EXPLORING QUANTITATIVE VARIATIONS IN ORAL LESION DIAGNOSIS AND THE POSSIBILITIES OF TELEDENTISTRY IN TIMES OF PANDEMIC

Detalhes bibliográficos
Autor(a) principal: Silva, Thiago de Albuquerque e
Data de Publicação: 2023
Outros Autores: Araújo, Maria Ercília de
Tipo de documento: Artigo
Idioma: por
Título da fonte: Saberes Plurais: Educação na saúde
Texto Completo: https://seer.ufrgs.br/index.php/saberesplurais/article/view/132212
Resumo: During the COVID-19 pandemic, Teledentistry (TD) has emerged as a strategy for ensuring the continuity of oral healthcare by providing guidance, health education, monitoring, and oral lesion diagnosis. However, accurately assessing whether these lesions diagnose in teleconsultations in government databases is not precise. In this context, this study analyzed the role of TD through quantitative variations in the diagnosis of Soft Tissue Alterations (STA) in Brazil and its macroregions, intending to discuss its possibilities and limitations. The first dental consultations (FDC) represented the decline in access. FDC and STA data were from the Primary Care Health Information System (SISAB) between January 2019 and December 2021. The analysis utilizes Friedman and Post-Hoc Durbin-Conover tests, with a significance level of 5%. The information was tabulated based on statistically significant percentage differences. As a result, in 2021, median FDC values in Brazil remained low in most regions (-35.73%, p<0.001), but STA returned to 2019 levels (+2.47% in 2021, p=1.0). The median STA in the Southern region was the only one with a non-statistically significant reduction in 2020 (-19.67%, p=0.064) and a statistically significant increase in 2021 (+15.08%, p=0.011). Likely, the expansion of TD usage in Brazil and previous experience with telehealth in the Southern region contributed to the maintenance of STAs diagnosis during the pandemic. TD provides favorable diagnoses in managing STA, with low costs and good acceptance among patients and professionals. However, structural investments in healthcare facilities, digital network provision, technical and humanized training of healthcare teams for teleconsultations, and integrated involvement of Higher Education Institutions in healthcare services are necessary.
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spelling EXPLORING QUANTITATIVE VARIATIONS IN ORAL LESION DIAGNOSIS AND THE POSSIBILITIES OF TELEDENTISTRY IN TIMES OF PANDEMICEXPLORANDO AS VARIAÇÕES QUANTITATIVAS DO DIAGNÓSTICO DE LESÕES ORAIS E AS POSSIBILIDADES DA TELEODONTOLOGIA EM TEMPOS DE PANDEMIACOVID-19TeleodontologiaMedicina bucalServiços de saúde bucalCOVID-19TeledentistryOral MedicineOral Health ServicesDuring the COVID-19 pandemic, Teledentistry (TD) has emerged as a strategy for ensuring the continuity of oral healthcare by providing guidance, health education, monitoring, and oral lesion diagnosis. However, accurately assessing whether these lesions diagnose in teleconsultations in government databases is not precise. In this context, this study analyzed the role of TD through quantitative variations in the diagnosis of Soft Tissue Alterations (STA) in Brazil and its macroregions, intending to discuss its possibilities and limitations. The first dental consultations (FDC) represented the decline in access. FDC and STA data were from the Primary Care Health Information System (SISAB) between January 2019 and December 2021. The analysis utilizes Friedman and Post-Hoc Durbin-Conover tests, with a significance level of 5%. The information was tabulated based on statistically significant percentage differences. As a result, in 2021, median FDC values in Brazil remained low in most regions (-35.73%, p<0.001), but STA returned to 2019 levels (+2.47% in 2021, p=1.0). The median STA in the Southern region was the only one with a non-statistically significant reduction in 2020 (-19.67%, p=0.064) and a statistically significant increase in 2021 (+15.08%, p=0.011). Likely, the expansion of TD usage in Brazil and previous experience with telehealth in the Southern region contributed to the maintenance of STAs diagnosis during the pandemic. TD provides favorable diagnoses in managing STA, with low costs and good acceptance among patients and professionals. However, structural investments in healthcare facilities, digital network provision, technical