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A Systematic Umbrella Review of the Effects of Teledentistry on Costs and Oral-Health Outcomes

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  • Janneke F. M. Scheerman

    (Oral Hygiene, Cluster Health, Sport and Welfare, Inholland University of Applied Sciences, 1081 LA Amsterdam, The Netherlands
    Medical Technology Research Group, Cluster Health, Sport and Welfare, Inholland University of Applied Sciences, 2015 CE Haarlem, The Netherlands
    Mental Health Nursing Research Group, Cluster Health, Sport and Welfare, Inholland University of Applied Sciences, 2015 CE Haarlem, The Netherlands)

  • Alaa H. Qari

    (College of Dental Medicine, Umm Al-Qura University, Makkah 24381, Saudi Arabia)

  • Benoit Varenne

    (Oral Health Programme, Department of Noncommunicable Diseases, Rehabilitation and Disability (NCD), World Health Organization, 1202 Geneva, Switzerland)

  • Harmen Bijwaard

    (Medical Technology Research Group, Cluster Health, Sport and Welfare, Inholland University of Applied Sciences, 2015 CE Haarlem, The Netherlands
    Centre for Safety, National Institute for Public Health and the Environment (RIVM), 3720 BA Bilthoven, The Netherlands)

  • Laura Swinckels

    (Oral Hygiene, Cluster Health, Sport and Welfare, Inholland University of Applied Sciences, 1081 LA Amsterdam, The Netherlands
    Medical Technology Research Group, Cluster Health, Sport and Welfare, Inholland University of Applied Sciences, 2015 CE Haarlem, The Netherlands
    Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam, 1081 LA Amsterdam, The Netherlands)

  • Nicolas Giraudeau

    (CEPEL, CNRS, University of Montpellier, 34090 Montpellier, France)

  • Berno van Meijel

    (Mental Health Nursing Research Group, Cluster Health, Sport and Welfare, Inholland University of Applied Sciences, 2015 CE Haarlem, The Netherlands
    Department of Psychiatry, Amsterdam University Medical Centre (UMC) and Amsterdam Public Health Research Institute, 1081 HV Amsterdam, The Netherlands
    Parnassia Psychiatric Institute, Parnassia Academy, 2552 DH The Hague, The Netherlands)

  • Rodrigo Mariño

    (Center for Research in Epidemiology, Economics and Oral Public Health (CIEESPO), Faculty of Dentistry, Universidad de La Frontera, Temuco 01145, Chile
    Melbourne Dental School, University of Melbourne, Melbourne, VIC 3052, Australia)

Abstract

Teledentistry offers possibilities for improving efficiency and quality of care and supporting cost-effective healthcare systems. This umbrella review aims to synthesize existing systematic reviews on teledentistry and provide a summary of evidence of its clinical- and cost-effectiveness. A comprehensive search strategy involving various teledentistry-related terms, across seven databases, was conducted. Articles published until 24 April 2023 were considered. Two researchers independently reviewed titles, abstracts and full-text articles. The quality of the included reviews was critically appraised with the AMSTAR-2 checklist. Out of 749 studies identified, 10 were included in this umbrella review. Two reviews focusing on oral-health outcomes revealed that, despite positive findings, there is not yet enough evidence for the long-term clinical effectiveness of teledentistry. Ten reviews reported on economic evaluations or costs, indicating that teledentistry is cost-saving. However, these conclusions were based on assumptions due to insufficient evidence on cost-effectiveness. The main limitation of our umbrella review was the critically low quality of the included reviews according to AMSTAR-2 criteria, with many of these reviews basing their conclusions on low-quality studies. This highlights the need for high-quality experimental studies (e.g., RCTs, factorial designs, stepped-wedge designs, SMARTs and MRTs) to assess teledentistry’s clinical- and cost-effectiveness.

Suggested Citation

  • Janneke F. M. Scheerman & Alaa H. Qari & Benoit Varenne & Harmen Bijwaard & Laura Swinckels & Nicolas Giraudeau & Berno van Meijel & Rodrigo Mariño, 2024. "A Systematic Umbrella Review of the Effects of Teledentistry on Costs and Oral-Health Outcomes," IJERPH, MDPI, vol. 21(4), pages 1-24, March.
    • Handle: RePEc:gam:jijerp:v:21:y:2024:i:4:p:407-:d:1365350
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    References listed on IDEAS

    as
    1. Nkiruka D Eze & Céu Mateus & Tiago Cravo Oliveira Hashiguchi, 2020. "Telemedicine in the OECD: An umbrella review of clinical and cost-effectiveness, patient experience and implementation," PLOS ONE, Public Library of Science, vol. 15(8), pages 1-24, August.
    2. Robert Hrynyschyn & Christina Prediger & Christiane Stock & Stefanie Maria Helmer, 2022. "Evaluation Methods Applied to Digital Health Interventions: What Is Being Used beyond Randomised Controlled Trials?—A Scoping Review," IJERPH, MDPI, vol. 19(9), pages 1-14, April.
    3. Luca Aquilanti & Andrea Santarelli & Marco Mascitti & Maurizio Procaccini & Giorgio Rappelli, 2020. "Dental Care Access and the Elderly: What Is the Role of Teledentistry? A Systematic Review," IJERPH, MDPI, vol. 17(23), pages 1-13, December.
    4. Drummond, Michael F. & Sculpher, Mark J. & Claxton, Karl & Stoddart, Greg L. & Torrance, George W., 2015. "Methods for the Economic Evaluation of Health Care Programmes," OUP Catalogue, Oxford University Press, edition 4, number 9780199665884.
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