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 Table of Contents  
ORIGINAL ARTICLE
Year : 2020  |  Volume : 12  |  Issue : 5  |  Page : 304-307  

Teledentistry: is it the future of rural dental practice? A cross-sectional study


Department of Prosthodontics, R. V. S. Dental College and Hospital, Sulur, Tamil Nadu, India

Date of Submission31-Jan-2020
Date of Acceptance02-Mar-2020
Date of Web Publication28-Aug-2020

Correspondence Address:
Abirami Mathivanan
299, Dr. Radhakrishnan Road, Tatabad, Coimbatore, Tamil Nadu.
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jpbs.JPBS_91_20

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   Abstract 

Aim: To bridge the gap between urban and rural population, a vast number of researches are being carried out. Teledentistry is one of the technological advances in dentistry. It is defined by Cook in 1997 as “the practice of using video-conferencing technologies to diagnose and provide advice about treatment over a distance.” This study aimed to assess the knowledge, attitude, and practice of teledentistry among general dentists in and around Coimbatore district, Tamil Nadu, India. Materials and Methods: A self-administered closed-ended questionnaire was designed. The questions were divided into three sections based on knowledge, attitude, and practice. Data collected from the questionnaire were entered in Microsoft Excel. Level of significance (P < 0.05) was set at 95% confidence interval and P < 0.01 at 99% confidence interval was maintained, and the data were statistically analyzed. Results: The majority of the dentists had less knowledge about teledentistry. About 73% of the dentists believe that teledentistry can provide access of specialists to the rural population. Conclusion: Of the dentists, 90% agree that teledentistry would be the major advancement in the future; however, there needs to be a specific module of operation and promotion of the module in future.

Keywords: Advances, dental education, internet, telecommunication, teledentistry


How to cite this article:
Mathivanan A, Gopalakrishnan JR, Dhayanithi A, Narmatha M, Bharathan K, Saranya K. Teledentistry: is it the future of rural dental practice? A cross-sectional study. J Pharm Bioall Sci 2020;12, Suppl S1:304-7

How to cite this URL:
Mathivanan A, Gopalakrishnan JR, Dhayanithi A, Narmatha M, Bharathan K, Saranya K. Teledentistry: is it the future of rural dental practice? A cross-sectional study. J Pharm Bioall Sci [serial online] 2020 [cited 2020 Sep 19];12, Suppl S1:304-7. Available from: http://www.jpbsonline.org/text.asp?2020/12/5/304/292907




   Introduction Top


In the recent era, the need to maintain oral health has increased dramatically. In a country with a vast majority of the population in the rural area, access to specialty dental care is much reduced due to varied reasons such as economy, distance of the rural area from the urban area, awareness of oral health, and negligence.[1],[2] To bridge the gap between urban and rural population, a vast number of researches are being carried out. Teledentistry is one of the technological advances in dentistry. It is defined by Cook in 1997 as “the practice of using video-conferencing technologies to diagnose and provide advice about treatment over a distance.” Teledentistry is the way by which quality dental care can be delivered to rural patients with the help of computers, internet, and softwares.[9] This study aimed to assess the knowledge, attitude, and practice of teledentistry among general dentists in and around Coimbatore district, Tamil Nadu, India.


   Materials and Methods Top


A cross-sectional questionnaire study was conducted among practicing dentists in and around Coimbatore district, Tamil Nadu. Sample size calculation was done using the formula:



Sample size derived was 200. A total of 345 dentists were approached for the survey; few of them rejected to take up the survey due to their busy schedules. Using convenience sampling method, a representative population of 200 was selected from the district.

Data collection

A self-administered closed-ended questionnaire was designed. The questions were divided into three sections based on knowledge, attitude, and practice. Dentists were contacted and prior appointment was taken before the survey. Each dentist was met in person and explained about the purpose of the study followed by procuring an informed consent. Duration of data collection was 30 min. Of 200 dentists surveyed, only 73 of them were aware about teledentistry. Excluding 127 from the study, the data collected from 73 dentists were analyzed.

Statistical analysis

Data collected from the questionnaire was entered in Microsoft Excel. Level of significance (P < 0.05) was set at 95% confidence interval and P < 0.01 at 99% confidence interval was maintained.


   Results Top


This questionnaire was given to 200 dentists in Coimbatore district. Only 37% dentists (51 males and 22 females) responded to the questionnaire. Of the dentists, 60% were postgraduates and 40% were undergraduates [Figure 1].
Figure 1: Total Dentists

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Among 73 dentists, majority of them were aware about teledentistry as shown in [Table 1]. Majority of the dentists had positive attitude about teledentistry in different aspects as shown in [Table 2]. Of the dentists, 78% agree that it provides accessibility of specialists to rural population.
Table 1: Knowledge

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Table 2: Attitude

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[Table 3] shows practice of teledentistry among the dentists. Most of the dentists agree that teledentistry have positive aspects such as reduced cost, less time consuming, good availability and efficiency of teledentistry equipments and helpful in rural practice. 96% of dentists believe that teledentistry could violate patient privacy and might have data entry mistakes.
Table 3: Practice

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   Discussion Top


Teledentistry is an innovative tool whose potentials are yet to be explored. The increased access to internet and other telecommunication systems offers a wide array of scope for the development of teledentistry.[3],[4] A questionnaire was used to assess the knowledge, attitude, and practice of teledentistry among the general dentists in and around Coimbatore district.

