The role of telemedicine for symptoms management in oral medicine: a retrospective observational study

BMC Oral Health. 2022 Mar 27;22(1):92. doi: 10.1186/s12903-022-02133-1.

Abstract

Background: Severe acute respiratory syndrome coronavirus 2 has had devastating effect on access to care in many specialties and dental services including oral medicine. Following the shelter-in-place orders in March 2020, we implemented Tele(oral)medicine practices for the diagnosis and management of some oral medicine conditions.

Objectives: To assess the role of telemedicine visits with respect to managing pain among patients affected by oral diseases.

Methods: A retrospective chart review for all the new patients seen at their first visit via telemedicine between April 2020 and December 2020. The patient-reported pain score was recorded at each visit using a 0-10 scale. Differences in oral pain from the first fist to the follow-up visit of the patients were evaluated using the Wilcoxon signed-rank test.

Results: A total of 137 new patients were included with a median age of 56 years. If seen in person, patients would have travelled a median distance of 65 miles. The most common oral conditions seen were reactive/inflammatory lesions. There was a 3-point median pain reduction from the first video visit to the first follow-up (p < 0.05) and a self-reported 65% median improvement of oral symptoms.

Conclusion: Tele(oral)medicine was an effective method for symptoms management of oral medicine conditions.

Publication types

  • Observational Study

MeSH terms

  • COVID-19*
  • Humans
  • Middle Aged
  • Oral Medicine*
  • Palliative Care
  • Retrospective Studies
  • Telemedicine*