Experience of teledentistry in the post-pandemic. Report of a case of oral pseudomembranous candidiasis diagnosed and treated by teledentistry
DOI:
https://doi.org/10.15332/us.v22i2.3013Keywords:
Telehealth, Telemedicine, Teledentistry, Diagnosis, Oral CandidiasisAbstract
Teledentistry (TD) refers to online dental care that avoids physical contact between patient and clinician, its use was essential during the CoViD-19 pandemic. We present the case of a patient who requested dental care via WhatsApp. The intraoral examination through photographs and videos received via WhatsApp was performed, a whitish plaque was observed on the tongue, which was detached by scraping, additionally it was observed gingival inflammation and erosive lesions on the labial semimucosa. The images received confirmed the diagnosis of oral pseudomembranous candidiasis (OPC). Treatment and follow-up were carried out and oral hygiene habits were reinforced. Follow-up photographs showed a satisfactory response to treatment. We emphasize the utility of teledentistry as a practical, useful and agile tool to provide dental services in post-pandemic. We emphasize that, although with its limitations, teledentistry is a useful and efficient tool to provide primary remote health care.
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References
1. Cabore JW, Karamagi HC, Kipruto H, Asamani JA, Droti B, Seydi ABW, et al. The potential effects of widespread community transmission of SARS-CoV-2 infection in the World Health Organization African Region: a predictive model. BMJ Glob Heal. 2020;5(5):e002647. DOI: https://doi.org/10.1136/bmjgh-2020-002647.
2. Li L, Yang Z, Dang Z, Meng C, Huang J, Meng H, et al. Propagation analysis and prediction of the COVID-19. Infect Dis Model. 2020;5:282–92. DOI: https://doi.org/10.1016/j.idm.2020.03.002.
3. Moynihan R, Sanders S, Michaleff ZA, et al. Impact of COVID-19 pandemic on utilisation of healthcare services: a systematic review. BMJ Open. 2021;11(3):e045343. DOI: https://doi.org/10.1136/bmjopen-2020-045343.
4. Jiang CM, Duangthip D, Auychai P, Chiba M, Folayan MO, Hamama HHH, et al. Changes in Oral Health Policies and Guidelines During the COVID-19 Pandemic. Front Oral Heal. 2021;(2):668444. DOI: https://doi.org/10.3389/froh.2021.668444.
5. Ghai S. Teledentistry during COVID-19 pandemic. Diabetes Metab Syndr. 2020;14(5):933–5. DOI: https://doi.org/10.1016/j.dsx.2020.06.029.
6. Abbas B, Wajahat M, Saleem Z, Imran E, Sajjad M, Khurshid Z. Role of Teledentistry in COVID-19 Pandemic: A Nationwide Comparative Analysis among Dental Professionals. Eur J Dent. 2020;14(S 01):S116-S122. DOI: https://doi.org/10.1055/s-0040-1722107.
7. Carrard VC, Roxo Gonçalves M, Rodriguez Strey J, Pilz C, Martins M, Martins MD, et al. Telediagnosis of oral lesions in primary care: The EstomatoNet Program. Oral Dis. septiembre de 2018;24(6):1012–9. DOI: https://doi.org/10.1111/odi.12851.
8. Singh A, Verma R, Murari A, Agrawal A. Oral candidiasis: An overview. J Oral Maxillofac Pathol. septiembre de 2014;18(Suppl 1):S81-5. DOI: https://doi.org/10.4103/0973-029X.141325.
9. Coronado-Castellote L, Jiménez-Soriano Y. Clinical and microbiological diagnosis of oral candidiasis. J Clin Exp Dent. diciembre de 2013;5(5):e279-86. DOI: https://doi.org/10.4317/jced.51242.
10. Patil S, Rao RS, Majumdar B, Anil S. Clinical Appearance of Oral Candida Infection and Therapeutic Strategies. Front Microbiol [Internet]. el 17 de diciembre de 2015;6:1391. DOI: https://doi.org/10.3389/fmicb.2015.01391.
11. Hernawati S. Relationship between Nutrition Deficiency, Oral Cavity Hygiene, and Oral Candidiasis in a 10-Years-Old Child. Heal Notions. 2019;3:469. DOI: https://doi.org/10.33846/HN31003.
