| Management of impacted third molars based on telemedicine: a pilot study. | |
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MedLine Citation:
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PMID: 21129834 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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PURPOSE: The incorporation of new technologies into clinical daily practice is nowadays a fact in the field of medicine. Within these new technologies, telemedicine is turning out to be a working tool that is used with increasing frequency in medical centers. The systems of telemedicine have still not reached the same development in oral and maxillofacial surgery that they have reached in other medical specialties. This study describes the preliminary results of a store-and-forward telemedicine system (SFTMS) aimed at the presurgical management of impacted third molar pathology. MATERIALS AND METHODS: A multicenter, longitudinal, descriptive, evaluative pilot study of an SFTMS aimed at the presurgical management of patients with impacted third molar pathology was conducted at the Oral and Maxillofacial Surgery Unit of Virgen Macarena University Hospital (Seville, Spain) and 4 primary care areas located between 15 and 95 km from the hospital. The study was carried out between January and December 2009. RESULTS: Over a period of 12 months, 97 patients were enrolled in the study, from 102 teleconsultations received and evaluated within the same period. Patients managed through telemedicine were included on the surgical wait list on within a mean interval of 3.33 days (95% confidence interval [CI], 2-4.65 days) since the visit to the primary care dentist, with only 1 visit to the hospital that was on the day of surgery. The mean waiting interval of patients managed through the conventional referral system was 28 days (95% CI, 24.51-29.6 days), with at least 2 visits to the hospital before the final intervention. The on-the-day surgery cancellation rate of the series was 7.8% (95% CI, 3.8%-10.5%) because 8 patients did not have surgery on the scheduled day. The cancellation rate in the sample of patients managed through the conventional system was 8.85% (95% CI, 5.62%-11.81%; P < .005). CONCLUSIONS: The SFTMS was effective and accurate as a preoperative tool for impacted third molar pathology. It avoids unnecessary visits to the hospital and shortens waiting intervals. Further randomized studies are needed, however, to establish real advantages, in clinical and economic terms, against the conventional presurgical management systems. |
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Authors:
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Javier Herce; Rodrigo Lozano; Clara I Salazar; Angel Rollon; Francisco Mayorga; Silvia Gallana |
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Publication Detail:
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Type: Journal Article Date: 2010-12-03 |
Journal Detail:
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Title: Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons Volume: 69 ISSN: 1531-5053 ISO Abbreviation: J. Oral Maxillofac. Surg. Publication Date: 2011 Feb |
Date Detail:
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Created Date: 2011-01-17 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8206428 Medline TA: J Oral Maxillofac Surg Country: United States |
Other Details:
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Languages: eng Pagination: 471-5 Citation Subset: AIM; D; IM |
Copyright Information:
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Copyright © 2011 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved. |
Affiliation:
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Department of Oral and Maxillofacial Surgery, Virgen Macarena University Hospital, Seville, Spain. javiherce@yahoo.es |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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