Dental teleconsulting
what are the most prevalent doubts in the surgery area?
DOI:
https://doi.org/10.35699/Keywords:
Teledentistry, Oral surgical procedures, Primary Health CareAbstract
Aim: To analyze doubts related to dental teleconsulting sent to the Telehealth Centers of Minas Gerais, in the surgery área.
Methods: This quantitative cross-sectional study used the secondary database of the Telehealth Centers of Minas Gerais. Asynchronous dental teleconsulting in the surgery specialty, from July 2015 to July 2017, were analyzed. The variables were categorized into the type of teleconsulting doubt (diagnosis or general conduct) and areas and subareas within dental surgery. Data were descriptively analyzed using the IBM SPSS Software, version 22.0.
Results: A total of 399 teleconsulting in the surgery area were analyzed. Most teleconsulting doubts were related to general conduct (89,7%). The area with more doubts was tooth extraction (50,8%), followed by intercurrences (15,7%) and other procedures (13,2%). Within the area of tooth extraction, the most questioned subarea was comorbidities (22,8%), while in complications it was alveolitis (6,5%), and in other procedures it was frenectomy (6,5%).
Conclusion: The high frequency of doubts about surgical procedures in PHC evidences the prevalence of these procedures in primary care and the lack of preparation of dentists to conduct them properly.
References
Macinko J. The Brazilian health system: history, advances, and challenges. Lancet. 2011;377(9779):1778-97.
Castro MC, Massuda A, Almeida G, Menezes-Filho NA, Andrade MV, Noronha KVMS, et al. Brazil’s Unified Health System: the first 30 years and prospects for the future. Lancet. 2019;394(10195):345-56.
Junqueira SR, Pannuti CM, Rode SM. Oral health in Brazil - Part I: public oral health policies. Braz Oral Res. 2008;22(Spec Iss 1):8-17.
Pucca Junior GA, Costa JFR, Chagas LD, Sivestre RM. Oral health policies in Brazil. Braz Oral Res. 2009;23(Spec Iss 1):9-16.
Pedrazzi V, Dias KRHC, Rode SM. Oral health in Brazil - Part II: Dental Specialty Centers (CEOs). Braz Oral Res. 2008;22(Spec Iss 1):18-23.
Pucca Junior GA, Lucena EHG, Cawahisa PT. Financing national policy on oral health in Brazil in the context of the Unified Health System. Braz Oral Res. 2010;24(Spec Iss 1):26-32.
Silva HEC, Gottems LBD. Interface entre a atenção primária e a secundária em odontologia no Sistema Único de Saúde: uma revisão sistemática integrativa. Cien Saude Colet. 2017;22(8):2645-57.
Melgaço-Costa JL, Martins RC, Ferreira EF, Ribeiro Sobrinho AP. Patients’ perceptions of endodontic treatment as part of public health services: a qualitative study. Int J Environ Res Public Health. 2016;13(5):450.
Morris AJ, Burke FJT. Primary and secondary dental care: the nature of the interface. Br Dent J. 2001;191(12):660-4.
Bavaresco CS, Hauser L, Haddad AE, Harzheim E. Impact of teleconsultations on the conduct of oral health teams in the Telehealth Brazil Networks Programme. Braz Oral Res. 2020;34:e011.
Paixão LC, Abreu MHNG, Ribeiro-Sobrinho AP, Martins RC. Factors associated with avoiding referrals by dental teleconsulting sessions in Brazil. Int J Environ Res Public Health. 2023;20(6):5104.
Cardozo I, Silva VC, Perdoncini NN, Torres-Pereira CC. Telehealth in oral medicine: report of an experience from public health care in a southern Brazilian state. Braz Oral Res. 2022;36:e031.
Paixão LC, Ferreira EF, Ribeiro-Sobrinho AP, Martins RC. National analysis of dental teleconsulting of the Brazilian Telehealth Program. Braz Oral Res. 2022;36:e110.
WHO Global Observatory for eHealth. Telemedicine: opportunities and developments in Member States: report on the second global survey on eHealth 2009. Geneva: World Health Organization; 2010.
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.
Brasil. Ministério da Saúde. Nota técnica n.º 50/2015-DEGES/SGTES/MS, de 15 de outubro 2015. Diretrizes para oferta de atividades do Programa Nacional Telessaúde Brasil Redes [Internet]. Brasília, DF: Ministério da Saúde; 2015 [acesso em 2023 abr 03]. Disponível em: http://189.28.128.100/dab/docs/portaldab/notas_tecnicas/Nota_Tecnica_Diretrizes_Telessaude.pdf
Brasil. Ministério da Saúde. Portaria n.º 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 (Telessaúde Brasil Redes) [Internet]. Brasília, DF: Ministério da Saúde; 2011 [acesso em 2023 abr 03]. Disponível em: http://bvsms.saude.gov.br/bvs/saudelegis/gm/2011/prt2546_27_10_2011.html
Mendes SR, Martins RC, Mambrini JVM, Matta-Machado ATG, Mattos GCM, Gallagher JE, et al. Using item response theory to evaluate the psychometric characteristics of questions in a Brazilian programme and the performance of dental teams in primary care. PLoS One. 2019;14(5):e0217249.