12. Costacurta M, Benavoli D, Arcudi G, Docimo R. Oral and dental signs of child abuse and neglect. Oral Implantol (Rome). 2016;8(2–3):68–73. DOI: https://doi.org/10.11138/orl/2015.8.2.068.
13. Chanda W, Joseph TP, Wang W, Padhiar AA, Zhong M. The potential management of oral candidiasis using anti-biofilm therapies. Med Hypotheses. septiembre de 2017;106:15–8. DOI: https://doi.org/10.1016/j.mehy.2017.06.029.
14. Lu S-Y. Oral Candidosis: Pathophysiology and Best Practice for Diagnosis, Classification, and Successful Management. J Fungi [Internet]. 2021;7(7). DOI: https://doi.org/10.3390/jof7070555.
15. Lalla R V, Patton LL, Dongari-Bagtzoglou A. Oral candidiasis: pathogenesis, clinical presentation, diagnosis and treatment strategies. J Calif Dent Assoc. 2013;41(4):263–8. DOI: https://doi.org/10.1080/19424396.2013.12222301.
16. Garcia-Cuesta C, Sarrion-Pérez M-G, Bagán J V. Current treatment of oral candidiasis: A literature review. J Clin Exp Dent. 2014;6(5):e576–82. DOI: https://doi.org/10.4317/jced.51798.
17. Yamamoto T. [Oral candidiasis: clinical features and control]. Rinsho Byori. 2010;58(10):1027–34. Disponible en: http://europepmc.org/abstract/MED/21077293.
18. Xiao J, Fogarty C, Wu TT, Alkhers N, Zeng Y, Thomas M, et al. Oral health and Candida carriage in socioeconomically disadvantaged US pregnant women. BMC Pregnancy Childbirth. 2019;19(1):480. DOI: https://doi.org/10.1186/s12884-019-2618-7.
19. Rautemaa R, Ramage G. Oral candidosis--clinical challenges of a biofilm disease. Crit Rev Microbiol. 2011;37(4):328–36. DOI: https://doi.org/10.3109/1040841X.2011.585606.
20. Akpan A, Morgan R. Oral candidiasis. Postgrad Med J. 2002;78(922):455–9. DOI: https://doi.org/10.1136/pmj.78.922.455.
21. Flores APDC, Lazaro SA, Molina-Bastos CG, Guattini VLO, Umpierre RN, Gonçalves MR, Carrard VC. Teledentistry in the diagnosis of oral lesions: A systematic review of the literature. J Am Med Inform Assoc. 2020; 27 (7): 1166-1172. doi: 10.1093/jamia/ocaa069.
22. Gurgel-Juarez, N., Torres-Pereira, C., Haddad, A. et al. Accuracy and effectiveness of teledentistry: a systematic review of systematic reviews. Evid Based Dent (2022). https://doi.org/10.1038/s41432-022-0257-8.
23. Alabdullah JH, Daniel SJ. A Systematic Review on the Validity of Teledentistry. Telemed J E Health. 2018; 24 (8): 639-648. doi: 10.1089/tmj.2017.0132.
24. Lu, S.-Y. Oral Candidosis: Pathophysiology and Best Practice for Diagnosis, Classification, and Successful Management. J. Fungi 2021; 7 (7): 555. https://doi.org/10.3390/jof7070555.
25. Estai M, Kanagasingam Y, Huang B, Checker H, Steele L, Kruger E, et al. The efficacy of remote screening for dental caries by mid-level dental providers using a mobile teledentistry model. Community Dent Oral Epidemiol. 2016;44(5):435–41. DOI: https://doi.org/10.1111/cdoe.12232.
26. Ibraheim A, Sanalla A, Eyeson J. The role of teledentistry in oral surgery during the COVID-19 pandemic. Adv Oral Maxillofac Surg. 2021;1:100005. DOI: https://doi.org/10.1016/j.adoms.2020.100005.
27. Wallace CK, Schofield CE, Burbridge LAL, O’Donnell KL. Role of teledentistry in paediatric dentistry. Br Dent J [Internet]. 2021; DOI: https://doi.org/10.1038/s41415-021-3015-y.
28. AlShaya MS, Assery MK, Pani SC. Reliability of mobile phone teledentistry in dental diagnosis and treatment planning in mixed dentition. J Telemed Telecare. 2020;26(1-2):45-52. DOI: https://doi.org/10.1177/1357633X18793767.
