2013 Virginia Oral Health Summit...Teledentistry •Utilizing current technologies, it is possible...
Transcript of 2013 Virginia Oral Health Summit...Teledentistry •Utilizing current technologies, it is possible...
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2013 Virginia
Oral Health Summit
November 8, 2013
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Teledentistry-
Assisted Affiliated
Practice Dental
Teams
Fred Summerfelt RDH, AP, M.Ed
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The AZ Affiliated Practice
Dental Hygiene Model
Allows APDHs to see patients
without general supervision!
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AZ’s Affiliated Practice
Dental Hygiene Model • 2004 §32-1289 signed into law
• Allows an affiliated agreement, with standing orders,
between a dental hygienist and a dentist
• APDHs may see patients of any age who are:
• enrolled in a federal, state, or local health
program – or
• enrolled in the National School Meal Program – or
• from a family with a household income of less
than 200% of the federal poverty guidelines
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APDH Services
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Affiliated Practice
Dental Hygiene Services • Assessment
• Blood pressure & medical history
• Screen and photograph oral cavity and
surrounding structures
• Chart dental restorations and clinical findings
• Expose and process x-rays
• Conduct a caries risk analysis
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Affiliated Practice
Dental Hygiene Services • Preventive
• All procedures for a complete
prophylaxis
• Apply sealants according to ADA and
CDC guidelines
• Administer topical fluoride gels and
varnish as indicated according to ADA
and CDC guidelines
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Affiliated Practice
Dental Hygiene Services • Patient Education
• Discuss patient’s home care procedures
• Provide appropriate home care
instruction
• Provide tobacco cessation intervention
and a referral when appropriate
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Teledentistry
A Digitally-Linked
Oral Healthcare
Team
Dental Hygienist
General Dentist
Pedodontist Dental Specialists
Allied Health
Professionals
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Teledentistry
• Presents as:
• An emerging Web-based
intervention system
• A distance-learning framework
• A vehicle to decrease the
phenomenon of professional
isolation common to rural and
underserved areas
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Teledentistry
• Utilizing current technologies, it is
possible to acquire and digitally
transmit all necessary subjective
and objective diagnostic data to a
distant dentist for:
• Triage
• Dental treatment planning
• Referral
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NAU’s Teledentistry
Equipment
Are there digital technologies that allow us to
see better than the eye can see in face-to-face
examinations?
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Nomad Pro X-ray Unit
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Nomad Pro X-ray Unit
• Certified by all 50 states
• Allows the operator to be in the
room when the x-ray is exposed
• Easy to use
• Long battery life
• Protective carrying case
• Ideal for remote locations
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Nomad Pro X-ray Unit
Primary
Protective
Shielding
Lead and Glass Shield
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Nomad Pro X-ray Unit
Area of
Protection
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Scan-X Duo Processor
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Scan-X Duo Processor
30,000 images per x-ray
film!
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Acclaim Intraoral
Camera
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Acclaim Intraoral
Camera
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Acclaim Intraoral
Camera • Has proven to be very valuable in the
public health environment
• Barrier sheaths prevent the need for
sterilizing mirrors
• Projected images allow for excellent
viewing of the intraoral environment
• Photographs are easy to take
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VELscope
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VELscope
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VELscope
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Spectra
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Spectra
Green Blue Red Orange Yellow
Sound
Enamel
IncipientEnamel
Caries
Advance
d
Enamel
Caries
Incipient
Root
Caries
Advance
d Root
Caries
1.
7
2.
4
2.
5
2.
8
2.
4
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Rather than take the patient
to the typical dental home . .
.
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. . . take many services
to the patient!
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• Store and forward the diagnostic data
• On the laptop computer
• On a DVD, CD, or by e-mail
• On a thumb drive or other hard drive
• Direct real-time link to the team
members
• Satellite link
• Hard wired into an Internet connection
Linking the Team Members
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Link via Cloud Computing!
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• Approximately six hours
• Nomad training and certification
• Scan-X Duo and phosphor plate
training
• DXXTR x-ray exposure experience
• Acclaim intraoral photos on peers
• Spectra training on peers
• VelScope training
Student Training
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Kaibab Band of the
Paiutes
450 Mile Round
Trip
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• Screened and referred 23 kids for care
• Five had immediate needs - acquired their digital
diagnostic data
• Forwarded diagnostic data to my affiliated dentist
who confirmed the need for immediate care
• Forwarded the data to the pedodontist at Polacca
• The kids’ parents were told to call to be put right on
the the pedodontist’s schedule - no further exam
required
• An opportunity to save each patients' family a 450-
mile round trip for an exam and treatment planning!
Kaibab Band of the
Paiutes
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Havasupai
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• Courses complete with methods and materials
• Interested Parties
• Community leaders
• Funding agencies
• Continuing Education
• Dental professionals
• Comprehensive Training
• To form enhanced dental teams
Teledentistry Curriculum
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• The APDH
• Teledentistry
• HIPAA & Teledentistry
• Nomad Training
• Teledentistry Equipment Set Up
• Hands-on Training
• Future Trends in Teledentistry
Teledentistry Curriculum
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Thank You!
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Fred Summerfelt, RDH, AP,
M.Ed.
Associate Professor
Northern Arizona University
(928) 523-0953