Scalzo MTA, Abreu MHNG, Matta-Machado ATG, Martins RC. Oral health in Brazil: what were the dental procedures performed in Primary Health Care?PLoS One. 2022;17(1):e0263257.
Centro de Telessaúde do Hospital das Clínicas da Universidade Federal de Minas Gerais [homepage na Internet]. Belo Horizonte: UFMG; 2023 [acesso em 2023 mar 29]. Quem somos – Cobertura. Disponível em: https://telessaude.hc.ufmg.br/quem-somos/cobertura
Reis CMR, Matta-Machado ATG, Amaral JHL, Werneck MAF, Abreu MHNG. Describing the primary care actions of oral health teams in Brazil. Int J Environ Res Public Health. 2015;12(1):667-78.
Souza VGL, Herkrath FJ, Garnelo L, Gomes AC, Lemos UM, Parente RCP, et al. Contextual and individual factors associated with self-reported tooth loss among adults and elderly residents in rural riverside areas: a cross-sectional household-based survey. PLoS One. 2022;17(11):e0277845.
Lima RF, Magalhães MBP, Oliveira DV, Freitas DAS, Ferreira EF, Martins RC. Pain perception before endodontic treatment: from primary care to specialized care. Pesqui Bras Odontopediatria Clin Integr. 2022;22:e200183.
Melgaço-Costa JLB, Martins RC, Ferreira EF, Ribeiro-Sobrinho AP. Endodontic output in public healthcare under different instrumentation techniques: a quantitative and qualitative study. Pesqui Bras Odontopediatria Clin Integr. 2021;21:e0239.
Silva-Junior MF, Sousa ACC, Batista MJ, Sousa MLR. Oral health condition and reasons for tooth extraction among an adult population (20-64 years old). Cien Saude Colet. 2017;22(8):2693-702.
Magalhães MBP, Oliveira DV, Lima RF, Ferreira EF, Martins RC. Evaluation of secondary care in endodontics at a Dental Specialties Center (DSC). Cien Saude Colet. 2019;24(12):4643-54.
Leite RB, Oliveira PHR, Soares RSC, Marssoni ACLT, Barboza CAG, Gomes RCB. Avaliação do conhecimento de cirurgiões-dentistas diante do antedimento a cardiopatas graves na atenção primária. Rev Odontol Araçatuba. 2020;41(1):9-14.
Rodrigues KP, Pinheiro HHC, Araújo MVA. Percepção de acadêmicos de odontologia sobre seus conhecimentos para o atendimento odontológico de hipertensos e diabéticos. Rev ABENO. 2015;15(4):19-28.
Andrade JS, Melo KP, Pereira IN, Varejão LC. Protocolo de atendimento odontológico em pacientes com múltiplas desordens sistêmicas: revisão de literatura. Rev Eletrônica Acervo Saúde. 2021;13(1):e5940.
Almutairi BM. Dry sockets: a systemic review. Adv Life Sci. 2019;7(1):48-57.
Rakhshan V. Common risk factors of dry socket (alveolitis osteitis) following dental extraction: a brief narrative review. J Stomatol Oral Maxillofac Surg. 2018;119(5):407-11.
Jaikumar S, Srinivasan L, Babu SPK, Gandhimadhi D, Margabandhu M. Laser-assisted frenectomy followed by post-operative tongue exercises in ankyloglossia: a report of two cases. Cureus. 2022;14(3):e23274.
Macau-Lopes MG, Silveira ADS, Lopes CMN, Leme PAT, Faustino-Silva DD. Análise quantitativa de frenectomias realizadas no contexto do SUS após obrigatoriedade do teste da linguinha. Saúde Debate (Online). 2022;46(Spec Iss 5):125-35.
Montero JFD, Souza HCM, Martins MS, Oliveira MN, Benfatti CAM, Magini RS. Versatility and importance of Bichat’s fat pad in dentistry: case reports of its use in occlusal trauma. J Contemp Dent Pract. 2018;19(7):888-94.
Rodrigues JEM, Cangussu IS, Figueiredo NF. Abscesso periapical versus periodontal: diagnóstico diferencial - Revisão de literatura. Arq Bras Odontol. 2015;11(1):5-9.
Maia LVA, Bernardino IM, Ferreira EF, d’Ávila S, Martins RC. Exposure to violence, victimization differences and maxillofacial injuries in a Brazilian state capital: a data mining approach. J Public Health. 2018;26:345-53.
Garcez RHM, Thomaz EBAF, Marques RC, Azevedo JAP, Lopes FF. Caracterização de lesões bucomaxilofaciais decorrentes de agressão física: diferenças entre gênero. Cien Saude Colet. 2019;24(3):1143-52.
Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. A saúde bucal no Sistema Único de Saúde. Brasília: Ministério da Saúde; 2018.
Cunha MAGM, Lino PA, Santos TR, Vasconcelos M, Lucas SD, Abreu MHNG. A 15-year time-series study of tooth extraction in Brazil. Medicine (Baltimore). 2015;94(47):e1924.