and humanized training of healthcare teams for teleconsultations, and integrated involvement of Higher Education Institutions in healthcare services are necessary.Durante a pandemia de COVID-19, a Teleodontologia (TO) foi uma estratégia para continuidade da atenção à saúde bucal propiciando orientações, educação em saúde e monitoramentos, além do diagnóstico de lesões orais. Entretanto, aferir se essas lesões foram diagnosticadas em teleconsultas nas bases de dados governamentais não é preciso. Nesse âmbito, o estudo analisou o papel da TO, por meio das variações quantitativas no diagnóstico de Alteração de Tecido Mole (ATeM) no Brasil e suas macrorregiões, com intuito de debater suas possibilidades e limites. Para dimensionar a queda no acesso, as primeiras consultas odontológicas (PCO) foram elencadas. As PCO e ATeM foram coletadas no Sistema de Informação em Saúde para a Atenção Básica (SISAB), entre janeiro de 2019 e dezembro de 2021. A análise foi realizada pelos testes de Friedman e Post-Hoc Durbin-Conover, com nível de significância de 5%. Para facilitar a interpretação, as informações foram tabuladas pelas diferenças percentuais estatisticamente significantes. Como resultado, em 2021, as medianas das PCO no Brasil permaneceram baixas em grande parte do território (-35,73 %, p<0,001), mas as ATeM voltaram aos níveis de 2019 (+2,47% em 2021, p=1,0). A mediana da ATeM da região Sul foi a única com redução não estatisticamente significante em 2020 (-19,67%, p=0,064) e com aumento significativo em 2021 (+15,08%, p=0,011). É provável que a ampliação do uso da TO no Brasil e a experiência prévia em Telessaúde na região Sul tenham contribuído para a manutenção de diagnóstico das ATeM durante a pandemia. A TO fornece diagnósticos favoráveis no manejo das ATeM, com baixos custos e boa aceitação entre pacientes e profissionais. No entanto, são necessários investimentos estruturais nas unidades de saúde, fornecimento de rede digital, na capacitação técnica e humanizada das equipes de saúde para as teleconsultas e a participação integrada das Instituições de Ensino Superior nos serviços de saúde.Editora da UFRGS2023-08-23info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigo avaliado pelos paresapplication/pdfhttps://seer.ufrgs.br/index.php/saberesplurais/article/view/13221210.54909/sp.v7i2.132212Saberes Plurais; Vol. 7 No. 2 (2023): Saberes Plur. (Publicação em fluxo contínuo); e132212Saberes Plurais Educação na Saúde; Vol. 7 Núm. 2 (2023): Saberes Plur. (Publicação em fluxo contínuo); e132212Saberes Plurais Educação na Saúde; v. 7 n. 2 (2023): Saberes Plur. (Publicação em fluxo contínuo); e1322122525-507X10.54909/sp.v7i2reponame:Saberes Plurais: Educação na saúdeinstname:Universidade Federal do Rio Grande do Sul (UFRGS)instacron:UFRGSporhttps://seer.ufrgs.br/index.php/saberesplurais/article/view/132212/89524http://creativecommons.org/licenses/by-nc-sa/4.0info:eu-repo/semantics/openAccessSilva, Thiago de Albuquerque eAraújo, Maria Ercília de2024-01-10T20:46:08Zoai:seer.ufrgs.br:article/132212Revistahttps://seer.ufrgs.br/saberesplurais/PUBhttps://seer.ufrgs.br/saberesplurais/oaisaberesplurais@ufrgs.br2525-507X2525-507Xopendoar:2024-01-10T20:46:08Saberes Plurais: Educação na saúde - Universidade Federal do Rio Grande do Sul (UFRGS)false
dc.title.none.fl_str_mv EXPLORING QUANTITATIVE VARIATIONS IN ORAL LESION DIAGNOSIS AND THE POSSIBILITIES OF TELEDENTISTRY IN TIMES OF PANDEMIC
EXPLORANDO AS VARIAÇÕES QUANTITATIVAS DO DIAGNÓSTICO DE LESÕES ORAIS E AS POSSIBILIDADES DA TELEODONTOLOGIA EM TEMPOS DE PANDEMIA
title EXPLORING QUANTITATIVE VARIATIONS IN ORAL LESION DIAGNOSIS AND THE POSSIBILITIES OF TELEDENTISTRY IN TIMES OF PANDEMIC
spellingShingle EXPLORING QUANTITATIVE VARIATIONS IN ORAL LESION DIAGNOSIS AND THE POSSIBILITIES OF TELEDENTISTRY IN TIMES OF PANDEMIC
Silva, Thiago de Albuquerque e
COVID-19
Teleodontologia
Medicina bucal
Serviços de saúde bucal
COVID-19
Teledentistry
Oral Medicine
Oral Health Services
title_short EXPLORING QUANTITATIVE VARIATIONS IN ORAL LESION DIAGNOSIS AND THE POSSIBILITIES OF TELEDENTISTRY IN TIMES OF PANDEMIC
title_full EXPLORING QUANTITATIVE VARIATIONS IN ORAL LESION DIAGNOSIS AND THE POSSIBILITIES OF TELEDENTISTRY IN TIMES OF PANDEMIC
title_fullStr EXPLORING QUANTITATIVE VARIATIONS IN ORAL LESION DIAGNOSIS AND THE POSSIBILITIES OF TELEDENTISTRY IN TIMES OF PANDEMIC
