Follow-up dental examination a day after apicoectomy using the store-and-forward method

• Published in: Vojnosanitetski pregled Vol. 78; no. 2; pp. 154 - 159
• Main Authors: Miladinovic, Milan, Zivkovic, Dusan, Zivkovic, Milan, Lazic, Zoran, Karanovic, Andrijana, Mihailovic, Djordje, Sehalic, Meliha, Duka, Milos
• Format: Journal Article
• Language: English
• Published: Military Health Department, Ministry of Defance, Serbia 2021
• Subjects: apicoectomy; dental root; dentistry; oral surgical procedures; sensitivity and specificity; telemedicine
• ISSN: 0042-8450; 2406-0720
• DOI: 10.2298/VSP190125045M

Background/Aim. Although apicoectomy is performed routinely and yields excellent results, a close patient observation during the postoperative course is desirable in order to avoid possible complications. The aim of this study was to investigate the adequacy of postoperative control visits a day after surgery using the store-and-forward telemedicine method compared to the clinical in-person controls. Methods. A total of 122 apicoectomies were performed during 115 dental surgery interventions. The follow-up dental ex-amination a day after apicoectomy consisted of reviewing extraoral and intraoral photographs on the internet and re-viewing responses to the questionnaire. After that, patients were examined in-person. Cohen?s kappa (?store-and-forward? method) coefficient, diagnostic sensitivity (SE), sensitivity (SP), and efficiency (EFF) were determined. Statistical comparisons were performed using the Z-test, and nonparametric characteristics were tested using McNemar?s ?2-test at the statistical significance cut-off value of p = 0.05. Results. There were 106 (92%) patients seen at the control dental examination. The agreement between in-person and store-and-forward telemedicine method was found in 104 (98%) cases. The obtained agreement values (K = 0.85, S = 0.99, SP = 0.86, EFF = 0.98) indicated an almost complete diagnostic agreement. Conclusion. Based on the internet transmission of patients? digital photographs and ac-companying patient medical history records, the study showed that the in-person control dental examinations a day after surgery can be successfully replaced with the remote store-and-forward method of telemedicine.