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Clinical Needs and Care Delivered Through a Pilot Rural Pediatric Virtual Dental Home
Katherine Tse1, Jean Star2, Katherine Conklin3
1NYU Langone Advanced Education in Pediatric Dentistry, a pediatric dentist at La Clinica Dental at Children's Hospital Oakland, Oakland, and an associate pediatric dentist in private practice, San Jose, San Francisco.
A school-based virtual dental home program effectively provided preventive dental care to rural children, improving access in underserved areas. However, it struggled to reduce untreated cavities, indicating a need for further intervention strategies.
Area of Science:
- Pediatric Dentistry
- Public Health
- Teledentistry
Background:
- Rural communities face significant barriers to accessing dental care.
- Underserved populations, particularly children, experience higher rates of dental caries.
- Innovative care models are needed to address dental health disparities.
Purpose of the Study:
- To evaluate the clinical needs and care provided through a virtual dental home program in a rural school.
- To assess the effectiveness of teledentistry in delivering pediatric dental services.
- To identify outcomes related to oral health targets in an underserved population.
Main Methods:
- A virtual dental home pilot program was implemented at a rural elementary school.
- Teledentistry was utilized to provide dental care to students from K-8th grade.
- Electronic health records were analyzed for demographic data, clinical needs, referrals, and services rendered.
Main Results:
- The majority of the 53 enrolled patients were high caries risk.
- Over 87% of completed procedures were examinations and preventive services.
- The program met some Healthy People 2030 targets but underperformed in reducing untreated caries prevalence.
Conclusions:
- School-based virtual dental homes effectively deliver preventive care and improve access in Dental Health Provider Shortage Areas.
- Teledentistry is a viable tool for pediatric preventive and minimally invasive dental treatments.
- Virtual dental home models show promise in bridging dental care gaps for underserved children.
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