None listed
Conditions
Brief summary
This study evaluates teledentistry and artificial intelligence (AI) in the screening of new orthodontic referrals as well as during braces treatment in Australian adolescents and adults. Its goal is to improve access to public orthodontic services. 208 participants will submit photos using a smartphone-compatible platform called Dental Monitoring (DM). Based on these, patients will have their elgibility status assigned according to NSW Health Policy. Participants will also be assessed at a face-to-face appointment. The outcome of these two methods will be compared to determine the validity of teleorthodontics. Patient satisfaction, oral hygiene status, gingival health status, reduction in waiting lists and the cost-effectiveness will also be assessed.
Interventions
Part 1: Orthodontic triaging
Patients in the intervention group will be assessed for eligibility using teleorthodontics by sumitting intra-oral and extra-oral photographs using the Dental Monitoring(TM) platform. This system uses a smartphone application that allows patients to take accurate intraoral photos, software that measures individual tooth movements and an internet-based interface where the clinician can monitor patient records and correspond with the patient. The process of taking phot
Part 1: Orthodontic triaging Patients in the intervention group will be assessed for eligibility using teleorthodontics by sumitting intra-oral and extra-oral photographs using the Dental Monitoring(TM) platform. This system uses a smartphone application that allows patients to take accurate intraoral photos, software that measures individual tooth movements and an internet-based interface where the clinician can monitor patient records and correspond with the patient. The process of taking photographs and completing the patient questionnaire will take between 30-45 minutes, which is comparable to the time taken for a face-to-face screening appointment. The researchers (orthodontic registrars) will review the submitted photographs and if any images are non-diagnostic, participants will be asked to perform a new "scan" using the DM system. This trial is a randomized crossover trial, whereby all participants are screen for eligibility using the teleorthodontic AND conventional face-to-face method. Participants randomised to Group 1 will undergo teleorthodontic assessment first, followed by conventional assessment. Group 2 will undergo conventional assessment first, followed by teleorthodontic assessment. There will be a minimum washout period of 2 months between the two assessment methods.
Sponsors
Sydney Local Health District
Study design
Allocation
Randomised controlled trial
Intervention model
Crossover
Primary purpose
Diagnosis
Masking
Blinded (masking used) (Subject, Caregiver, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
6 Years to 29 Years
Healthy volunteers
Yes
Inclusion criteria
• Sex: Male, female, non-binary, unspecified • Access to smartphone: Routine access to smartphone capable of running the DM™ application with camera functionality • Access to email account • Consent: Willingness to provide informed consent (or parental consent) and to participate and comply with the study requirements • Age range: equal to or older than 6 to 29 years of age • Referral status: Due for orthodontic eligibility assessment in 2023
Exclusion criteria
• Participants known to the investigators
Outcome results
None listed