title_full_unstemmed EXPLORING QUANTITATIVE VARIATIONS IN ORAL LESION DIAGNOSIS AND THE POSSIBILITIES OF TELEDENTISTRY IN TIMES OF PANDEMIC
title_sort EXPLORING QUANTITATIVE VARIATIONS IN ORAL LESION DIAGNOSIS AND THE POSSIBILITIES OF TELEDENTISTRY IN TIMES OF PANDEMIC
author Silva, Thiago de Albuquerque e
author_facet Silva, Thiago de Albuquerque e
Araújo, Maria Ercília de
author_role author
author2 Araújo, Maria Ercília de
author2_role author
dc.contributor.author.fl_str_mv Silva, Thiago de Albuquerque e
Araújo, Maria Ercília de
dc.subject.por.fl_str_mv COVID-19
Teleodontologia
Medicina bucal
Serviços de saúde bucal
COVID-19
Teledentistry
Oral Medicine
Oral Health Services
topic COVID-19
Teleodontologia
Medicina bucal
Serviços de saúde bucal
COVID-19
Teledentistry
Oral Medicine
Oral Health Services
description During the COVID-19 pandemic, Teledentistry (TD) has emerged as a strategy for ensuring the continuity of oral healthcare by providing guidance, health education, monitoring, and oral lesion diagnosis. However, accurately assessing whether these lesions diagnose in teleconsultations in government databases is not precise. In this context, this study analyzed the role of TD through quantitative variations in the diagnosis of Soft Tissue Alterations (STA) in Brazil and its macroregions, intending to discuss its possibilities and limitations. The first dental consultations (FDC) represented the decline in access. FDC and STA data were from the Primary Care Health Information System (SISAB) between January 2019 and December 2021. The analysis utilizes Friedman and Post-Hoc Durbin-Conover tests, with a significance level of 5%. The information was tabulated based on statistically significant percentage differences. As a result, in 2021, median FDC values in Brazil remained low in most regions (-35.73%, p<0.001), but STA returned to 2019 levels (+2.47% in 2021, p=1.0). The median STA in the Southern region was the only one with a non-statistically significant reduction in 2020 (-19.67%, p=0.064) and a statistically significant increase in 2021 (+15.08%, p=0.011). Likely, the expansion of TD usage in Brazil and previous experience with telehealth in the Southern region contributed to the maintenance of STAs diagnosis during the pandemic. TD provides favorable diagnoses in managing STA, with low costs and good acceptance among patients and professionals. However, structural investments in healthcare facilities, digital network provision, technical and humanized training of healthcare teams for teleconsultations, and integrated involvement of Higher Education Institutions in healthcare services are necessary.
publishDate 2023
dc.date.none.fl_str_mv 2023-08-23
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Artigo avaliado pelos pares
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://seer.ufrgs.br/index.php/saberesplurais/article/view/132212
10.54909/sp.v7i2.132212
url https://seer.ufrgs.br/index.php/saberesplurais/article/view/132212
identifier_str_mv 10.54909/sp.v7i2.132212
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://seer.ufrgs.br/index.php/saberesplurais/article/view/132212/89524
dc.rights.driver.fl_str_mv http://creativecommons.org/licenses/by-nc-sa/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by-nc-sa/4.0
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dc.publisher.none.fl_str_mv Editora da UFRGS
publisher.none.fl_str_mv Editora da UFRGS
dc.source.none.fl_str_mv Saberes Plurais; Vol. 7 No. 2 (2023): Saberes Plur. (Publicação em fluxo contínuo); e132212
Saberes Plurais Educação na Saúde; Vol. 7 Núm. 2 (2023): Saberes Plur. (Publicação em fluxo contínuo); e132212
Saberes Plurais Educação na Saúde; v. 7 n. 2 (2023): Saberes Plur. (Publicação em fluxo contínuo); e132212
2525-507X
10.54909/sp.v7i2
reponame:Saberes Plurais: Educação na saúde
instname:Universidade Federal do Rio Grande do Sul (UFRGS)
instacron:UFRGS
instname_str Universidade Federal do Rio Grande do Sul (UFRGS)
instacron_str UFRGS
institution UFRGS
reponame_str Saberes Plurais: Educação na saúde
collection Saberes Plurais: Educação na saúde
repository.name.fl_str_mv Saberes Plurais: Educação na saúde - Universidade Federal do Rio Grande do Sul (UFRGS)
repository.mail.fl_str_mv saberesplurais@ufrgs.br
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