29. Maret D, Peters OA, Auria J-P, Savall F, Vigarios E. Smartphone oral self-photography in teledentistry: Recommendations for the patient. J Telemed Telecare. 2021;1357633X211028513. DOI: https://doi.org/10.1177/1357633X211028513.
30. Migas K, Kozłowski R, Sierocka A, Marczak M. Evaluation of Tele-Dentistry and Face-to-Face Appointments during the Provision of Dental Services in Poland. J Pers Med. 2022;12(10). DOI: https://doi.org/10.3390/jpm12101640.
2. Li L, Yang Z, Dang Z, Meng C, Huang J, Meng H, et al. Propagation analysis and prediction of the COVID-19. Infect Dis Model. 2020;5:282–92. DOI: https://doi.org/10.1016/j.idm.2020.03.002.
3. Moynihan R, Sanders S, Michaleff ZA, et al. Impact of COVID-19 pandemic on utilisation of healthcare services: a systematic review. BMJ Open. 2021;11(3):e045343. DOI: https://doi.org/10.1136/bmjopen-2020-045343.
4. Jiang CM, Duangthip D, Auychai P, Chiba M, Folayan MO, Hamama HHH, et al. Changes in Oral Health Policies and Guidelines During the COVID-19 Pandemic. Front Oral Heal. 2021;(2):668444. DOI: https://doi.org/10.3389/froh.2021.668444.
5. Ghai S. Teledentistry during COVID-19 pandemic. Diabetes Metab Syndr. 2020;14(5):933–5. DOI: https://doi.org/10.1016/j.dsx.2020.06.029.
6. Abbas B, Wajahat M, Saleem Z, Imran E, Sajjad M, Khurshid Z. Role of Teledentistry in COVID-19 Pandemic: A Nationwide Comparative Analysis among Dental Professionals. Eur J Dent. 2020;14(S 01):S116-S122. DOI: https://doi.org/10.1055/s-0040-1722107.
7. Carrard VC, Roxo Gonçalves M, Rodriguez Strey J, Pilz C, Martins M, Martins MD, et al. Telediagnosis of oral lesions in primary care: The EstomatoNet Program. Oral Dis. septiembre de 2018;24(6):1012–9. DOI: https://doi.org/10.1111/odi.12851.
8. Singh A, Verma R, Murari A, Agrawal A. Oral candidiasis: An overview. J Oral Maxillofac Pathol. septiembre de 2014;18(Suppl 1):S81-5. DOI: https://doi.org/10.4103/0973-029X.141325.
9. Coronado-Castellote L, Jiménez-Soriano Y. Clinical and microbiological diagnosis of oral candidiasis. J Clin Exp Dent. diciembre de 2013;5(5):e279-86. DOI: https://doi.org/10.4317/jced.51242.
10. Patil S, Rao RS, Majumdar B, Anil S. Clinical Appearance of Oral Candida Infection and Therapeutic Strategies. Front Microbiol [Internet]. el 17 de diciembre de 2015;6:1391. DOI: https://doi.org/10.3389/fmicb.2015.01391.
11. Hernawati S. Relationship between Nutrition Deficiency, Oral Cavity Hygiene, and Oral Candidiasis in a 10-Years-Old Child. Heal Notions. 2019;3:469. DOI: https://doi.org/10.33846/HN31003.
12. Costacurta M, Benavoli D, Arcudi G, Docimo R. Oral and dental signs of child abuse and neglect. Oral Implantol (Rome). 2016;8(2–3):68–73. DOI: https://doi.org/10.11138/orl/2015.8.2.068.
13. Chanda W, Joseph TP, Wang W, Padhiar AA, Zhong M. The potential management of oral candidiasis using anti-biofilm therapies. Med Hypotheses. septiembre de 2017;106:15–8. DOI: https://doi.org/10.1016/j.mehy.2017.06.029.
14. Lu S-Y. Oral Candidosis: Pathophysiology and Best Practice for Diagnosis, Classification, and Successful Management. J Fungi [Internet]. 2021;7(7). DOI: https://doi.org/10.3390/jof7070555.
15. Lalla R V, Patton LL, Dongari-Bagtzoglou A. Oral candidiasis: pathogenesis, clinical presentation, diagnosis and treatment strategies. J Calif Dent Assoc. 2013;41(4):263–8. DOI: https://doi.org/10.1080/19424396.2013.12222301.
