Teleodontologia com ênfase em traumatismo bucodentário: uma revisão de literatura

Abstract

Traumatic dental injuries (TDI) are very common and frequent, acting as an emergency situation that represents a considerable disorder for the patient. Generally, first care often depends on who is at the scene of the accident, who most of the time does not know how to conduct first aid. In this context, providing dental advice through teleedntistry (TD) seems to be a good alternative as a way of offering more assistance in cases of emergency. However, this service has not yet been described in the literature. Therefore, the objective of this work was to perform a literature review about TD with an emphasis on oral trauma, finding the possibility of making a diagnosis, managing care / monitoring of patients and the advantages and disadvantages of TD. For this, a bibliographic survey of the last 5 years was carried out in the Pubmed ® database using the following markers in English: “teledentistry” and “teledentistry traumatic dental injuries”. The inclusion criteria used in the search were: studies published in the English language from January 2005 to September 2020, in addition to works of importance to the theme identified in the bibliographic references of the articles, while the exclusion criteria were: Systematic reviews, reviews integrative and literature reviews, however they were not excluded from works of importance to the theme identified in the bibliographic references. Also, free applications in English and Portuguese that related to TDIs and explained the source of their information were included. Following the inclusion and exclusion criteria, 22 articles and 2 applications were identified. Some studies (n = 9) claim that it is possible to make a diagnosis using OT, however, other articles state that TD would only support diagnoses (n=5). The materials and methods used by the authors for the perception of these diagnoses varied between photographs obtained by cellphone, smartphones that were different in each study, images obtained using an intraoral camera, video calling and teleconsultations. Most of the articles mentioned management of care / monitoring of patients through TD (n = 13), advantages over TD (n = 17). It was observed that TD services can be useful for cases related to dental trauma and other dental needs. However, it cannot be used in all cases. More research is needed to assess cost benefit and define protocols for TD The applications are advantageous for patients who have undergone LDTs, offering first aid guidance.