Imaging Science in Dentistry

Korean Academy of Oral and Maxillofacial Radiology (대한영상치의학회)
권호 표지
DOI QR코드

DOI QR Code

Clinical usefulness of teleradiology in general dental practice

  • Choi, Jin-Woo (Department of Oral and Maxillofacial Radiology, Dankook University College of Dentistry)
  • Received : 2012.10.22
  • Accepted : 2012.12.05
  • Published : 2013.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study was performed to investigate the clinical usefulness of teleradiology in general dental practice. Materials and Methods: Two hundred and seventy five cases were submitted for inquiry to the case presentation board of the website of The Korean Academy of Oral and Maxillofacial Radiology for a 5 year periods. The diagnosis results of those cases were analyzed according to the disease classification, the correlation with the patient's chief complaint, the necessity of additional examinations or treatments, the image modalities, and the number of dentists inquiring. Results: Differential diagnoses of normal anatomic structures were the most frequently submitted cases, covering 15.6% of all cases. Among 275 cases, 164 cases required no additional treatments or examinations. Panoramic radiographs were the most frequently submitted images, accounting for 248 inquiries. The 275 cases were submitted by 96 dentists. Fifty-two dentists wrote one inquiry, and 44 inquired 2 or more times. The average inquiry number of the latter group was 5.0 cases. Conclusion: A teleradiology system in general dental practice could be helpful in the differential diagnosis of common lesions and reduce unnecessary costs.

Keywords

References

  1. Farman AG. Image communication: mailed, wired, and wireless. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007; 103: 585-6. https://doi.org/10.1016/j.tripleo.2006.12.034
  2. Park W, Lee HN, Jeong JS, Kwon JH, Lee GH, Kim KD. Optimal protocol for teleconsultation with a cellular phone for dentoalveolar trauma: an in-vitro study. Imaging Sci Dent 2012; 42: 71-5. https://doi.org/10.5624/isd.2012.42.2.71
  3. LaBounty TM, Kim RJ, Lin FY, Budoff MJ, Weinsaft JW, Min JK. Diagnostic accuracy of coronary computed tomography angiography as interpreted on a mobile handheld phone device. JACC Cardiovasc Imaging 2010; 3: 482-90. https://doi.org/10.1016/j.jcmg.2009.11.018
  4. Aziz SR, Ziccardi VB. Telemedicine using smartphones for oral and maxillofacial surgery consultation, communication, and treatment planning. J Oral Maxillofac Surg 2009; 67: 2505-9. https://doi.org/10.1016/j.joms.2009.03.015
  5. Roccia F, Spada MC, Milani B, Berrone S. Telemedicine in maxillofacial trauma: a 2-year clinical experience. J Oral Maxillofac Surg 2005; 63: 1101-5 https://doi.org/10.1016/j.joms.2005.04.020
  6. Salazar-Fernandez CI, Herce J, Garcia-Palma A, Delgado J, Martin JF, Soto T. Telemedicine as an effective tool for the management of temporomandibular joint disorders. J Oral Maxillofac Surg 2012; 70: 295-301. https://doi.org/10.1016/j.joms.2011.03.053
  7. Rollert MK, Strauss RA, Abubaker AO, Hampton C. Telemedicine consultations in oral and maxillofacial surgery. J Oral Maxillofac Surg 1999; 57: 136-8. https://doi.org/10.1016/S0278-2391(99)90226-4
  8. Brownrigg P, Lowry JC, Edmondson MJ, Langton SG. Telemedicine in oral surgery and maxillofacial trauma: a descriptive account. Telemed J E Health 2004; 10: 27-31. https://doi.org/10.1089/153056204773644544
  9. Choi JW. Assessment of panoramic radiography as a national oral examination tool: review of the literature. Imaging Sci Dent 2011; 41: 1-6 https://doi.org/10.5624/isd.2011.41.1.1
  10. American Dental Association, U.S. Department of Health and Human Services. The selection of patients for dental radiographic examinations [Internet]. Silver Spring: American Dental Association; 2004 [cited 2012 Oct 20]. Available from: https:// www.ada.org/sections/advocacy/pdfs/topics_radiography_exa minations(2).pdf
  11. Jacobs MJ, Edmondson MJ, Lowry JC. Accuracy of diagnosis of fractures by maxillofacial and accident and emergency doctors using plain radiography compared with a telemedicine system: a prospective study. Br J Oral Maxillofac Surg 2002; 40: 156-62. https://doi.org/10.1054/bjom.2001.0751
  12. Mistak EJ, Loushine RJ, Primack PD, West LA, Runyan DA. Interpretation of periapical lesions comparing conventional, direct digital, and telephonically transmitted radiographic images. J Endod 1998; 24: 262-6. https://doi.org/10.1016/S0099-2399(98)80110-6
  13. Baker WP, Loushine RJ, West LA, Kudryk LV, Zadinsky JR. Interpretation of artificial and in vivo periapical bone lesions comparing conventional viewing versus a video conferencing system. J Endod 2000; 26: 39-41. https://doi.org/10.1097/00004770-200001000-00010
  14. Torres-Pereira C, Possebon RS, Simoes A, Bortoluzzi MC, Leao JC, Giovanini AF, et al. Email for distance diagnosis of oral diseases: a preliminary study of teledentistry. J Telemed Telecare 2008; 14: 435-8. https://doi.org/10.1258/jtt.2008.080510
  15. Agrawal A, Agrawal A, Pandit M, Kalyanpur A. Systematic survey of discrepancy rates in an international teleradiology service. Emerg Radiol 2011; 18: 23-9. https://doi.org/10.1007/s10140-010-0899-2