Oral Medicine and Pharmacology Teleconsulting Sessions of the Telehealth Program in one Southeastern State of Brazil

Lígia Cristelli Paixão; Vanessa Andrade Costa; Gustavo Pina Godoy; Efigênia Ferreira Ferreira; Antônio Paulino Ribeiro-Sobrinho; Renata Castro Martins

Authors

Lígia Cristelli Paixão
Vanessa Andrade Costa
Gustavo Pina Godoy
Efigênia Ferreira Ferreira
Antônio Paulino Ribeiro-Sobrinho
Renata Castro Martins

Keywords:

Education, Distance, Oral Medicine, Pharmacology, Primary Health Care, Telemedicine

Abstract

Objective: To evaluate questions concerning oral medicine- and pharmacology-related specialties of asynchronous dental teleconsulting sessions of the Telehealth Brazil Networks Program. Material and Methods: Data were collected from secondary databases of asynchronous dental teleconsulting sessions of the telehealth centers of Minas Gerais from July 2015 to July 2017. The variables for dental underlying fields and the types of questions were evaluated. Descriptive analysis was performed with the SPSS v.22.0 program. Results: 3,920 teleconsulting sessions were referred to the telehealth centers of Minas Gerais during the study period. Regarding oral medicine-related questions (n=745), most (n=469; 62.95%) addressed diagnosis, whereas the underlying field questions mostly regarded fungal, viral, and bacterial infections (17.3%), biopsies (16.4%), developmental defects and dental abnormalities (9.9%), and soft tissue tumors (9.4%). Pharmacology-related questions (n=738) mostly addressed general approaches (n=672; 91.06%), and the most common questions were about underlying fields' prescriptions (44.7%), anesthetics (17.6%), adverse effects of medications and anesthetics (10.2%), and selection of anesthetics for patients with systemic conditions (9.8%). Conclusion: Most teleconsulting sessions regarded conditions or procedures common in primary health care and essential for diagnosis and treatment planning at all care levels, which suggests a need for more academic learning processes for healthcare professionals, especially in dentistry primary fields.

References

Haddad AE, Bonecker M, Skelton-Macedo MC. Research in the field of health, dentistry, telehealth and teledentistry. Braz Oral Res 2014; 28(1):1-2. https://doi.org/10.1590/1807-3107BOR-2014.vol28.0001

Brito TDLV, Baptista RS, Lopes PRL, Taylor A, Haddad AE, Messina LA, et al. Collaboration between medical professionals: special interest groups in the Brazilian telemedicine university network (RUTE). Telemed J E Health 2019; 25(10):902-910. https://doi.org/10.1089/tmj.2018.0075

Alkmim MB, Figueira RM, Marcolino MS, Cardoso CS, Pena de Abreu M, Cunha LR, et al. Improving patient access to specialized health care: the telehealth network of Minas Gerais, Brazil. Bull World Health Organ 2012; 90(5):373-378. https://doi.org/10.2471/BLT.11.099408

Brasil. Ministério da Saúde. Nota técnica nº 50/2015-DEGES/SGTES/MS. Diretrizes para oferta de atividades do Programa Nacional de Telessaúde Brasil Redes. 2015. Available from: https://189.28.128.100/dab/docs/portaldab/notas_tecnicas/Nota_Tecnica_Diretrizes_Telessaude.pdf [Accessed on November 21, 2016]. [In Portuguese].

Alabdullah JH, Daniel SJ. A systematic review on the validity of teledentistry. Telemed J E Health 2018; 24(8):1-10. https://doi.org/10.1089/tmj.2017.0132

Flores APC, Lazaro AS, Molina-Bastos CG, Guattini VLO, Umpierre RN, Gonçalves MR, et al. Teledentistry in the diagnosis of oral lesions: A systematic review of the literature. J Am Med Inform Assoc 2020; 27(7):1166-1172. https://doi.org/10.1093/jamia/ocaa069

Haddad AE, Rendeiro M, Correia ADMS, Bavaresco C, Morita MC, Skelton-Macedo MC, et al. Experiência da rede Brasileira de teleodontologia. J Bras Tele 2013; 2(2):29-31. [In Portuguese].

Brasil. Ministério da Saúde. Portaria nº 2.546, de 27 de outubro de 2011. Redefine e amplia o Programa Telessaúde Brasil, que passa a ser denominado Programa Nacional Telessaúde Brasil Redes. Diário Oficial da União. 2011 out. 28; Seção 1. p. 50-52. [In Portuguese].

Brasilia. Conselho Federal de Odontologia. Resolução nº 226, de 04 de junho de 2020. Dispõe sobre o exercício da Odontologia, mediado por tecnologias, e dá outras providências. Conselho Federal de Odontologia. 2020. p. 1-3. [In Portuguese].