A group of 200 general dental practitioners were assessed, of which only 73 dentists were aware of teledentistry, which shows a lack of awareness among the three-fourths of the general dental population. Of the 73 respondents, the basic operational knowledge of teledentistry was present for almost all of the respondents. The results were in accordance with the study conducted at Minnesota University.

Only a 50% of the general dentists had the knowledge of the use of teledentistry in different branches of dentistry, in assessment and improvement of dental care to rural population. One half of the general dentists’ attitude to understand and monitor patients’ oral health problem over internet and to accept it as a standard system of operation was positive.[5],[6]

More than three-fourths of the population of dentists believed that teledentistry can provide accurate information over telecommunication devices and provide specialist dental care to rural population, and also believed that teledentistry can be a convenient form of examination and health care delivery.[7],[8],[9]

A majority of the dental practitioners accept the fact that teledentistry can reduce cost of treatment and also save time for the patient and the dentist.[10],[11] More than 90% the dentists believe that teledentistry can violate the privacy of the patient.[12],[13] The efficiency of the equipment, telecommunication mode, and data entries in a developing country like India was unstable and prone to errors.[14],[15],[16] However, almost all the dentists believe that there was a wide scope for teledentistry in India, owing to the advantages weighing over the disadvantages of teledentistry.


   Conclusion Top


The exponential growth in the use of the telecommunication devices and its use in the transfer of data would definitely change the way of diagnosis and treatment rendered to rural population. Teledentistry is yet to become an integral part of the oral health care system. However, in the future it will be the novel way to access an oral health care for the rural population. The awareness of teledentistry was more for the postgraduate dentists when compared to the undergraduate dentists, suggesting the need for increasing the awareness among general dentists at undergraduate level. Also a model should be proposed to implement teledentistry, which could be funded by the government to take teledentistry to all horizons of oral health care systems.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
   References Top

1.
Clark GT Teledentistry: what is it now, and what will it be tomorrow? J Calif Dent Assoc 2000;28:121-7.  Back to cited text no. 1
    
2.
Folke LE Teledentistry. An overview. Tex Dent J 2001;118:10-8.  Back to cited text no. 2
    
3.
Steed M Evaluation of a teledental PC videoconference link in the delivery of a restorative dentistry service to remote dental practices in Scotland. J Telemed Telecare 2000;6(Suppl 1):204.  Back to cited text no. 3
    
4.
Snow MD, Canale E, Quail G Teledentistry permits distant, cost effective specialist dental consultations for rural Australians. J Telemed Telecare 2000;6(Suppl 1):216.  Back to cited text no. 4
    
5.
Younai FS, Messadi DV E-mail-based oral medicine consultation. J Calif Dent Assoc 2000;28:144-51.  Back to cited text no. 5
    
6.
Johnson LA, Wohlgemuth B, Cameron CA, Caughman F, Koertge T, Barna J, et al. Dental interactive simulations corporation (DISC): simulations for education, continuing education, and assessment. J Dent Educ 1998;62:919-28.  Back to cited text no. 6
    
7.
Johnson LA, Schleyer T Development of standards for the design of educational software. Standards committee for dental informatics. Quintessence Int 1999;30:763-8. Spallek H, Pilcher E, Lee JY, Schleyer T. Evaluation of web-based dental CE courses. j Dent Educ 2002;66:393-404.  Back to cited text no. 7
    
8.
Vandre RH, Kudryk VL Teledentistry and the future of dental practice. Dentomaxillofac Radiol 1999;28:60-1.  Back to cited text no. 8
    
9.
Cook J, Edwards J, Mullings C, Stephens C Dentists’ opinions of an online orthodontic advice service. J Telemed Telecare 2001;7:334-7.  Back to cited text no. 9
    
10.
Eraso FE, Scarfe WC, Hayakawa Y, Goldsmith J, Farman AG Teledentistry: protocols for the transmission of digitized radiographs of the temporomandibular joint. J Telemed Telecare 1996;2:217-23.  Back to cited text no. 10
    
11.
Yoshinaga L The use of teledentistry for remote learning applications. Pract Proced Aesthet Dent 2001;13:327-8.  Back to cited text no. 11
    
12.
Golder DT, Brennan KA Practicing dentistry in the age of telemedicine. J Am Dent Assoc 2000;131:734-44.  Back to cited text no. 12
    
13.
Biegel S Virtual health care: unresolved legal issues. J Calif Dent Assoc 2000;28:128-32.  Back to cited text no. 13
    
14.
Bauer JC, Brown WT The digital transformation of oral health care: teledentistry and electronic commerce. JADA 2001;132:204-9.  Back to cited text no. 14
    
15.
Schleyer T, Spallek H Dental informatics: a cornerstone of dental practice. JADA 2001;132:605-13.  Back to cited text no. 15
    
16.
Schleyer TK, Dasari VR Computer-based oral health records on the world wide web. Quintessence Int 1999;30:451-60.  Back to cited text no. 16
    


    Figures

  [Figure 1]
 
 
    Tables

  [Table 1], [Table 2], [Table 3]



 

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