Teledentistry: perkembangan dan tantangan

implementasi di era pandemi

Anis Fuad
Departemen Biostatistik, Epidemiologi dan Kesehatan Populasi
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan
Universitas Gadjah Mada
anisfuad@ugm.ac.id, @4n15fuad
10.6084/m9.figshare.12599621
 #10yearschallenge

Vending machine
Kios minuman

Layanan pas foto photobox

 #10yearschallenge COVID-19

atau

https://awsimages.detik.net.id/community/media/visual/2017/05/04/0ed45bce-f3b9-
43f4-b330-0986aaf0569c_169.jpg?w=780&q=90
@VectorSting
https://theprint.in/health/how-covid-is-making-it-tougher-to-tackle-tb-aids-malaria-and-child-health/443658/
https://www.youtube.com/watch?v=AaFLMgGrPs0
https://www.youtube.com/watch?v=AaFLMgGrPs0
http://mdportal.com/education/history-of-telemedicine/
https://www.who.int/reproductivehealth/publications/digital-interventions-health-system-strengthening/en/
Jenis intervensi digital untuk penguatan sistem
kesehatan (WHO, 2019)
1. Notifikasi kelahiran
2. Notifikasi kematian
3. Ketersediaan stok dan manajemen alkes
4. Telemedicine dari fasilitas kesehatan ke konsumen
5. Telemedicine dari fasilitas kesehatan ke fasilitas kesehatan
6. Komunikasi ke konsumen kesehatan yang terfokus
7. Pelacakan status dan pelayanan kesehatan ke pasien/konsumen
8. Sistem pendukung keputusan untuk tenaga kesehatan
9. Pendidikan dan pelatihan kepada tenaga kesehatan
Riset teledentistry di Pubmed Teledentistry is the use of electronic
information, imaging and communication
technologies, including interactive audio,
video, data communications as well as store
and forward technologies, to provide and
support dental care delivery, diagnosis,
33 consultation, treatment, transfer of dental
68
information and education*
33
148 artikel terindeks di Pubmed
Mulai tahun 1996-2020
39 Author terbanyak: Australia, AS,
Brazil, Perancis, India
102

https://www.americanteledentistry.org/facts-about-teledentistry/
https://oralhealthnc.org/highlights-from-the-unc-teledentistry-symposium/
Bentuk teledentistry
• Telekonsultasi
• Pasien ke dokter gigi
• Antar fasilitas Kesehatan/tenaga kesehatan
• Telediagnosis
• Membutuhkan assessment visual (image)
• Teletriage
• Asesment jarak jauh
• Dapat memasukkan tanda dan gejala
• Dapat untuk mempermudah proses rujukan
• Telemonitoring
• Terutama untuk pasien yang membutuhkan kunjungan ulang, pasca pelayanan di
rumah sakit
• Edukasi dan promosi kesehatan
Ghai, Suhani. "Teledentistry during COVID-19 pandemic." Diabetes & Metabolic Syndrome: Clinical
Research & Reviews (2020).
Teledentistry di era pandemi

https://www.youtube.com/watch?v=AaFLMgGrPs0
Wordcloud
abstrak
 4 cluster riset
teledentistry
4
1 • berdasarkan kata
di judul artikel
1. Ragam
2 implementasi
teledentistry
2. Edukasi,
assessment,
3 mobile phone
3. Pandemi, covid,
review
4. Metode
 Telemedicine allowed a monitoring of all
patients, reducing costs and limiting human
contact, decreasing the risk of Covid-19
dissemination

Giudice, Amerigo, et al. "Can teledentistry improve the monitoring of patients during the covid-19 dissemination?
a descriptive pilot study." International Journal of Environmental Research and Public Health 17.10 (2020): 3399.
 • Visual and photographic assessments are
comparable in the detection of dental caries.

Dental providers with minimal training have

the potential to detect dental caries from
remotely sourced oral photographic records