Koole S, Van Den Brulle S, Christiaens V, Jacquet W, Cosyn J, De Bruyn H. Competence profiles in undergraduate dental education: A comparison between theory and realty. BMC Oral Health 2017; 17(1):109. https://doi.org/10.1186/s12903-017-0403-4

Paixão LC, Costa VA, Ferreira EF, Ribeiro Sobrinho AP, Martins RC. Analysis of the asynchronous dental teleconsulting of Telehealth Brazil Networks in Minas Gerais. Braz Oral Res 2018; 32:e128. https://doi.org/10.1590/1807-3107bor-2018.vol32.0128

Carrard VC, Roxo-Gonçalves M, Strey JR, Pilz C, Martins M, Martins MD, et al. Telediagnosis of oral lesions in primary care: The EstomatoNet program. Oral Dis 2018; 24(6):1012-1019. https://doi.org/10.1111/odi.12851

Roxo-Gonçalves M, Stuermer VM, Santos LF, Kinalski DDF, de Oliveira EB, Roman R, et al. Synchronous telephone-based consultations in teledentistry: Preliminary experience of the Telehealth Brazil platform. Telemed Rep 2021; 2(1):1-5. https://doi.org/10.1089.tmr.2020.0007

Dar-Odeh N, Babkair H, Alnazzawi A, Abu-Hammad S, Abu-Hammad A, Abu-Hammad O. Utilization of teledentistry in antimicrobial prescribing and diagnosis of infectious diseases during COVID-19 lockdown. Eur J Dent 2020; 14(S 01):S20-S26. https://doi.org/10.1055/s-0040-1717159

Andrade ED. Terapêutica Medicamentosa em Odontologia. 3th. São Paulo: Artes médicas; 2014. [In Portuguese].

Neville BW, Damm DD, Alen CM, Chi AC. Patologia Oral e Maxilofacial. 4th. Rio de Janeiro: Elsevier; 2016. [In Portuguese].

Meira HC, Oliveira BM, Pereira IF, Naves MD, Mesquita RA, Santos VR. Oral candidiasis: A retrospective study of 276 Brazilian patients. J Oral Maxillofac Pathol 2017; 21(3):351-355. https://doi.org/10.4103/jomfp.JOMFP_77_16

Stoopler ET, Sollecito TP. Oral mucosal diseases; evaluation and management. Med Clin North Am 2014; 98(6):1323-1352. https://doi.org/10.1016/j.mcna.2014.08.006

Macpherson LMD, McCann MF, Gibson J, Binnie VI, Stephen KW. The role of primary healthcare professionals in oral cancer prevention and detection. Br Dent J 2003; 195(5):277-281. https://doi.org/10.1038/sj.bdj.4810481

Wan A, Savage NW. Biopsy and diagnostic histopathology in dental practice in Brisbane: Usage patterns and perceptions of usefulness. Aust Dent J 2010; 55(2):162-169. https://doi.org/10.1111/j.1834-7819.2010.01210.x

Noro LRA, Landim JR, Martins MCA, Lima YCP. The challenge of the approach to oral câncer in primary health care. Cienc Saude Coletiva 2017; 22(5):1579-1587. https://doi.org/10.1590/1413-81232017225.12402015

Corrêa CC, Freire T, Zabeu JS, Martins A, Ferreira R, Francisconi PA, et al. Teleducation about cleft lip and palate: An interdisciplinary approach in the promotion of health. Int Arch Otorhinolaryngol 2015; 19(2):106-111. https://doi.org/10.1055/s-0034-1544114

Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Coordenação Nacional de Saúde Bucal. SB Brasil 2010: Resultados Principais. Brasília: Ministério da Saúde; 2011. [In Portuguese].

Medeiros FCD, Araujo-Silva TF, Ferreira KA, Oliveira-Moura JMB, Cavalcanti-Lima IP, Guerra-Seabra EJ. Uso de prótese dentária e sua relação com lesões bucais. Rev Salud Publica 2015; 17(4):603-611. https://doi.org/10.15446/rsap.v17n4.34322 [In Portuguese].

Lisboa SM, Souza e Silva ME, Castilho LS, Martins MAP, Abreu MHNG. Errors in antibiotic therapy: Study with dentist’s prescriptions in a large Brazilian city. Pesqui Bras Odontopediatria Clin Integ 2018; 18(1):e4003. https://doi.org/10.4034/PBOCI.2018.181.47

Jones E, Cope A. Knowledge and attitudes of recently qualified dentists working in Wales towards antimicrobial prescribing and resistance. Eur J Dent Educ 2018, 22(4):730-736. https://doi.org/10.1111/eje.12387

Sharma A, Sharma K, Neemawat K, Sharma L, Pilania D. Concurrent prescribing: Evaluation of its knowledge among dentists. Natl J Maxillofac Surg 2019; 10(1):73-77. https://doi.org/10.4103/njms.NJMS_21_18

Liu W, Yang X, Li C, Mo A. Adverse drug reactions to local anesthetics: A systematic review. Oral Surg Oral Med Oral Pathol Oral Radiol 2013; 115(3):319-327. https://doi.org/10.1016/j.oooo.2012.04.024

Everett AC, Anderson OS, Wright MC, Fontana M. Longitudinal assessment of critical thinking skills across a dental curriculum. J Dent Educ 2018; 82(9):921-928. https://doi.org/10.21815/JDE.018.088

Brasil. Ministério da Educação. Parecer CNE/CES 1300/01, de 06 de novembro de 2001. Diretrizes Curriculares Nacionais dos Cursos de Graduação em Farmácia e Odontologia. Diário Oficial da União. 2001 dez. 7; Seção 1. p 25. [In Portuguese].

Bernardes ACF, Coimbra LC, Serra HO. Use of telehealth as a tool to support continuing health education. Rev Panam Salud Publica 2018; 42(134):1-9. https://doi.org/10.26633/RPSP.2018.134