16. Garcia-Cuesta C, Sarrion-Pérez M-G, Bagán J V. Current treatment of oral candidiasis: A literature review. J Clin Exp Dent. 2014;6(5):e576–82. DOI: https://doi.org/10.4317/jced.51798.
17. Yamamoto T. [Oral candidiasis: clinical features and control]. Rinsho Byori. 2010;58(10):1027–34. Disponible en: http://europepmc.org/abstract/MED/21077293.
18. Xiao J, Fogarty C, Wu TT, Alkhers N, Zeng Y, Thomas M, et al. Oral health and Candida carriage in socioeconomically disadvantaged US pregnant women. BMC Pregnancy Childbirth. 2019;19(1):480. DOI: https://doi.org/10.1186/s12884-019-2618-7.
19. Rautemaa R, Ramage G. Oral candidosis--clinical challenges of a biofilm disease. Crit Rev Microbiol. 2011;37(4):328–36. DOI: https://doi.org/10.3109/1040841X.2011.585606.
20. Akpan A, Morgan R. Oral candidiasis. Postgrad Med J. 2002;78(922):455–9. DOI: https://doi.org/10.1136/pmj.78.922.455.
21. Flores APDC, Lazaro SA, Molina-Bastos CG, Guattini VLO, Umpierre RN, Gonçalves MR, Carrard VC. Teledentistry in the diagnosis of oral lesions: A systematic review of the literature. J Am Med Inform Assoc. 2020; 27 (7): 1166-1172. doi: 10.1093/jamia/ocaa069.
22. Gurgel-Juarez, N., Torres-Pereira, C., Haddad, A. et al. Accuracy and effectiveness of teledentistry: a systematic review of systematic reviews. Evid Based Dent (2022). https://doi.org/10.1038/s41432-022-0257-8.
23. Alabdullah JH, Daniel SJ. A Systematic Review on the Validity of Teledentistry. Telemed J E Health. 2018; 24 (8): 639-648. doi: 10.1089/tmj.2017.0132.
24. Lu, S.-Y. Oral Candidosis: Pathophysiology and Best Practice for Diagnosis, Classification, and Successful Management. J. Fungi 2021; 7 (7): 555. https://doi.org/10.3390/jof7070555.
25. Estai M, Kanagasingam Y, Huang B, Checker H, Steele L, Kruger E, et al. The efficacy of remote screening for dental caries by mid-level dental providers using a mobile teledentistry model. Community Dent Oral Epidemiol. 2016;44(5):435–41. DOI: https://doi.org/10.1111/cdoe.12232.
26. Ibraheim A, Sanalla A, Eyeson J. The role of teledentistry in oral surgery during the COVID-19 pandemic. Adv Oral Maxillofac Surg. 2021;1:100005. DOI: https://doi.org/10.1016/j.adoms.2020.100005.
27. Wallace CK, Schofield CE, Burbridge LAL, O’Donnell KL. Role of teledentistry in paediatric dentistry. Br Dent J [Internet]. 2021; DOI: https://doi.org/10.1038/s41415-021-3015-y.
28. AlShaya MS, Assery MK, Pani SC. Reliability of mobile phone teledentistry in dental diagnosis and treatment planning in mixed dentition. J Telemed Telecare. 2020;26(1-2):45-52. DOI: https://doi.org/10.1177/1357633X18793767.
29. Maret D, Peters OA, Auria J-P, Savall F, Vigarios E. Smartphone oral self-photography in teledentistry: Recommendations for the patient. J Telemed Telecare. 2021;1357633X211028513. DOI: https://doi.org/10.1177/1357633X211028513.
30. Migas K, Kozłowski R, Sierocka A, Marczak M. Evaluation of Tele-Dentistry and Face-to-Face Appointments during the Provision of Dental Services in Poland. J Pers Med. 2022;12(10). DOI: https://doi.org/10.3390/jpm12101640.
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Published
2023-08-08
How to Cite
Castro-Larios, L. A., Paternina Moguea, E. J., & Orozco Páez, J. (2023). Experience of teledentistry in the post-pandemic. Report of a case of oral pseudomembranous candidiasis diagnosed and treated by teledentistry. Ustasalud, 22(2), 120–125. https://doi.org/10.15332/us.v22i2.3013
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Scientific and technological research papers