Estai, Mohamed, et al. "The efficacy of remote screening for dental caries by mid‐level dental providers using a
mobile teledentistry model." Community Dentistry and Oral Epidemiology 44.5 (2016): 435-441.
 • a mobile
teledentistry
approach can offer a
potential cost-
saving alternative
to address the
problems of care
access and the
rising costs of
dental care
Estai, Mohamed, et al. "The efficacy of remote screening for dental caries by mid‐level dental providers using a
mobile teledentistry model." Community Dentistry and Oral Epidemiology 44.5 (2016): 435-441.
Estai, Mohamed, et al. "Teledentistry as a novel pathway to improve dental health in school children: a
research protocol for a randomised controlled trial." BMC oral health 20.1 (2020): 1-9.
Estai, Mohamed, et al. "Teledentistry as a novel pathway to improve dental health in school children: a
research protocol for a randomised controlled trial." BMC oral health 20.1 (2020): 1-9.
https://www.youtube.com/watch?v=AaFLMgGrPs0
https://www.youtube.com/watch?v=AaFLMgGrPs0
https://dental-monitoring.com/
Katsumata, Akitoshi, and Hiroshi Fujita. "Progress of computer-aided detection/diagnosis (CAD) in
dentistry CAD in dentistry." Japanese Dental Science Review 50.3 (2014): 63-68.
Schwendicke, F., W. Samek, and J. Krois. "Artificial Intelligence in Dentistry: Chances and
Challenges." Journal of Dental Research (2020): 0022034520915714.
Chen, Hu, et al. "A deep learning approach to automatic teeth detection and numbering based on object
detection in dental periapical films." Scientific reports 9.1 (2019): 1-11.
Grace, Katja, et al. "When will AI exceed human performance? Evidence from AI
https://arxiv.org/pdf/1705.08807.pdf
experts." Journal of Artificial Intelligence Research 62 (2018): 729-754.
https://www.pwc.com/gx/en/issues/data-and-analytics/artificial-intelligence/what-is-responsible-
ai/responsible-ai-practical-guide.pdf
 Information Health
E-Learning
System Marketplace

adamlab
s

Media & On-Demand

Community Healthcare
Indonesia HealthTech Association

Teleconsultation

AI, IOT & Others

80 perusahaan, 300 pelaku usaha dan profesional

 Start up + Pemerintah

01 02 03
-Teleradiologi
-TeleEKG
-TeleUSG
-Telekonsultasi
 • Penyelenggaraan pelayanan kesehatan
melalui telemedicine dapat dilakukan
selama Kedaruratan Kesehatan
Masyarakat dan/atau Bencana Nasional
Corona Virus Disease 2019 (COVID-19),
dalam rangka pencegahan penyebaran
Corona Virus Disease (COVID-19).
• STR dan mutu pelayanan
• Dokter – pasien, dokter - dokter
• Pencatatan dan keamanan data
Sehubungan dengan hal tersebut, untuk mencegah penyebaran • Kewenangan dokter
Corona Virus Disease (COVID-19), Dokter yang meliputi dokter,
• Peresepan elektronik
dokter gigi, dokter spesialis, dokter gigi spesialis, dan dokter
subspesialis dapat memanfaatkan teknologi informasi dan • Pengantaran obat
komunikasi berupa telemedicine dalam pemberian pelayanan • Keabsahan resep elektronik
kesehatannya
 Dampak yang tidak
diharapkan (unintended
consequences)
• Jenis
• Klinis
• Administratif
• Teknis
• Etis
• Pembiayaan
• Solusi
• Implikasi
Gogia, Shashi Bhushan, et al. "Unintended consequences
of tele health and their possible solutions." Yearbook of
medical informatics 25.01 (2016): 41-46.
KESENJANGAN PEMBANGUNAN KESEHATAN
Inequity of telecommunication access
Which district health systems in Indonesia are prepared to
adopt digital health?
Management & Leadership
+++

--- +++
Digital infrastructure

---
Covid-19 sebagai disruptor sistem kesehatan digital
• Pendorong, penggerak dan mempercepat adopsi teknologi
• Mengubah proses bisnis
• Mengganti proses bisnis
• Diadopsi tanpa menunggu proses norma hukum
What will be the new normal for the dental industry?

• Reducing infection risks, to allow the;

• Resumption of dental provision, which will require the adoption of;
• New approaches, products, technologies and treatments, and
inevitably;
• Changes to the structure and delivery of NHS/private dentistry.

Proffitt, Edmund. "What will be the new normal for the dental industry?." British Dental
Journal 228.9 (2020): 678-680.
Kesimpulan
• Teledentistry adalah praktik pelayanan kedokteran gigi secara jarak
jauh menggunakan bantuan teknologi informasi dan komunikasi
• Di era pandemi berpotensi untuk: menjamin akses, kelangsungan
pelayanan kesehatan gigi, memfasilitasi proses rujukan, pemantauan
Kesehatan, edukasi dan promosi dan kesehatan gigi
• Perubahan: system pelayanan, regulasi, teknologi, profesi dokter gigi,
pasien dan pembiayaan
• Riset teledentistry di Indonesia belum diketahui. Potensi besar
Terima kasih

Mohon maaf, beberapa gambar dan materi belum disertai dengan sumber referensi