Evidence map›Paper›PMID 34597259›Full record

ArticleJMIR research protocols2021

Assessment of an Innovative Mobile Dentistry eHygiene Model Amid the COVID-19 Pandemic in the National Dental Practice-Based Research Network: Protocol for Design, Implementation, and Usability Testing.

Jin Xiao, Cyril Meyerowitz, Patricia Ragusa, Kimberly Funkhouser, Tamara R Lischka, Luis Alberto Mendez Chagoya, Nisreen Al Jallad, Tong Tong Wu, Kevin Fiscella, Eden Ivie and 4 more

Abstract read
In one paragraph

Article in JMIR research protocols, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Jin XiaoEastman Institute for Oral Health, University of Rochester Medical Center, Rochester, NY, United States.ORCID 0000-0002-8776-2520
Cyril MeyerowitzEastman Institute for Oral Health, University of Rochester Medical Center, Rochester, NY, United States.ORCID 0000-0002-9255-8081
Patricia RagusaEastman Institute for Oral Health, University of Rochester Medical Center, Rochester, NY, United States.ORCID 0000-0002-9272-9354
Kimberly FunkhouserKaiser Permanente Center for Health Research, Portland, OR, United States.ORCID 0000-0001-6162-099X
Tamara R LischkaKaiser Permanente Center for Health Research, Portland, OR, United States.ORCID 0000-0003-2480-7573
Luis Alberto Mendez ChagoyaEastman Institute for Oral Health, University of Rochester Medical Center, Rochester, NY, United States.ORCID 0000-0002-8302-0474
Nisreen Al JalladEastman Institute for Oral Health, University of Rochester Medical Center, Rochester, NY, United States.ORCID 0000-0002-5990-8123
Tong Tong WuDepartment of Biostatistics and Computational Biology, University of Rochester Medical Center, Rochester, NY, United States.ORCID 0000-0002-1175-9923
Kevin FiscellaDepartment of Family Medicine, University of Rochester Medical Center, Rochester, NY, United States.ORCID 0000-0003-3613-8012
Eden IvieMouthwatch LLC, Metuchen, NJ, United States.ORCID 0000-0002-3482-6105
Michelle StrangeMouthwatch LLC, Metuchen, NJ, United States.ORCID 0000-0002-7772-9997
Jamie CollinsMouthwatch LLC, Metuchen, NJ, United States.ORCID 0000-0002-0297-9211
Dorota T Kopycka-KedzierawskiEastman Institute for Oral Health, University of Rochester Medical Center, Rochester, NY, United States.ORCID 0000-0003-0798-6805
National Dental Practice-Based Research Network Collaborative Group *

Funding

The National Dental PBRN - Administrative CoreU19DE028717 · NIDCR · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI GILBERT, GREGG H · 2019 to 2025
$23.5M
NDPBRN Opioid SurveyU01DE028727 · NIDCR · KAISER FOUNDATION RESEARCH INSTITUTE · PI CARMIT Kurn MCMULLEN · 2019 to 2026
$16.0M
NIDCR NIH HHS U01 DE028727NIDCR NIH HHS U19 DE028717
6 · The paper itself

Abstract

backgroundAmid COVID-19, and other possible future infectious disease pandemics, dentistry needs to consider modified dental examination regimens that render quality care, are cost effective, and ensure the safety of patients and dental health care personnel (DHCP). Traditional dental examinations, which number more than 300 million per year in the United States, rely on person-to-person tactile examinations, pose challenges to infection control, and consume large quantities of advanced-level personal protective equipment (PPE). Therefore, our long-term goal is to develop an innovative mobile dentistry (mDent) model that takes these issues into account. This model supplements the traditional dental practice with virtual visits, supported by mobile devices such as mobile telephones, tablets, and wireless infrastructure. The mDent model leverages the advantages of digital mobile health (mHealth) tools such as intraoral cameras to deliver virtual oral examinations, treatment planning, and interactive oral health management, on a broad population basis. Conversion of the traditional dental examinations to mDent virtual examinations builds upon (1) the reliability of teledentistry, which uses intraoral photos and live videos to make diagnostic decisions, and (2) rapid advancement in mHealth tool utilization.

objectiveIn this pilot project, we designed a 2-stage implementation study to assess 2 critical components of the mDent model: virtual hygiene examination (eHygiene) and patient self-taken intraoral photos (SELFIE). Our specific aims are to (1) assess the acceptance and barriers of mDent eHygiene among patients and DHCP, (2) assess the economic impact of mDent eHygiene, and (3) assess the patient's capability to generate intraoral photos using mHealth tools (exploratory aim, SELFIE).

methodsThis study will access the rich resources of the National Dental Practice-Based Research Network to recruit 12 dentists, 12 hygienists, and 144 patients from 12 practices. For aims 1 and 2, we will use role-specific questionnaires to collect quantitative data on eHygiene acceptance and economic impact. The questionnaire components include participant characteristics, the System Usability Scale, a dentist-patient communication scale, practice operation cost, and patient opportunity cost. We will further conduct a series of iterative qualitative research activities using individual interviews to further elicit feedback and suggestion for changes to the mDent eHygiene model. For aim 3, we will use mixed methods (quantitative and qualitative) to assess the patient's capability of taking intraoral photos, by analyzing obtained photos and recorded videos.

resultsThe study is supported by the US National Institute of Dental and Craniofacial Research. This study received "single" institutional review board approval in August 2021. Data collection and analysis are expected to conclude by December 2021 and March 2022, respectively.

conclusionsThe study results will inform the logistics of conducting virtual dental examinations and empowering patients with mHealth tools, providing better safety and preserving PPE amid the COVID-19 and possible future pandemics. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/32345.

Indexed as

COVID-19intraoral cameramDentistrymHealthoral diseasespandemic responseteledentistryvirtual visit

Identifiers

PMID34597259
PMCPMC8549859

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.