Video consultations for dentistry in primary health care: a pilot study

Teledentistry is key to achieving equitable healthcare, especially in rural areas. According to the Global Strategy for Oral Health, the use of digital technologies such as video consultations (VCs) makes it possible to overcome geographical barriers, facilitating access to basic services and early detection of diseases.

To analyse the implementation of video consultations for oral health and patient satisfaction level at Primary Health Care in rural areas.

Descriptive study in adult patients in rural areas of Andalusia (Spain). The intervention was carried out using virtualisation platforms and systems integrated within the Andalusian Public Health System of the Andalusian Health Service (SSPA), ensuring confidentiality. Professionals received prior training through clinical simulation to ensure adequate and humanised performance in remote care.

The use of VCs in primary care showed high effectiveness and overall satisfaction, with 78.6% of consultations being finalised and a high level of patient satisfaction (9). Most patients only required one video consultation (VC) (76.8%). However, significant digital divides were identified, with results showing significant differences between connection groups (p-value < 0.001), with those over 55 being the most affected group, as well as 90% of those who needed external help to connect and 50% of those who had connection problems.

Video consultations in dentistry are a valuable tool for rural primary care, improving accessibility and efficiency. Social support is a key to overcome technological difficulties which face older user.