COVİD-19 Döneminde Teledişhekimliği
Özet
COVID-19 pandemisi, virüsün damlacık enfeksiyonu ve aerosol yoluyla yayılması nedeniyle diş hekimliği uygulamalarında büyük bir enfeksiyon riski yaratarak rutin tedavilerin askıya alınmasına yol açmıştır. Bu olağanüstü dönemde hastalar ile diş hekimleri arasındaki fiziksel teması azaltmak ve sosyal mesafeyi korumak amacıyla, teletıpın bir alt başlığı olan "teledişhekimliği" yenilikçi bir çözüm olarak öne çıkmıştır. Canlı görsel-işitsel iletişim, veri kaydetme/iletme ve uzaktan hasta izleme yöntemlerini içeren bu sistem; ağrı ve enfeksiyonun hafifletilmesinde, dental triyaj yapılmasında, acil durumların teşhis edilmesinde ve hastaların bekleme alanlarında virüse maruz kalmasının engellenmesinde kritik bir rol oynamıştır. Dünya genelinde kullanımı artan bu teknoloji; maliyetleri düşürme, uzman hekimlere erişimi artırma ve eğitim süreçlerini destekleme gibi muazzam bir potansiyele sahip olmasına rağmen; net ağız içi görüntüleme eksikliği, yetersiz müfredat deneyimi, yasal endişeler ve klinisyenlerin teknolojik çekinceleri nedeniyle yavaş benimsenmiştir. Sonuç olarak, telekomünikasyon stratejilerinin mevcut krizlerdeki etkinliği kanıtlanmış olup, gelecekte teledişhekimliği uygulamalarının rutin diş hekimliği pratiklerine entegre edilerek kalıcı hale gelmesi ve gereksiz takip randevularını azaltması öngörülmektedir.
During the COVID-19 pandemic, dental treatments posed a high risk of cross-infection due to the transmission of SARS-CoV-2 through droplets and aerosols, leading to the suspension of routine dental services worldwide. To overcome this gap and maintain social distancing, teledentistry, a subfield of telemedicine, emerged as an innovative solution by enabling remote consultation, triaging, and diagnosis through synchronous or asynchronous telecommunication methods. Teledentistry offers significant benefits, such as reducing unnecessary hospital visits for high-risk patients, lowering costs, and enhancing access to specialists, particularly in developing regions; furthermore, it serves as a valuable tool for dental education by providing a secure platform for clinical case discussions. However, its global adoption has been hindered by several limitations, including inadequate intraoral imaging quality for diagnosing deep or interproximal caries, a lack of telehealth training in existing dental curricula, legal issues, and technological resistance among practitioners. Consequently, integrating teledentistry into undergraduate programs is essential to overcome these challenges, as telemonitoring tools are anticipated to become an essential, time-saving component of daily routine dental practice beyond the pandemic.
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