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Am J Orthod Dentofacial Orthop. 2008 Nov;134(5):700-6. doi: 10.1016/j.ajodo.2007.12.023.

Using teledentistry to provide interceptive orthodontic services to disadvantaged children.

Author information

1
Yakima Valley Farm Workers Clinic, Toppenish, Washington, USA. BerndtJ@dentistry.unc.edu

Abstract

INTRODUCTION:

Socially disadvantaged children have limited access to orthodontic services. We examined the feasibility of a general dental practitioner providing interceptive orthodontic services to disadvantaged children with real-time supervision from an orthodontist using teledentistry.

METHODS:

Pretreatment and posttreatment orthodontic study models of 30 children treated by a general dentist using teledentistry and 96 children treated by orthodontic residents directly supervised by orthodontic faculty were scored with the peer assessment rating (PAR) index.

RESULTS:

Both groups had significant improvements in PAR scores: 35.6% in the teledentistry group and 44.1% in the direct supervision group (P <0.001). There were no significant differences between the groups before treatment or after interceptive orthodontic treatment.

CONCLUSIONS:

The results of this study suggest that interceptive orthodontic treatments provided by sufficiently prepared general dentists and supervised remotely by orthodontic specialists through teledentistry are a viable approach to reducing the severity of malocclusions in disadvantaged children when referral to an orthodontist is not feasible.

PMID:
18984404
DOI:
10.1016/j.ajodo.2007.12.023
[Indexed for MEDLINE]

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