral and maxillofacial surgery. J Oral Maxillofac Surg 1999; 57(2): 136–138.

13.

American Telemedicine Association. Expert consensus recommendations for videoconferencing-based telepresenting, www.americantelemed.org/docs/default-source/standards/expert-consensus-recommendations-for-videoconferencing-based-telepresenting.pdf?sfvrsn=4 (2011, accessed 27 February 2015).

14.

American Telemedicine Association. Core operational guidelines for telehealth services involving provider-patient interactions, http://www.americantelemed.org/docs/default-source/standards/core-operational-guidelines-for-telehealth-services.pdf?sfvrsn=6 (2014, accessed 27 February 2015).

15.

Hersh

Wallace

Patterson

. Telemedicine for the Medicare population: Pediatric, obstetric and clinician-indirect home interventions. Evid Rep Tech Assess 2001; 24(Suppl): 1–32.